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What causes PID - Pelvic inflammatory disease ?

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I was diagnosed 3 years ago with PID and lately as in the past 3 weeks I have had chronic lower abdominal pain, painful urination, pain during and after sex with my husband. I dont know what to do because nobody will take me seriously. My husband works all the time and refuses to take me to the emergency room. I'm just really afraid and confused as of how I got this disease?!? I have never had any kind of std's what-so-ever, but yet every website that I look up says its caused by some other is this possible? And why am I hurting so bad? I literally have to lay in one place for hours after sex due to the pain and my lower abdomen is so tender to the touch that I wont let anyone not even my husband near me. Even after the pain subsides I have to walk slower, and my lower back hurts constantly. I have no health insurance and no drivers license, and because I travel with my husband due to his job I have no regular doctor. I'm really afraid and just would like my questions answered

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replied January 30th, 2008
Womens Conditions Answer A3564
Pelvic inflammatory disease (PID) is a common term for identifying infection of any of the inner genital organs (vagina, cervix, uterus, oviducts, ovaries), the tissue that surrounds them (parametrium) and/or the pelvic peritoneum. PID can be due to an exogenous infection or an endogenous infection. Exogenous infections are usually sexually transmitted diseases (STDs). The most common exogenous infections include Chlamydia and Gonorrhoea. Endogenous infections are caused by bacteria that can be normally found in the vagina (Staphylococcus, Streptococcus, Escherichia coli, Proteus, Klebsiella, Gardnarella vaginals…) but appear during conditions when local immunity has decreased and these bacteria can cause infection.

Symptoms of PID depend upon the localisation and type of the infection. You have to visit a gynaecologist to perform a physical examination, ultrasound scan, Pap-test, microbiological examination, standard blood analyses, etc. and receive an informed consultation.

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