Natural Health and Herbal Remedies Blog

PELVIC INFLAMMATORY DISEASE: TREATMENT

The treatment of choice for PID is antibiotics that treat all the potential bacterial causes of the disease. Health care providers would rather treat a woman for PID if there is any chance that she has it, even if the disease cannot be conclusively diagnosed, because the potential consequences of missing the diagnosis are so severe.

Sometimes the bacteria causing PID are not identified, but the treatment is the same whether or not they are identified.

The treatment of PID is the same whether or not it is thought to be sexually transmitted. Most women with PID are treated as outpatients, but about 20 percent of them must be hospitalized. A woman who has severe pain, or who cannot take oral antibiotics because she is nauseated and vomiting, is often admitted to the hospital to allow antibiotics to be administered intravenously. Younger women are often hospitalized to make sure they receive their full course of treatment.

If there is suspicion of a localized area of infection (an abscess) or if there is any question about the diagnosis, a woman is usually admitted to the hospital. Women who are HIV positive and have been diagnosed with PID must receive aggressive treatment for the disease, and this too requires a hospital stay. Women who are pregnant and have PID are also usually hospitalized for aggressive treatment of the disease. Irrespective of the circumstances, any decision regarding hospitalization must be discussed with one’s health care provider.

Some of the medications used to treat PID are ceftriaxone (given as an injection) and doxycycline, or ofloxacin and metronidazole. These medicines are usually administered for two weeks.

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