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Pelvic Inflammatory Disease Diagnosis

Pelvic Inflammatory Disease Diagnosis
Pelvic inflammatory disease
Causes and Risk Factors

The sooner you see your doctor for symptoms of pelvic inflammatory disease (PID), the better. Waiting can allow the infection to spread and cause more pain and damage. However, due to vague symptoms, pelvic inflammatory disease PID often goes unrecognized by women and doctors.  In fact, PID is difficult to diagnose because the symptoms are often subtle and mild. Because there are no precise tests for PID, a diagnosis is usually based on clinical findings.

Medical history.
Doctors appointments can be brief and there's often a lot of ground to cover, so be well prepared. At the time you make a doctor’s appointment, ask if there's anything you need to do in advance. Write down symptoms you're experiencing, including any that may seem unrelated to pelvic inflammatory disease. Make a list of all the medications, vitamins and/or or supplements that you're taking. Be prepared to answer the following questions during a medical history:

  • Are you experiencing any pelvic pain?
  • Do you have a new sexual partner or multiple partners?
  • Do you always use condoms?
  • What symptoms are you experiencing?
  • When did you first begin experiencing symptoms?
  • How severe are symptoms?

Medical exams
If symptoms such as lower abdominal pain are present, doctors perform a physical examination to determine the nature and location of the pain. Your doctor can only diagnose PID by doing a pelvic exam, swabbing the area and having the sample tested. Doctors also check for other symptoms related to pelvic inflammatory diseases such as fever, abnormal vaginal or cervical discharge, and for evidence of gonorrheal or chlamydial infection. During your appointment, your doctor will also give you tests for STDs, urinary tract infection, and if needed, pregnancy. To confirm a PID diagnosis or to determine how widespread the infection is, your doctor may recommend any of the following tests:

Endometrial biopsy - During this procedure, doctors remove and test a small piece of the uterine lining (endometrium).

Endocervical culture – This test looks for gonorrhea, chlamydia, or other infections and is used to screen for sexually transmitted diseases.

Erythrocyte sedimentation rate (ESR)

Pelvic exam - During the pelvic exam, doctors use a cotton swab to take samples from the vagina and cervix. The samples are then sent to a laboratory for analysis to determine if an infection is present, and to identify the cause. Pelvic exams are also useful to check for:

  • abnormal vaginal or cervical discharge
  • tenderness or pain of the abdomen, cervix, uterus, and ovaries
  • masses near the ovaries and fallopian tubes

Pelvic ultrasound - This test uses sound waves to create images of the reproductive organs.

Serum HCG - This blood test is performed to determine if you are pregnant or not or to detect certain types of ovarian.

WBC count – The white blood cell count test is used to determine the number of white blood cells in the body. Elevated levels of white blood cells indicate the presence of an infection or allergic reaction.

Wet prep - Also called a wet mount microscopic examination, this test looks for the cause of vaginal irritation and discharge.

Prompt and appropriate treatment can help prevent complications of PID. Pelvic inflammatory disease can be controlled with the use of medications or medical procedures including surgery. With early proper treatment, most women diagnosed with PID can expect to increase chances for pregnancy within a few years. Continue reading to learn more about how to treat pelvic inflammatory disease, and pelvic infection here.

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Tags: Sexually Transmitted Diseases, medical procedures, fallopian tubes, abdominal pain, complications, medications, blood test, ultrasound, infections, Pregnancy, procedure, gonorrhea, discharge, diagnosis, infection, treatment, analysis, Diseases, symptoms, pregnant
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