The clinical criteria for diagnosing
pelvic inflammatory disease (PID) are as
Any of these three criteria diagnose PID if no other cause can be
The presence of any of the following symptoms increases the
likelihood that you have PID:
Other clinical criteria used to diagnose PID include the
Many health professionals think that even if a woman has no pelvic
symptoms, she should be treated for PID if she has pain or tenderness when the
cervix is moved and has signs of
cervicitis (inflammation of the cervix).
The treatment for PID is longer and may use different medications
than the treatment for a vaginal or cervical infection.
If symptoms come back after treatment, other possible causes for the
symptoms are considered each time. It sometimes takes more than one course of
medicine treatment to cure PID. It is also possible that a reinfection has
occurred or that the original diagnosis may not have been correct. Your sex
partner(s) must be treated at the same time you are.
Centers for Disease Control and Prevention (2010). Pelvic inflammatory disease section of Sexually transmitted diseases treatment guidelines, 2010. MMWR, 59(RR-12): 63–67. Also available online: http://www.cdc.gov/std/treatment/2010/default.htm.
November 23, 2012
Kathleen Romito, MD - Family Medicine
& Sarah Marshall, MD - Family Medicine
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