GYNAECOLOGY · CONDITION GUIDE
Pelvic Inflammatory Disease (PID)
An infection of the female upper reproductive tract — involving the uterus, fallopian tubes, and ovaries — that can lead to chronic pelvic pain, abscess formation, and long-term fertility damage if untreated.
ABOUT THIS CONDITION
What is PID?
Pelvic Inflammatory Disease (PID) is an infection of the upper female genital tract, usually caused by sexually transmitted bacteria — most commonly chlamydia or gonorrhoea — ascending from the cervix to the uterus, fallopian tubes, and ovaries. If inadequately treated, PID can progress to tubo-ovarian abscess formation, chronic pelvic pain, fallopian tube scarring, ectopic pregnancy, and infertility. Early antibiotic treatment is the cornerstone of management, but surgery is required in selected severe or recurrent cases. Dr. Ashwani Narla provides expert PID care at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
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Ascending infection from sexually transmitted organisms — chlamydia or gonorrhoea most commonly
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Bacterial vaginosis or other vaginal flora disruption enabling ascent of bacteria
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Recent gynaecological procedures such as IUD insertion or uterine instrumentation
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Multiple sexual partners increasing exposure risk
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Previous episode of PID significantly raising recurrence risk
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Immunosuppression or douching disrupting natural vaginal defence
CLINICAL DETAILS
KeyFacts
Ascending bacterial infection of the upper reproductive tract
Image-guided drainage, laparoscopic drainage/adhesiolysis, or salpingectomy
Untreated PID can cause ectopic pregnancy, chronic pain, and infertility
Clinical examination, swabs, blood tests, and ultrasound confirm the diagnosis
Surgical recovery varies by procedure; antibiotic therapy continues post-op
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Laparoscopy for Drainage / Adhesiolysis
Laparoscopic drainage of pelvic collections and release of adhesions — used when medical management is insufficient or anatomy is distorted.
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Consultation & Assessment
Dr. Ashwani Narla takes a thorough history, performs a pelvic examination, and requests swabs, blood tests, and pelvic ultrasound to confirm PID and assess severity.
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Treatment Planning
Antibiotic therapy is initiated promptly. Surgical options are planned for tubo-ovarian abscess, failed medical treatment, or recurrent cases.
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Surgical Procedure
Image-guided drainage or laparoscopic drainage with adhesiolysis is performed for abscess. Salpingectomy is done for severely damaged or recurrently infected tubes.
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Follow-up
Antibiotics continue post-procedure. Sexual health review, partner treatment, and repeat pelvic assessment confirm resolution and guide further care.
AVAILABLE TREATMENTS
TreatmentOptions
Image-Guided Drainage / Aspiration of Tubo-Ovarian Abscess
Ultrasound or CT-guided drainage of pelvic abscess — a minimally invasive option for selected cases of tubo-ovarian abscess.
Laparoscopy for Drainage / Adhesiolysis
Laparoscopic drainage of pelvic collections and release of adhesions — used when medical management is insufficient or anatomy is distorted.
Salpingectomy
Removal of the fallopian tube — indicated for severely infected, non-viable, or recurrently affected tubes to eliminate the source of infection.
COMMON QUESTIONS
Frequently Asked Questions
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