The Pelvic Inflammatory Disease can be caused by bacteria that affect the female sexual organs and can have some serious complications in the woman.
The pelvic inflammatory disease (PID) is an infection of the reproductive organs female such as the ovaries, uterus and fallopian tubes. This disease primarily affects the adolescents and young people sexually active with multiple sexual partners, not use contraceptives, barrier.
When the infection occurs in the lining of the uterus to infection is called the endometriosis and if it is in the Fallopian Tubes we are faced with a salpingite. When the infection is severe, it can climb and spread to the ovaries (oofarite).
This disease is serious, in that it can cause infertility.
PELVIC INFLAMMATORY DISEASE: FORMS OF TRANSMISSION
In most cases, the transmission of this disease is through unprotected intercourse with a sexual partner infected by bacteria.
This disease is usually caused by the presence of bacteria in the vagina (the most frequent are: Neisseria gonorrhoeae, that causes gonorrhoea; Chlamydia trachomatis, causes the Clamidía and Mycoplasma genitalium).
These bacteria usually spread from the vagina to the cervix of the uterus, where it may remain in the cervix or spread to the upper region, causing pelvic inflammatory disease.
This disease also occurs frequently in women who suffer from bacterial vaginosis.
In addition to the situations described above, this pathology can arise due to:
- Contamination with microrganimos during the birth;
- Introducing contaminated objects into the vagina;
- Can occur after any medical procedure location (such as, for example, insertion of IUD – Intra-Uterine Device, the biopsy specimen in the inner part of the uterus, curettage).
PELVIC INFLAMMATORY DISEASE: SYMPTOMS
Often women who are carriers of this disease, especially at the end of the menstrual period, feel:
- Pain mild to moderate, in the lower part of the abdomen, which may be worse one of the sides and that can worsen with the evolution of the disease;
- The presence of vaginal discharge, sometimes with a foul odor;
- Vaginal bleeding irregular outside of the menstrual period or after sexual intercourse;
- When the infection worsens:
- Fever (Tº C > 38ºC);
- Pain becoming less and less tolerable;
- Vaginal discharge that is greenish-yellow;
- Dyspareunia (pain during intercourse) or dysuria (pain when urinating).
This disease can be classified according to the severity, featuring the following stadiums:
- Stage 1: inflammation of the endometrium and fallopian tubes, without infection of the peritoneum;
- Stage 2: inflammation of the fallopian tubes with infection of the peritoneum;
- Stage 3: inflammation of the fallopian tubes, with occlusion of the same, and the presence of abscess;
- Stage 4: rupture of the abscess tube-ovarian, with purulent secretion.
PELVIC INFLAMMATORY DISEASE: DIAGNOSIS
The diagnosis of this disease has its basis in the symptomatology of the woman, physical examination (including a pelvic examination), and the confirmation is done through the analysis of the vaginal discharge, examination of pregnancy (to establish an ectopic pregnancy), blood tests, and may be necessary to resort to abdominal ultrasound or laparoscopy.
PELVIC INFLAMMATORY DISEASE: TREATMENT
The most effective way to treat the disease is the intake of antibiotics (oral, intramuscular or intravenous).
It is important that during the treatment period the woman not to have sex, so as to give opportunity to the healing of the tissues. During the treatment it is recommended that the sexual partner also be treated even if you do not have symptoms, so as to avoid recontamination.
In the case of the existence of abscess, it is necessary to proceed to its drain, where it is inserted like a needle through a small incision in the skin, with the aid of a test image, to guide the needle to the abscess.
PELVIC INFLAMMATORY DISEASE: POSSIBLE COMPLICATIONS
This disease can cause the following problems:
- Peritonitis (infection of the bacterial or fungal diseases of the peritoneum, a membrane that lines the inside of the header abdominal);
- Blockage of the fallopian tubes;
- Disease Fitz-Hugh-Curtis or peri-acute hepatitis is characterized by inflammation of the peritoneum and tissues sub-to the liver;
- Ectopic pregnancy (occurs when implantation of the embryo in the Fallopian Tubes).
PELVIC INFLAMMATORY DISEASE: WAYS OF PREVENTION
As a form of prevention, follow these tips to prevent the appearance of this disease:
- Have only one sexual partner;
- Always use contraceptive methods, barrier (for example, condom or diaphragm) with spermicide (for example the foams vaginal);
- Avoid leaving a contracetivo barrier a lot of time in the interior of the vagina;
- Avoid douching, since it modifies the flora of the vagina, favoring infections.