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Where can I go for help? SW London HIV & GUM Clinical Services Network If you have any concerns contact a Health Adviser, Doctor or a Nurse or visit www.nhsdirect.nhs.uk GUM Clinics in South West London Courtyard Clinic St George’s Hospital Tooting SW17 0QT 020 8725 3353 / 3354 www.courtyardclinic.nhs.uk Wolverton Centre Kingston Hospital Kingston KT2 7QB 020 8974 9331 Pelvic Inflammatory Disease (PID) www.kingstonhospital.nhs.uk Department of GU Medicine Mayday Hospital Croydon CR7 7YE 020 8401 3002 www.maydayhospital.org.uk Patient information leaflet Roehampton Clinic Queen Mary’s Hospital Roehampton SW15 5PN 020 8487 6861 / 6862 www.roehamptonclinic.nhs.uk Medical GU St Helier Hospital Carshalton SM5 1AA 020 8296 2543 / 2505 www.epsom-sthelier.nhs.uk © South West London HIV & GUM Clinical Services Network 2008 Designed by Dr G Atallah & the Sexual Health Promotion Subgroup Pelvic Inflammatory Disease (PID) PID is an inflammatory condition which affects the uterus (womb), fallopian tubes and occasionally the ovaries. (See diagram below) sexually transmitted bacteria), it is important to test for these, and swabs will be taken at the time of the examination. PID must be taken seriously The vast majority of women with PID recover completely after treatment. But if left untreated PID can lead to serious complications including: -Recurrent pain. The female reproductive system Causes of PID Many types of bacteria, some of which are sexually acquired, e.g. Chlamydia and Gonorrhoea can cause PID. PID can occasionally occur after childbirth, a miscarriage, a termination of pregnancy or after an intrauterine contraceptive device (IUD) has been inserted. It can take weeks or even months before symptoms develop. Diagnosis of PID There is no specific test for PID. The diagnosis is made by an internal examination by the doctor or nurse. As it is sometimes caused by Chlamydia or Gonorrhoea, (both -Ectopic pregnancy. (An Ectopic pregnancy is one in which the fertilised egg begins to develop in the fallopian tube or elsewhere in the pelvis, instead of in the uterus) and -Infertility due to scarring of the fallopian tubes (the tube that the egg travels along to get to the uterus.) Symptoms Symptoms of PID can include: Lower abdominal pain Lower back ache Painful sex Unusual vaginal discharge Unusual vaginal bleeding e.g. between periods Treatment PID is treated with a two-week course of antibiotics. It is important to complete the whole course. Your partner should also receive antibiotics to prevent any infection being passed from one to another. You should have no sexual contact even with a condom until you have both completed your treatment. If your symptoms do not improve, then return to the GUM Clinic or your nearest A & E Department. Follow-up The doctor will ask to see you once your treatment is finished to check that it has been successful. They will reexamine you at this visit. If symptoms persist, despite treatment, you may be referred to a gynaecologist for further investigation. This is to exclude other conditions that mimic PID. Practice safer sex Use a condom Every time you have sex. December 2008