Severe cases of PID can require hospitalization. Generally, in patients with mild PID, antibiotic treatment given on an outpatient basis is sufficient to cure an infection. If, however, your condition does not improve within 48 hours of starting antibiotic therapy, you will probably need to be hospitalized so that more aggressive treatment (for example, delivering continuous antibiotics through a vein) can be started. In complicated situations, surgery may be necessary to drain pus from abscesses or to terminate an ectopic pregnancy.
Do not drink alcohol, and abstain from sexual intercourse while taking medication for PID.
Your doctor is the best source of information on the drug treatment choices available to you.
If you have an IUD, talk to your doctor about the feasibility of having it removed.
If you have your IUD removed, you should speak to your doctor about what sorts of birth control methods might be appropriate for you.
Surgery can become necessary as an emergency or preventive measure. One of the most common reasons for surgery relates to collections of pus (abscesses) that may develop as a result of PID. If an abscess develops, it may be necessary to drain it surgically. An even more critical need occurs when an abscess ruptures. If that happens, pus can spill into the abdomen, causing pain, nausea,and vomiting. Additionally, infection from that pus can spread throughout the bloodstream (a condition called sepsis), which can send you into shock, and even cause death. Another reason a physician might need to resort to surgery is to terminate an ectopic pregnancy—a pregnancy in which the egg develops in the fallopian tube rather than the uterus. An ectopic pregnancy must be surgically removed since there is no room for an embryo to develop in the fallopian tubes. If the embryo continues to grow, the fallopian tube will burst, causing massive damage to the mother and possibly death.
While PID can generally be cured, it can cause complications. Hospitalized patients usually show substantial improvement within three to five days. Most effective therapies fully cure the infection within approximately two weeks.
Unfortunately, PID leaves long-term after effects in many women, especially if it isn't caught early. Scarring of the fallopian tubes is one of the most common complications, and can lead to problems such as chronic pain, infertility, and ectopic pregnancy. Pregnant women who develop PID require hospitalization.
Careful follow-up, both during and after treatment, is critical for women with PID. If you are being treated on an outpatient basis during drug therapy, you should be reevaluated within 72 hours to determine if your medication is having the desired effect; if not, therapy may need to be changed, or you may need to be admitted to the hospital.
Long-term follow-up is essential. It is essential that women who've had PID should see their doctors on a regular basis for follow-ups on pain and other potential problems. This is especially important for women who someday wish to conceive.
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