pelvic inflammatory disease, pid…

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pelvic laparoscopy, female reproductive anatomy, endometritis, uterus, pid, oophoritis, salpingitis, salpingo-oophoritis, salpingo-peritonitis, pelvic inflammatory disease, general term, infection, the lining, the uterus, fallopian tubes, ovaries, endometritis, same organisms responsible, bacterial sexually transmitted diseases, chlamydia, gonorrhea, mycoplasma, staph, strep, 90% to 95% of all cases of pelvic inflammatory disease, pid, sexual transmission, most common cause of pid, bacteria, enter the body after gynecological events, procedures iud insertion, intrauterine device used, contraception, childbirth, spontaneous abortion, miscarriage, therapeutic, elective abortion, endometrial biopsy, united states, nearly 1 million women develop pid each year, estimated that 1 in 8 sexually active adolescent girls, develop pid, reaching age 20, pid is frequently underdiagnosed, statistics, greatly underestimated, risk factors include sexual activity, adolescence, multiple sexual partners, a past history of pid, a past history of any std, sexually transmitted disease, use of non-barrier type contraceptives, use of an iud, intrauterine device, increase the risk of developing pid, time of iud insertion, oral contraceptives, "the pill", thought, cases to enhance cervical ectropion, a condition that allows easier access to tissue where bacteria, thrive, oral contraceptives, in other cases have a protective role against developing pid, they stimulate the body to produce a thicker cervical mucous, is harder, semen, contain bacteria, to penetrate, makes it harder, semen to transmit bacteria, uterus, most common symptoms of pid, vaginal discharge, abnormal color, consistency, odor, abdominal pain either localized, generalized, fever, not always present, range from transient to constant, low grade to high, nonspecific symptoms that, pid, chills, irregular menstrual bleeding, spotting, increased menstrual cramping, menstruation, absent, increased pain, ovulation, sexual intercourse, painful, bleeding after intercourse, low-back pain, fatigue, lack of appetite, nausea, vomiting, frequent urination, pain, urination, point tenderness, no symptoms, people who experience ectopic pregnancies, pregnancies, embryo implants, in the fallopian tubes instead, the uterus, infertility, found to have so-called "silent" pid, chlamydia infection, a general examination, reveal fever, abdominal tenderness, pelvic examination, reveal cervical discharge, cervical motion tenderness, pain, movement, the cervix, a pelvic exam, a friable cervix, bleeds, uterine tenderness, adnexal, ovarian, tenderness, a wbc, an esr, sed rate, a wet prep, wet mount microscopic examination, a serum hcg, pregnancy test, an endocervical culture, gonorrhea, chlamydia, organisms, a laparoscopy, pelvic ultrasound, ct scan, early diagnosis of mild pid treated on an outpatient basis, antibiotics, close follow-up, complicated cases, involving widespread, well-established infection, require inpatient care, hospitalization, intravenous antibiotics, followed, a course of oral antibiotics, surgery considered, complicated, persistent cases that, not respond to adequate antibiotic treatment, concurrent treatment of sexual partners, use of condoms throughout the course of treatment, essential, in 15% of cases, initial antibiotic therapy fails, 20% experience a recurrence of pid at some time, reproductive years, risk, ectopic pregnancy increases from 1 in 200 to 1 in 20 after having pid, infertility risks also increase, 15% risk of infertility following the 1st episode of pid, 30% risk of infertility following 2 episodes of pid, 50% risk of infertility following 3, episodes of pid, symptoms of pid occur, suspect, been exposed to a sexually transmitted disease, treatment of a current std, effective, preventive measure include following safer sex behaviors, following the health care provider's recommendations after gynecological events, getting prompt treatment, sexually transmitted diseases, sexual partners should also get adequate treatment, risk of pid, reduced by getting regular std screening exams, by couples tested, initiating sexual relations, testing, detect stds, not be producing symptoms yet.