Pelvic Inflammatory Disease: Symptoms, Treatment, and When to Seek Help

Pelvic Inflammatory Disease (PID)

Last month, I experienced severe abdominal pain, discomfort, and a significant amount of yellow discharge, so I visited a gynecologist.
During the pelvic examination, the doctor diagnosed me with pelvic inflammatory disease.
Initially, an ultrasound was suggested, but due to a long wait time until next month, the doctor decided it wasn't necessary.
I was prescribed a week’s worth of gastric medication and antibiotics, and I was instructed to return for a follow-up in two weeks.
Since my menstrual period started, I did not undergo another pelvic exam, but I informed the doctor that the abdominal pain was very severe on the first day of my period.
The doctor prescribed pain relief medication for future menstrual cramps.
The discomfort persists, although it is not as severe as it was initially.
Blood tests conducted that day indicated that my inflammatory markers were within normal limits, but my white blood cell count was slightly elevated, possibly due to a concurrent cold.
After prescribing a three-day course of antibiotics, the doctor mentioned that further treatment was not necessary.
Now, nearly a week later, I still experience recurring abdominal discomfort, and the yellow discharge continues.
I'm uncertain whether I should continue seeking treatment or consider switching to another hospital.

Niming, 10~19 year old female. Ask Date: 2018/03/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Last month, I experienced severe abdominal pain, discomfort, and a significant amount of yellow discharge, so I visited a gynecologist.
During the pelvic examination, the doctor diagnosed me with pelvic inflammatory disease.
Initially, an ultrasound was suggested, but due to a long wait time until next month, the doctor decided it was unnecessary.
I was prescribed a week’s worth of gastric medication and antibiotics, and instructed to return for a follow-up in two weeks.
Since my menstrual period started, I did not undergo another pelvic examination.
However, I informed the doctor that the first day of my period was accompanied by severe abdominal pain, and I was prescribed pain relief for future menstrual cramps.
The discomfort has persisted but is not as severe as initially.
Blood tests indicated that my inflammatory markers were within normal limits, although my white blood cell count was slightly elevated, possibly due to a concurrent cold.
After taking antibiotics for three days, the doctor advised that no further treatment was needed.
Now, almost a week later, I still experience recurring abdominal discomfort, and the yellow discharge continues.
I am unsure whether I should continue seeking treatment or switch to another hospital.
Answer: Given the ongoing abdominal discomfort and persistent yellow discharge, it would be advisable to undergo an ultrasound and consider consulting another hospital.

Reply Date: 2018/03/03

More Info

Pelvic Inflammatory Disease (PID) is a serious infection of the female reproductive organs, which can lead to significant health complications if not treated properly. Your symptoms, including severe abdominal pain, yellow discharge, and elevated white blood cell count, suggest that you may be experiencing an ongoing infection or inflammation in the pelvic region.

Symptoms of PID
Common symptoms of PID include:
- Lower abdominal pain
- Abnormal vaginal discharge (which may be yellow or green)
- Pain during intercourse
- Irregular menstrual bleeding
- Fever or chills
- Painful urination
In your case, the persistent abdominal pain and yellow discharge are concerning, especially since they have not improved significantly after treatment. The fact that your doctor noted a slightly elevated white blood cell count indicates that your body is responding to an infection or inflammation.

Treatment Options
The standard treatment for PID typically involves a course of antibiotics to target the underlying infection. In some cases, if the infection is severe or if there are complications such as an abscess, hospitalization and intravenous antibiotics may be necessary.
1. Antibiotics: It seems you were prescribed antibiotics for a week, which is standard. However, if your symptoms persist, it may be necessary to reassess your treatment. Sometimes, a different antibiotic or a longer course may be required, especially if the initial treatment did not fully resolve the infection.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain associated with PID. Your doctor has already provided you with medication for menstrual pain, which can also be beneficial.

3. Follow-Up Care: It is crucial to follow up with your healthcare provider, especially since your symptoms have not resolved. If your current doctor is not addressing your concerns adequately, seeking a second opinion or switching to another healthcare facility may be warranted.

When to Seek Help
You should seek immediate medical attention if you experience:
- Severe abdominal pain that worsens
- High fever (over 101°F or 38.3°C)
- Vomiting
- Fainting or dizziness
- Rapid heartbeat
These symptoms could indicate a more serious condition, such as an abscess or sepsis, which requires urgent care.

Additional Considerations
- Testing for STIs: PID is often caused by sexually transmitted infections (STIs), such as chlamydia or gonorrhea. It may be beneficial to get tested for STIs if you haven't already, as treating any underlying infections can help resolve PID.

- Lifestyle Modifications: Staying hydrated, maintaining good hygiene, and avoiding irritants can help manage symptoms. Additionally, consider discussing with your doctor about dietary changes or supplements that may support your recovery.

Conclusion
Given your ongoing symptoms, it is essential to continue seeking medical care. PID can lead to long-term complications, including infertility, chronic pelvic pain, and ectopic pregnancy, if not treated effectively. Do not hesitate to advocate for yourself and ensure that you receive the appropriate care. If necessary, consider consulting a specialist in gynecology or a reproductive health clinic for further evaluation and treatment options. Your health and well-being are paramount, and persistent symptoms should not be ignored.

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Your issue is not suitable for online diagnosis; please consult a physician during your visit.