| Theme |
Advancement of Medical Practice for Peritonitis and Ascites |
| Title |
Pelvic Inflammatory Disease (PID) |
| Author |
Ikumi Akiyama |
Division of Obstetrics and Gynecology, The University of Tokyo |
| Author |
Kawori Koga |
Division of Obstetrics and Gynecology, The University of Tokyo |
| [ Summary ] |
Pelvic inflammatory disease (PID) is caused by sexually transmitted disease such as Chlamydia trachomatis, Neisseria gonorrhoeae and genital Mycoplasma, or by vaginal bacteria. The risk factors for PID include sexual activity, intrauterine device insertion, and a history of previous PID. Physical examination, laboratory investigations, and clinical imaging are useful for diagnosis. Although PID often improves with antibiotic treatment, surgery may be necessary in women who develop a tubal or ovarian abscess. |