Pelvic Inflammatory Disease (cont.)
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A health care practitioner usually will diagnose PID by taking the individual's medical history, doing a physical exam, and ordering appropriate tests.
Physical exam findings in PID often include the following:
Laboratory tests may include the following:
A pelvic ultrasound, although not routinely done, can be an important tool in diagnosing complications such as tubo-ovarian abscesses, ovarian torsion, ovarian cysts, and ectopic pregnancy. Although unlikely to occur in pregnancy, PID is the most commonly missed diagnosis in ectopic pregnancies and can occur during the first 12 weeks of pregnancy.
A woman's health specialist (a gynecologist) can use a laparoscope (a small tube with a camera attached) and make small surgical incisions in and around the navel to view the reproductive organs and evaluate whether inflammation is present. The doctor can also identify an ectopic pregnancy using this technique. Definitive care can then be provided from starting IV antibiotics to removing an ectopic pregnancy.
A health care practitioner will start antibiotic therapy for PID as soon as the diagnosis is made. Gonorrhea and chlamydia are suspected and treated in every person. Pain medication and IV fluids will be given if the patient needs them.
Medically Reviewed by a Doctor on 6/10/2014
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