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Pelvic Pain in Females

Pelvic Pain in Females

Pelvic inflammatory disease (PID) is inflammation and infection of the upper genital tract in women, typically involving the fallopian tubes, ovaries, and surrounding structures. PID mostly affects sexually active women between the ages of 15 and 24. It is common in females and is gradually growing in India especially in metropolitan cities

The exact incidence of PID is not known, because the disease cannot be diagnosed reliably from clinical symptoms and signs. Direct visualisation of the fallopian tubes by laparoscopy is the best single diagnostic test, but it is invasive, lacks sensitivity, and is not used routinely in clinical practice. PID is the most common gynaecological reason for admission to hospital. Approximately 25 % of women attending OPD, present themselves with some or the other symptoms suggestive of PID. However, many a times PID is asymptomatic, so this figure actually underestimates the true prevalence in poor resource country like India.

Factors associated with PID mirror those for STD i.e. young age, reduced socioeconomic status, lower educational attainment, and recent new sexual partner.

PID has high morbidity; about 20% of affected women become infertile, 40% develop chronic pelvic pain, and 1% of those who conceive have an ectopic pregnancy. Uncontrolled observations suggest that clinical symptoms and signs resolve in a significant proportion of untreated women. Repeated episodes of PID are associated with a four- to six fold increase in the risk of permanent tubal damage.
Don’t just ignore the problem ,be aware and get timely treatment .