Pelvic Inflammatory Disease (100% Accurate Answers)

What is PID? correct answers acute infection of the upper female genital tract; including uterus, fallopian tubes, and ovaries can PID spread to other parts of the body correct answers YES. can spread to abdomen, including perihepatic structures What causes PID? correct answers initiated by infection that ascends from the vagina and cervix. What infections most commonly cause PID? correct answers Chlamydia trachomatis and Neisseria gonorrhoeae (sexually transmitted infections) how many women experience PID per year correct answers greater than 1 million who is at risk for PID? correct answers women younger than 25 who have multiple sex partners, do not use contraception, and live in areas with a high prevalence of STDs First stage of PID: correct answers acquisition of a vaginal and cervical infection - often sexually transmitted and may be asymptomatic Second stage of PID correct answers Direct ascent of microorganisms form the vagina or cervix to the upper genital tract with infection and inflammation of those structures (inflammation can spread to parametrial structures including the bowel) What facilitates spread of the infection? correct answers spillage of purulent material from the fallopian tubes OR via lymphatic spread which can lead to acute peritonitis or acute perihepatitis is PID common in pregnancy correct answers No, because the mucous plug acts as a barrier between uterus and bacteria. Infection can occur during first 12 weeks and may cause fetal loss Risk Factors for PID: correct answers -multiple sex partners -history of prior STDs -age 25 yo -young age at first sex (risky sexual behavior) -non-barrier contraception -sex during menses -vaginal douching -bacterial vaginosis What can decrease the risk of getting PID? correct answers -barrier protection -OCPs may decrease the risk of symptomatic PID by increasing cervical mucous viscosity but NOT YET PROVEN. -current IUDs carry less risk than older IUDS (most risk within 1st month of insertion)