WEBVTT

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>> Pelvic Inflammatory
Disease (PID).

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Many women have never heard

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of pelvic inflammatory
disease, also called P-I-D.

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P-I-D is an infection of a
woman's reproductive organs.

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It's caused by bacteria that
travel up through the vagina

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into the uterus, ovaries,
and fallopian tubes.

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The infection may affect
only the fallopian tubes.

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Or it may affect the uterus,
fallopian tubes, and ovaries.

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P-I-D can happen to any
woman who is sexually active.

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But it's most common in
women younger than age 25.

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Pelvic inflammatory disease
can be caused in several ways.

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Having multiple sex partners
raises a woman's risk of P-I-D.

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Having a sexually
transmitted disease, or S-T-D,

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such as gonorrhea or
chlamydia is a risk factor.

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Use of an intrauterine
device, or I-U-D,

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can also raise the risk of
P-I-D in the first few weeks

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after the I-U-D is put in.

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Some minor procedures
done to the uterus

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or cervix can raise a
woman's risk of P-I-D.

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Using a douche may
also raise your risk.

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Symptoms. The most common P-I-D
symptoms are pelvic pain, fever,

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and increased vaginal discharge.

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Some women experience
pain during sex.

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You may also have
pelvic pain but no fever

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or increased discharge.

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Some women have no symptoms,
or symptoms are very mild

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and not recognized as a problem.

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This means treatment
can be delayed,

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causing more serious problems.

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Diagnosis.

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To find the cause
of your symptoms,

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you may have a pelvic exam.

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You may also have a
transvaginal ultrasound.

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This is done with a wand
that is placed in the vagina.

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The wand uses ultrasonic
waves to create a picture

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of your pelvic organs.

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In some cases, you may have
a laparoscopic procedure.

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For this procedure, the
surgeon inserts a thin tube

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into a small cut in
your lower abdomen.

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This lets your healthcare
provider see inside your

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pelvic area.

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The surgeon may also take
a small piece of tissue

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to send to a lab for testing.

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This procedure is
called a biopsy.

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You will likely be tested
for gonorrhea and chlamydia.

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If you have either of these
S-T-Ds, as well as pelvic pain

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or fever, you may be
diagnosed with P-I-D.

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If you have P-I-D, you may
also be tested for H-I-V.

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Treatment.

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P-I-D should be treated
right away.

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Most cases of P-I-D are
cured with antibiotics taken

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by mouth for 10 to 14 days.

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You may also have an
injection of antibiotics

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in a muscle in the arm or hip.

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If you have severe
symptoms, are pregnant,

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or have other complications,
you may need

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to have IV antibiotics given
to you in the hospital.

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If P-I-D is found
and treated early,

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it rarely causes
long-term problems.

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In some cases, however, a woman
may have ongoing pelvic pain.

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Even if P-I-D is
treated quickly,

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the fallopian tubes
can be damaged.

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This can lead to infertility.

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Or it can cause an ectopic
pregnancy in the future.

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This is a pregnancy that
happens in a fallopian tube.

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It can cause sudden pain,
severe bleeding, and death.

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You can lower your risk of P-I-D
by having fewer sex partners.

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Have your partner use a condom.

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You and your partner should get
regular screenings for S-T-Ds.

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What to do.

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Take all your medicines
exactly as prescribed.

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Do not stop taking the
antibiotics if you feel better.

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Take all of the medicine
until it is gone.

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Your healthcare provider may ask
you to come back for a follow

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up visit in 2 to 3 days
after you start treatment

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to make sure it's working.

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Do not have sex until you
have finished treatment.

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Your partner should do the
same to prevent reinfection.

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If you have an S-T-D, tell
all your sexual partners

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from the past couple months, so
they can be tested for S-T-Ds

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and treated as needed.

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What we have learned.

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P-I-D is caused by a
sexually transmitted virus.

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True or false?

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The answer is false.

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P-I-D is caused by bacteria that
travel up through the vagina

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into the uterus and
fallopian tubes.

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While P-I-D can be
painful for some women,

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others may have no
symptoms at all.

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True or false?

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The answer is true.

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Some women have no symptoms.

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This means treatment
can be delayed,

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causing more serious problems.

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P-I-D can lead to infertility.

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True or false?

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The answer is true.

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Even if P-I-D is
treated quickly,

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the fallopian tubes
can be damaged,

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which can lead to infertility.

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