Pelvic inflammatory disease history and symptoms: Difference between revisions

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{{Pelvic inflammatory disease}}
{{Pelvic inflammatory disease}}
{{CMG}}
{{CMG}}; {{AE}} {{MehdiP}}
==Overview==
Detailed history about [[sexual activity]] and number of partners must be obtained. Common symptoms for PID include [[lower abdominal pain]], abnormal [[uterine bleeding]], and [[urinary frequency]]. History must include the duration and severity of these symptoms.


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==History==
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:<ref name="pmid27107781">{{cite journal |vauthors=Ford GW, Decker CF |title=Pelvic inflammatory disease |journal=Dis Mon |volume=62 |issue=8 |pages=301–5 |year=2016 |pmid=27107781 |doi=10.1016/j.disamonth.2016.03.015 |url=}}</ref>
*Recent sexual activities
*Number of sex partners or any new partner
*Using [[condom]]
*History of prior [[STDs]]
A detailed history about the onset of symptoms, pain characteristics, and constitutional symptoms must be obtained.<ref name="pmid24216035">{{cite journal |vauthors=Ross J, Judlin P, Jensen J |title=2012 European guideline for the management of pelvic inflammatory disease |journal=Int J STD AIDS |volume=25 |issue=1 |pages=1–7 |year=2014 |pmid=24216035 |doi=10.1177/0956462413498714 |url=}}</ref>


==Overview==
==Symptoms==
PID is difficult to diagnose because the symptoms are often subtle and mild.             Many episodes of PID go undetected because the woman or her health care provider              fails to recognize the implications of mild or nonspecific symptoms. Because              there are no precise tests for PID, a diagnosis is usually based on clinical              findings. There may be no actual symptoms of PID. If there are symptoms then [[fever]], [[cervix|cervical]] motion tenderness, lower [[abdominal pain]], new or different discharge, [[Pain and nociception|painful]] [[sexual intercourse|intercourse]], or irregular [[Menstrual cycle|menstrual]] bleeding may be noted. It is important to note that PID can occur and cause serious harm without causing any noticeable symptoms. Other signs and symptoms include unusual vaginal discharge that may have a foul odor, painful intercourse, painful urination, and pain in the right upper abdomen              (rare).
Many of patients are asymptomatic. Common symptoms include:<ref name="pmid25992748">{{cite journal |vauthors=Brunham RC, Gottlieb SL, Paavonen J |title=Pelvic inflammatory disease |journal=N. Engl. J. Med. |volume=372 |issue=21 |pages=2039–48 |year=2015 |pmid=25992748 |doi=10.1056/NEJMra1411426 |url=}}</ref>
*[[Abdominal pain]]:
::Usually bilateral and in lower abdomen.
*[[Abnormal uterine bleeding]]:
::Postcoital bleeding, inter menstrual bleeding and [[menorrhagia]] occur in one-third of patients with PID.
*[[Urinary frequency]]
*Abnormal [[vaginal discharge]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


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Latest revision as of 23:37, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Detailed history about sexual activity and number of partners must be obtained. Common symptoms for PID include lower abdominal pain, abnormal uterine bleeding, and urinary frequency. History must include the duration and severity of these symptoms.

History

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1]

  • Recent sexual activities
  • Number of sex partners or any new partner
  • Using condom
  • History of prior STDs

A detailed history about the onset of symptoms, pain characteristics, and constitutional symptoms must be obtained.[2]

Symptoms

Many of patients are asymptomatic. Common symptoms include:[3]

Usually bilateral and in lower abdomen.
Postcoital bleeding, inter menstrual bleeding and menorrhagia occur in one-third of patients with PID.

References

  1. Ford GW, Decker CF (2016). "Pelvic inflammatory disease". Dis Mon. 62 (8): 301–5. doi:10.1016/j.disamonth.2016.03.015. PMID 27107781.
  2. Ross J, Judlin P, Jensen J (2014). "2012 European guideline for the management of pelvic inflammatory disease". Int J STD AIDS. 25 (1): 1–7. doi:10.1177/0956462413498714. PMID 24216035.
  3. Brunham RC, Gottlieb SL, Paavonen J (2015). "Pelvic inflammatory disease". N. Engl. J. Med. 372 (21): 2039–48. doi:10.1056/NEJMra1411426. PMID 25992748.

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