Is seen often with infection of the upper genital tract.

This includes the ovaries ovaries, fallopian tubes and/or the uterus

Is often N gonorrhoeae and Chlaymydia trachomatis both of which are sexually transmitted.

Other microbes include: Haemophilus influenzae, anaerobes and other microbes gram-negative, streptococci, protozoan, and fungi.

Often seen in sexually active young females

Douching and smoking are associated factors as well.

Symptoms:

   -    Abdominal pain is common
   -    Chills
   -    Fever
   -    Painful intercourse
   -    Purulent discharge
   -    and menstrual difficulties.

In some cases you may need to be seen in the hospital to receive further treatment especially if
your pregnant or have not responded to other treatments.

In the past it was recommended that all patients be hospitalized –
but recent studies show mild to moderate symptoms still have good outcomes without hospitalization.

Infertility is a complication seen in over 100,000 women each year in the US

Necrosis, Scarring and ectopic pregnancy can all be complications as well

Treatment – antibiotics

Acute Treatment

First Regimen
·         Cefoxitin
·         or Cefotetan
·         plus Doxycycline can be added

Presence of Abscess add
·          Clindamycin
·          Metronidazole

Second Regimen
·         Clindamycin
·         Gentamycin
·         Doxycycline may be added

Other medication more for at home dosages may include:
·         Ofloxacin
·         Levofloxacin

Surgical procedures may be appropriate depending on severity and presence of abscess.