PID, Pelvic inflammatory disease

Clinic

• Pelvic inflammatory disorder /disease is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Therefore PID is consist of these entities
  • Oophoritis
  • Salpingitis
  • Endometritis
  • Tubo-ovarian abscess
  • Pelvic peritonitis
  • Myometritis
  • Parametritis

Sign / Symptoms

• Often, there may be no symptoms.
• Signs and symptoms, when present, may include
  • Lower abdominal pain
  • Vaginal discharge
  • Fever
  • Burning with urination
  • Pain with sex
  • Bleeding after sex
  • Irregular menstruation.
  • Uterine / Adnexal tenderness

Complication

• Periappendicitis
• Perihepatitis
• Infertility
• Ectopic pregnancy
• Chronic pelvic pain
• Cancer
• Fitz-Hugh–Curtis syndrome: Occasionally, the infection can spread to the peritoneum causing inflammation and the formation of scar tissue on the external surface of the liver

Causes

• Bacterial infections: Neisseria gonorrhoeae or Chlamydia trachomatis 75 -90 %
• Others
  • Prevotella spp.
  • Streptococcus pyogenes
  • Prevotella bivia
  • Prevotella disiens
  • Bacteroides spp.
  • Peptostreptococcus asaccharolyticus
  • Peptostreptococcus anaerobius
  • Gardnerella vaginalis
  • Escherichia coli
  • Group B streptococcus
  • α-hemolytic streptococcus
  • Coagulase-negative staphylococcus
  • Atopobium vaginae
  • Acinetobacter spp.
  • Dialister spp.
  • Fusobacterium gonidiaformans
  • Gemella spp.
  • Leptotrichia spp.
  • Mogibacterium spp.
  • Porphyromonas spp.
  • Sphingomonas spp.
  • Veillonella spp.
  • Cutibacterium acnes
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Ureaplasma spp.
• Viral: MMP

Related entities

Oophoritis

SRP

Leucorrhea after hysterical convulsions: Bell , Mag-m

Remedies

Banerji protocols
First line	Med C200 one dose daily In Acute condition Apis C30 one dose every 2 hour Con C3 + Sep C6 two doses daily
Second line	Thuj C30 two doses daily In Acute condition Bell C30 one dose every 10-15 min
Third line	Carb-an C200 two doses daily

Remedies

Top remedy	Sep	Yellowish green in color or is milky white Large lumps Blood stained Offensive: Foul vaginal discharge in case of gonorrhoea infection Excessive vaginal itching/ Burning Intercourse is very painful. Vaginal discharge gets profuse after urinating. Agg: Before and after menses. Pelvic pain and bearing down sensation in the pelvis as if pelvic organs would come out from vulva is marked menstrual irregularities of various kinds Leucorrhea at the menopause age with excessive hot flushes, perspiration, and weakness.
Milky White Colored	Puls	Agg on lying down. It causes itching and burning in vagina. Vaginal discharge + Backache and weakness. Gonorrhoea with thick mucus discharge milky white in color.
Watery Transparent Vaginal Discharge	Nat-m	Natrum Mur is usually prescribed for vaginal discharge which is watery transparent. It is very profuse and attended with weakness. Abdomen pain and bearing down pains may attend it. Itching in vagina may occur too. Besides, it can also be used when thick white vaginal discharge occurs in place of menses.
Offensive Leucorrhea + Violent Itching	Kreos	Leucorrhea is yellow leaving a yellow stain on the linen. The discharge is very foul smelling. The condition gets worse between periods. Standing and walking makes the discharge worse and the patient feels better while sitting or lying down. Intense pain is felt during intercourse. Pain is also felt while urinating. It is highly recommended for vaginitis cases.
Leucorrhea + Severe Burning	Alum	Profuse vaginal discharge with severe burning. The discharge is very profuse and even runs down till the heels.   Leucorrhea is transparent, may be ropy as well. Itching is also felt in genitals. Washing the private parts with cold water helps to relieve symptoms. Vaginal discharge gets worse during day and after menses She is physically and mentally exhausted after menses. Chronic constipation and go without passing stool for many days.
Egg White + Leucorrhea	Borx	Leucorrhea is attended with a feeling as if warm water is flowing. Leucorrhea is worse for two weeks between the menstrual cycle. Swelling of labia may attend it.
Leucorrhea + Pain In Lower Abdomen (Pelvic Pain)	Con	Along with Sep, it is top Leucorrhea remedy White or yellow Leucorrhea It is attended with griping, pinching or labor like pains in abdomen. Burning in vagina is present. Lower back feels weak.
Milky White Or Yellow Leucorrhea	Calc	Itching and burning in vagina. Weakness is also marked along with the above symptoms. Leucorrhea agg from exertion and also while urinating Resistant Milky Leukorrhea, esp in girls (Cann-s, Merc, Puls, Sep) which sometimes leads to Cauterization / Cryo therapy needs (Ars, Sul) Thick and gushing Leukorrhea (Am-c, Borx, Calc-p, Cop, Ferr, Kali-m, Puls, Sep)
Greenish Vaginal Discharge	Merc	Intense itching and burning in private parts. The discharge is worse at night. Its use is also indicated for blood-stained vaginal discharge.
Thick Yellow, Ropy Vaginal Discharge	Hydr	Yellow, thick and ropy and hangs down in long strings. Excessive vaginal itching is always felt. The discharge gets worse immediately after menses with a lot of weakness. During intercourse, soreness is felt in the vagina, after which bleeding from vagina may also occur.
Vaginal Discharge And Backache	Kali-c	Sharp, cutting pain in the lower back with a feeling as if the back would break. The vaginal discharge is yellow with burning and itching in the vulva.
Profuse Gushing Vaginal Discharge	Graph	It may be present day and night. The color of discharge is white and is accompanied by excessive weakness in the back. Weakness worsens on walking and sitting.

Second class remedies

• Sul-i: Profuse Leukorrhea