Pelvic inflammatory disease FAQ
Please be aware that decisions regarding patient’s care will be made during a consultation with a Clinician.
Click a question to reveal the answer
A. You will need to contact Knowsley Council and ask to speak with the Commissioner’s secretary.
A. To use a male condom correctly, follow these steps: - carefully open the foil packaging that the condom is wrapped in, taking care not to tear the condom - hold the tip of the condom between your forefinger and thumb to make sure it is put on - the right way round, and that no air is trapped inside (the condom may split if air is trapped inside) - place the condom over the tip of the penis - while squeezing the tip of the condom, roll it down over the length of the erect penis - if the condom will not unroll, it is probably on inside out – start again with a new condom as there may be sperm on it. For more information visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. To use a female condom, follow these steps: carefully remove the female condom from its packaging, taking care not to tear it place the closed end of the condom into the vagina, holding the soft inner ring between your forefinger or middle finger and thumb use your other hand to separate the folds of skin (labia) around the vagina, then put the squeezed ring into the vagina put your index or middle finger or both in the open end of the condom until the inner ring can be felt and push the condom as far up the vagina as possible, with the outer ring lying against the outside of the vagina the outer ring of the condom should rest closely on the outside of the vagina at all times during sex – if the outer ring gets pushed inside the vagina, stop and put it back in the right place make sure that the penis enters the condom – take care to ensure that the penis does not go between the condom and the wall of the vagina For more information on contraception visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. For a step-by-step guide, please visit this wikipage: http://www.wikihow.com/Use-a-Condom
A. Sexual health line on 0300 123 7123 for confidential information and advice on sexual health Worth Talking About on 0300 123 29 30 for advice on contraception, sexual health and relationships (Mon-Fri 2pm-8pm, Sat-Sun 2pm-4pm) Brook on 0808 802 1234 for confidential sexual health information and advice for young people under 25 (Mon-fri 11am-3pm) You can also read and download leaflets about all STIs from the FPA website, or google sexual health and read other professional health sites for general information.
A. Pelvic inflammatory disease (PID) can sometimes lead to serious and long-term problems, particularly if the condition is not treated promptly with antibiotics. However, most women with PID who complete their course of antibiotics have no long-term problems. Recurrent pelvic inflammatory disease: Some women will experience repeated episodes of PID. This is known as recurrent pelvic inflammatory disease. The condition can return if the initial infection is not entirely cleared, often because the course of antibiotics was not completed, or because a sexual partner has not been tested and treated. If an episode of PID damages the womb or fallopian tubes, it can become easier for bacteria to infect these areas in the future, making you more susceptible to developing the condition again. Repeated episodes of PID are associated with an increased risk of infertility (see below). Abscesses: PID can sometimes cause collections of infected fluid called abscesses to develop, most commonly in the fallopian tubes and ovaries. Abscesses may be treated with antibiotics, but sometimes laparoscopic surgery (keyhole surgery) may be needed to drain the fluid away. The fluid can also sometimes be drained using a needle that's guided into place using an ultrasound scan. Long-term pelvic pain: Some women with PID develop long-term (chronic) pain around their pelvis and lower abdomen, which can be difficult to live with and can lead to further problems such as depression and difficulty sleeping (insomnia). If you develop chronic pelvic pain, you may be given painkillers to help control your symptoms and tests to determine the cause may be carried out. If painkillers do not help control your pain, you may be referred to a pain management team or a specialist pelvic pain clinic. Ectopic pregnancy: An ectopic pregnancy is when a fertilised egg implants itself outside of the womb, usually in one of the fallopian tubes. If PID infects the fallopian tubes, it can scar the lining of the tubes, making it more difficult for eggs to pass through. If a fertilised egg gets stuck and begins to grow inside the tube, it can cause the tube to burst, which can sometimes lead to severe and life-threatening internal bleeding. Therefore, medication to stop the egg growing or surgery to remove it may be recommended if you are diagnosed with an ectopic pregnancy. Infertility: As well as increasing your risk of having an ectopic pregnancy, scarring or abscesses in the fallopian tubes can make it difficult for you to get pregnant if eggs cannot pass easily into the womb. It's estimated that about one in every 10 women with PID becomes infertile as a result of the condition, with the highest risk in women who had delayed treatment or repeated episodes of PID. However, a long term study in the US showed that women who had been successfully treated for PID had the same pregnancy rates as the rest of the population. Blocked or damaged fallopian tubes can sometimes be treated with surgery, but if this is not possible and you want to have children, you may want to consider an assisted conception technique such as in-vitro fertilisation (IVF). IVF involves surgically removing eggs from a woman's ovaries and fertilising them with sperm in a laboratory, before planting the fertilised eggs are into the woman's womb. This technique can help you get pregnant if you cannot have children naturally, but it's important to be aware that it does not have a high success rate.
A. Yes. Also any sexual partners you have been with in the six months before your symptoms started should be tested and treated to stop the infection recurring or being spread to others, even if no specific cause is identified. PID can occur in long-standing relationships where neither partner has had sex with anyone else, and it is more likely to recur if both partners are not treated at the same time. You should avoid having sex until both you and your partner have completed the course of treatment. If you have not had a sexual partner in the previous six months, your most recent partner should be tested and treated. Your doctor or sexual health clinic can help you contact your previous partners and this can usually be done anonymously if you prefer.