Penicillin

Cause

While it may not have an obvious cause, PID often occurs from an untreated sexually transmitted disease such as gonorrhea or chlamydia. It also may occur after childbirth, abortion, or miscarriage. Young, sexually active girls and those who use the intrauterine birth control device are at higher risk.

The bacteria travel from the cervix to the fallopian tubes and ovaries, leading to permanent scarring of the tubes. The more times a girl contracts PID, the higher the chance she will become sterile because of scarring. Younger girls are more at risk for the disease because their reproductive organs are not good at fighting off infection.

Symptoms

Most girls have no symptoms in the early stages. As the disease progresses, symptoms may include burning during urination, pelvic pain, heavy menstrual flow with severe cramps, bleeding between periods, pain during sex, unusual vaginal discharge, fever, low backache, nausea, and vomiting. The cervix is tender if palpated. The very youngest girls tend to have the most severe symptoms.

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