ENFERMEDAD INFLAMATORIA PÉLVICA (EPI): Síntomas y tratamiento - Ginecología y Obstetricia -

UPDATED VIDEO:    • ENFERMEDAD INFLAMATORIA PÉLVICA (EPI): Sín...   Pelvic inflammatory disease (PID) is an infectious disease that affects the uterus, fallopian tubes, and ovaries. Dr. Melgar explains the causes, symptoms, and treatment of PID. More information, videos, podcasts, and PDFs at AULAGINECOLOGIA.COM (Follow us on Facebook, Twitter, and Instagram @aulaginecologia) VIDEO FOR PATIENTS, WOMEN'S HEALTH SECTION: https://aulaginecologia.com/mujeres/e... PELVIC INFLAMMATORY DISEASE (PID) Pelvic inflammatory disease (PID) is an acute and sometimes subclinical infection of the female genital tract that affects the uterus, fallopian tubes, and ovaries. Pelvic inflammatory disease (PID) is initiated by a sexually transmitted agent (85%) or pathogens associated with bacterial vaginosis, which ascend to the upper genital tract. Less than 15% are not sexually transmitted but are associated with enteric pathogens. It can cause endometritis, salpingitis, oophoritis, peritonitis, perihepatitis, and/or tubo-ovarian abscess. RISK FACTORS Sex is the main risk factor, especially with multiple sexual partners. Younger age (15-25 years), previous chlamydia infection, a partner with an STI or previous PID are other important risk factors. The contraceptive method also plays a role: barrier contraception is protective. CLINICAL PRESENTATION Constant and intense pelvic abdominal pain. It is usually an acute condition, although sometimes it is more indolent, lasting for weeks or months. DIAGNOSIS A clinical diagnosis of presumption is made in young, sexually active patients, especially those at high risk for STIs, with pelvic abdominal pain and pain on cervical motion. The sensitivity of the clinical diagnosis is 65-90%, but due to the potential for serious reproductive sequelae, this information is sufficient to justify empirical antibiotic treatment for PID. TREATMENT Early treatment is key to preventing sequelae such as infertility or ectopic pregnancy. The main treatment targets are chlamydia and gonorrhea, and these should be covered even with negative cultures (this does not rule out upper tract infection). Anaerobic coverage should be added in the presence of an abscess or recent gynecological instrumentation. Most cases are treated at home. SUMMARY INFORMATION: PELVIC INFLAMMATORY DISEASE for PATIENTS:    • ENFERMEDAD INFLAMATORIA PÉLVICA (EPI) PACI...   Related topics: Endometriosis treatment:    • TRATAMIENTO de la ENDOMETRIOSIS: analgésic...   Painful periods or dysmenorrhea:    • DISMENORREA o DOLOR DE REGLA: causas, diag...   Pelvic Inflammatory Disease (PID):    • ENFERMEDAD INFLAMATORIA PÉLVICA (EPI) PACI...   Fibroids:    • MIOMAS: Síntomas, diagnóstico y tratamient...   Polyps:    • PÓLIPOS UTERINOS: Causas, riesgo de cáncer...   More information, videos, podcasts, and PDFs at aulaginecologia.com