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How is pelvic inflammatory disease (PID) diagnosed?

HealthyWomen
HealthyWomen
answer
Pelvic inflammatory disease (PID) is characterized by inflammation and scarring, primarily of the fallopian tubes, that leads to infertility or tubal pregnancies, but it is difficult to diagnose. PID is comprised of various inflammatory disorders of the upper genital tract, including endometritis and tubo-ovarian abscess.

Its signs and symptoms vary widely, and many females have only subtle symptoms. Other females experience severe pelvic pain, especially during intercourse. Diagnosis is most frequently based on clinical presentations, such as lower abdominal pain and physical findings like tenderness on palpation of the pelvic organs during a pelvic exam. These findings can be supplemented with laboratory detection of chlamydia and/or gonorrhea from genital specimens. In some cases, diagnosis requires an ultrasound, and less often, laparoscopy, during which a scope is surgically inserted near or through the belly button to examine the pelvic area.

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