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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

As many as 85% of women with untreated pelvic inflammatory disease (PID) become infertile, almost 20% endure chronic pelvic pain which can be so severe that it prevents women from doing their daily tasks, and the permanent scarring and narrowing of the fallopian tubes caused by the condition increases a woman's risk of having a life-threatening ectopic pregnancy by 7- to 10-fold. Since sexually transmitted diseases (STD) cause most cases of PID, the prompt and effective treatment of STDs as well as preventing future cases can greatly reduce the incidence of PID and its consequences. Women frequently first seek help in primary health care facilities for their ailments. Health care providers at such facilities, however, often erroneously assume that laboratory tests are needed to diagnose and treat women with STDs or lower abdominal pain. Valuable time is lost when such providers refer women unnecessarily to hospitals or STD clinics for diagnosis and treatment. Providers should instead diagnose and treat patients on the basis of groups of symptoms, or syndromes, rather than for specific STDs. This syndromic approach may require treatment for several STDs concurrently since several STDs may cause a particular syndrome. Some guidelines are presented for diagnosing and treating PID. Finally, providing treatment at the primary care level also allows the opportunity for the attending practitioners to encourage monogamy and provide clients with condoms for the prevention of future disease.
Indian Med Trib 1994 Jan 15
PMID:Health care providers can prevent and treat PID. 1217 15