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PID Question...in depth?


Bit of an in depth question to post on here, but maybe someone can shed light?

I understand that PID can block the fallopian tubes and also damage the tiny hairs that carry the egg from the fallopian tube to the uterus.

Can anyone answer if the PID damages the cillias (hairs in the fallopian) before the blockage occurs..? or vise versa?

Thank you for any light shed on this

What are the possible complications of pelvic inflammatory disease?
Complications do not develop in most cases if PID is diagnosed and treated early. Possible complications include one or more of the following.

Difficulty becoming pregnant (infertility). PID can cause scarring or damage to the fallopian tubes. This can occur whether or not the PID caused symptoms.
An increased risk of an ectopic pregnancy if you become pregnant. (This is a pregnancy that develops in a fallopian tube and can cause serious problems.) Again, this is due to damage to the fallopian tube by the infection. If you have had PID and become pregnant, you have about a 1 in 10 chance that the pregnancy will be ectopic.
Chronic (persistent) pain develops in about 1 in 5 cases. This often includes pain during sex.
The risk of developing some complications of pregnancy such as miscarriage, premature birth, and stillbirth are increased in pregnant women with untreated PID.
Reiter's syndrome. This is an uncommon cause of arthritis and eye inflammation. It is an uncommon complication of PID. It is thought to be due to the immune system 'over-reacting' to pelvic infection in some cases.
You are less likely to develop complications if you begin treatment within 2-3 days of symptoms starting. This may be possible if symptoms develop quickly. However, some women with PID have mild symptoms, or no symptoms at all. The infection may progress for quite some time before it is diagnosed or treated.

What is the treatment of pelvic inflammatory disease?
The usual treatment is a course of antibiotics for at least two weeks. Two antibiotics are commonly prescribed. This is to cover the range of possible bacteria that can cause PID. It is important to take the full course of treatment.

Tell your doctor if you are (or may be) pregnant. This may affect the choice of antibiotic.

You should not have sex until both you and your sexual partner have finished treatment.

Does my partner need to be treated?
Yes. Also, any other sexual partner within the past six months should be tested for infection. (If you have not had sex within the last six months then your latest sexual partner, however long ago the relationship was, should be tested and treated.) A course of antibiotics is usually advised whether or not infection is found on testing. This is because:

A significant proportion of PID is caused by chlamydia. It is often passed on during sex.
Men often have no symptoms with chlamydia, but can still pass on the infection.
The test for chlamydia is not 100% reliable. Treatment makes sure that any possible infection which may have been missed by the tests is cleared.
If your sexual partner is infected and not treated, chlamydia may be passed back to you again after you are treated.
Can pelvic inflammatory disease be prevented?
Wearing a condom during sex helps to protect you from sexually transmitted infections. The risk of infection increases with the number of changes of sexual partner.

Will it happen again?
About 1 in 5 women who have PID have a further episode. This is usually within two years. Reasons why this may occur include:

PID means Pelvic Inflammatory Disease. This condition requires a thorough examination, investigation, and treatment. You may consult your Gynaecologist for early diagnosis and necessary treatment to prevent the possible complications as above.

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