PID counselling Flashcards
how many get PID
1 in 50 sexually active women
common causes
bacteria (chlamydia, gonorrhoea)
IUD insertion
can develop months after having sex with an infected person
RFs
15-24 yo
change in partner // no. of partners // previous PID (1 in 5 in 2 yrs)
recent TOPs/uterus ops./IUD insertion
how we diagnose it
cervical swab // urethral swab // blood tests // laproscopy (under anaesthetics)
women: high vaginal swab vs NAATS vs FCU
men: FCU vs urethral swab
complications (& reassure)
(don’t develop if tx early)
subfertility, damage to tube
increased risk of ectopic pregnancy
chronic pain, esp during sex
increase risk miscarriage, premature birth, stillbirth
increased risk Reiter’s syndrome (arthritis & eye inflammation)
tx (note on taking it)
PO ciprofloxacin 400mg bd + metrondiazole 400mg bd for 14 days
pregnant - erythromycin 500mg qds 14 days + metrondiazole 400mg bd 7 days
finish course & no sex until both you and partner treated
contact tracing & advice
notify partners within last 6 months
men don’t often have symptoms
using condoms & have fewer sexual partners
