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Pelvic Inflammatory Disease (cont.)

What Are the Medications for Pelvic Inflammatory Disease?

Because samples of the bacteria from the upper genital tract are difficult to obtain and because many different organisms may be responsible for PID, especially if it is not the person's first occurrence, the doctor will usually prescribe at least two antibiotics at the same time that are effective against a wide range of infectious bacteria. The CDC recommends that all antibiotic treatments should be effective against N. gonorrhoeae and C. trachomatis. The CDC lists several choices of antibiotics to use (for example, cefotetan (Cefotan, Apatef), 2 g IV every 12 hour plus doxycycline (Vibramycin, Monodox), 100 mg orally or IV every 12 hours). The duration of treatments vary according to the extent of the disease; the caregivers usually determine the length of treatments for each individual.

The doctor may provide IV antibiotics at the office, by a visiting nurse, or in a clinic. Emergency department doctors may also provide oral and IV antibiotic treatment. Depending on the severity of the particular case of PID, a doctor may also choose to admit the person for hospital treatment.

  • If the patient is pregnant, it is likely they are going to be admitted into the hospital. If the doctor is unsure that the person has PID, a gynecologist will be consulted. If the doctor cannot rule out appendicitis or another surgical emergency, a surgeon may be consulted. Likewise, if the person is found to have an abscess (tubo-ovarian abscess), they will be admitted to the hospital.
  • If the person is not admitted to the hospital and does not improve within 72 hours of starting treatment, then the patient should be reevaluated. Such patients may be given IV antibiotics and be admitted to the hospital.

What Surgery is Available for Pelvic Inflammatory Disease?

Untreated PID can cause chronic pelvic pain and scarring in about 20% of women. These conditions are difficult to treat but are sometimes improved with surgery. Surgery may also be needed to remove or drain a tubo-ovarian abscess if present.

Medically Reviewed by a Doctor on 11/28/2016

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Read What Your Physician is Reading on Medscape

Pelvic Inflammatory Disease »

Pelvic inflammatory disease (PID) is an inflammatory disorder of the uterus, fallopian tubes, and adjacent pelvic structures.

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