Aust Fam Physician.
Presumptive treatment for PID should be initiated in sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of the following minimum clinical criteria are present on pelvic examination:. A cluster- controlled trial in women and men in the general population in the Netherlands found no change in chlamydia test positivity after three yearly invitations intervention 4.
More information is available at www. The first PEF estimate is calculated as follows: Based on 19 studies reporting C.
Confidence interval. The predicted cumulative incidence of PID was lower in the intervention than the control group if progression to PID occurred at a constant rate or at the end of chlamydia infection. Cost of and payment source for pelvic inflammatory disease. You should also avoid having sex if you or your partner has any unusual genital symptoms such as itchy genitals or a discharge.
Systematic review of randomized trials of treatment of male sexual partners for improved bacterial vaginosis outcomes in women. For example, the ratio of the incidence of PID to the incidence of C. Prevention Of Pelvic Infection. Further observations, mainly serological, on a cohort of women with or without pelvic inflammatory disease.
England Quarters 1—4. No single historical, physical, or laboratory finding is both sensitive and specific for the diagnosis of PID. After deciding whether to initiate empiric treatment, clinicians should also consider the risk profile for STDs.
As many STIs and particularly chlamydia may be asymptomatic, it is important to get screened for chlamydia if you have had unprotected sex. PID is a serious complication of some sexually transmitted diseases STDs , especially chlamydia and gonorrhea.
One trial was at low risk of bias in all six specific domains assessed.