What is the treatment?
The treatment of PID is by antibiotics. Ciprofloxacin
are the most commonly used medicines. Painkillers, such as ibuprofen and diclofenac, are often required. In severe acute cases the patient may need hospitalisation and treatment with intravenous antibiotics. In less severe cases, patients may be treated on outpatient basis with oral antibiotics
. Antibiotic treatment is usually given for 7-10 days. Chronic cases may need treatment for longer periods. Local treatment can be effective, with the use of vaginal pessaries containing antibiotics and anti-fungal agents.
Patients resistant to treatment may have collections of pus in the pelvic cavity
. These patients may require laparoscopy, which helps in diagnosis, rules out other conditions as well as allows aspiration of the pus. In very severe illness, not responding to high dose antibiotics, an open operation may be needed to remove the uterus (hysterectomy