How is pelvic inflammatory disease (PID) treated?

Pelvic inflammatory disease (PID) treatment begins with an antibiotic regimen that primarily provides coverage against gonorrhea and chlamydia. Treatment should begin as soon as a diagnosis is made because immediate therapy has been shown to reduce the risk of long-term damage from PID. Oral therapy and a muscular injection are most commonly used. In certain cases, medication may be administered via injection into the veins. Hospitalization is recommended in the following circumstances:
  • surgical emergencies such as appendicitis cannot be excluded
  • pregnancy
  • allergy to orally available antibiotics
  • severe illness, nausea, vomiting or high fever
  • presence of tubo-ovarian abscess
  • no response to oral therapy
While medication can stop PID, some females may need surgery to remove scar tissue and blockages caused by long-term infection. 
Howard S. Smith
Pain Medicine
Treatment for pelvic inflammatory disease (PID) is antibiotics (often more than one kind over a period of three to four weeks) and bed rest. If the infection is severe, intravenous (IV) antibiotics may need to be given in a hospital. If left untreated, pelvic infections may leave residual scarring that will hamper fertility. The good news is pelvic infection and its scarring can be prevented by aggressive antibiotic therapy.

Pelvic inflammatory disease (PID) can be cured with antibiotics. Your doctor will work with you to find the best treatment for you. You must take all your medicine, even if your symptoms go away. The infection will not be fully cured if you do not take all of the medicine.

If PID is not treated, it can lead to severe problems like infertility, ectopic pregnancy, and constant pelvic pain.

Any damage done to your pelvic organs before you start treatment cannot be undone. Still, don't put off getting treatment. If you do, you may not be able to have children. If you think you may have PID, see a doctor right away.

Your doctor may suggest going into the hospital to treat your PID if you:

Are very sick Are pregnant Do not respond to or cannot take medicine through your mouth; if this is the case, you will need intravenous (in the vein or IV) antibiotics Have a sore in a tube or ovary

If you still have symptoms or if the sore doesn't go away, you may need surgery. Problems of PID such as constant pelvic pain and scarring are often hard to treat, but sometimes they get better after surgery.

This answer is based on source information from the National Women's Health Information Center.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.