CAUSE
The inflammation is usually caused by bacterial infections, where bacteria enter through the vagina and then moves into the uterus to the fallopian tubes. 90-95% of cases of PID are caused by bacteria that also causes the occurrence of sexually transmitted diseases (such as chlamydia, gonorrhea, mycoplasma, staphylococci, streptococci).

These infections rarely occur before the first menstrual cycle, after menopause or during pregnancy. The main transmission occurs through sexual contact, but bacteria can also enter the body after the procedure obstetrics / content (eg installation of IUD, childbirth, miscarriage, abortion and endometrial biopsy).

Other causes are less common are:

• Aktinomikosis (bacterial infection)
• Schistosomiasis (parasitic infection)
• Tuberculosis.
• Injection of dye at a special X-ray examination.

Risk factor for PID:

• Sexual activity in adolescence
• Multiple sexual partners
• Ever had PID
• Ever had a sexually transmitted disease
• Use of contraception is not a barrier.

SYMPTOMS
Symptoms usually appear shortly after the menstrual cycle. Patients feel pain in lower abdomen that gets worse and is accompanied by nausea or vomiting.

Usually the infection will block the fallopian tubes. Clogged tubes can swell and filled with liquid. As a result can happen chronic pain, irregular menstrual bleeding and infertility. Infection can spread to surrounding structures, causing scarring and abnormal fibrous adhesions between the abdominal organs and cause chronic pain.

Inside the tubes, ovaries or pelvic abscess may form (collection of pus). If the abscess ruptures and pus into the pelvic cavity, the symptoms quickly worsened and the patient may go into shock. Further spread of infection can occur in the blood causing sepsis.

Other symptoms that may be found in the PID:

• Vaginal discharge with the color, consistency and odor of abnormal
• fever
• Irregular menstrual bleeding or spotting (reddish spots in underwear
• Period cramps
• Pain during sexual intercourse
• Bleeding after sexual intercourse
• Lower back pain
• fatigue
• Decreased appetite
• frequent urination
• Pain when urinating.

Diagnosis
Diagnosis based on symptoms and physical examination. Performed a pelvic examination or touching the abdomen.

Other tests are commonly performed:

• Complete blood
• Examination of fluid from the cervix
• Kuldosentesis
• laparoscopy
• Pelvic ultrasound.

TREATMENT
PID without complications can be treated with antibiotics and the patient does not need to be treated. In the event of complications or the spread of infection, the patient should be hospitalized. Antibiotics are given intravenously (through a vein) and then administered per-orally (by mouth).

If no response to antibiotic treatment, surgery may be necessary. Sexual partner should also undergo treatment of patients simultaneously and during treatment if you have sex, your partner should use condoms sufferers.