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

Complication

Sign / Symptoms	Entities	Complications	Causes
Lower abdominal pain Vaginal discharge Fever Burning with urination Pain with sex Bleeding after sex Irregular menstruation. Uterine / Adnexal tenderness	Oophoritis Salpingitis Endometritis Vaginitis Tubo-ovarian abscess Pelvic peritonitis Myometritis Parametritis	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	Bacterial: Mostly Neisseria gonorrhoeae or Chlamydia trachomatis (75 -90%) Viral: MMP

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

		Leukorrhea	Other Sign/ Symptoms
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 Vaginal discharge gets profuse after urinating. Agg: Before and after menses. Leucorrhea at the menopause age with excessive hot flushes, perspiration, and weakness.	Burning or griping in the uterus is present. Menstrual irregularities of various kinds Dyspareunia Pelvic pain and bearing down sensation in the pelvis as if pelvic organs would come out from vulva is marked
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 Leucorrhea	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 + Dyspareunia	Kreos	Leucorrhea is Yellow / Yellow stain on the linen. Offensive, itching, corrosive leucorrhoea The condition gets worse between periods. Standing and walking agg Leucorrhea She feels better while sitting or lying down.	Burning in the genitalia is felt along with pain. Bleeding after 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 + 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 /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)
Excessive Greenish Leucorrhea	Merc	Intense itching and burning in private parts. The discharge is worse at night. Its use is also indicated for blood-stained vaginal discharge. Acrid/ Excoriating/ Itchy discharges that cause a burning sensation in the vagina Leucorrhea agg upon urination.	Stitching uterine pain may be present. Stinging ovarian pain.
Thick Yellow/ Ropy Leucorrhea	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.
Leucorrhea + 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 Leucorrhea	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.
Intensely Painful Periods	Med	Leucorrhea of acrid nature Fish-like odor Leucorrhea	Excruciating pain the pelvic area along with ovarian pains Pain amel with pressure. Menstrual bleeding is copious, dark and offensive.
PID + Heavy Periods	Sabin		Menses are Profuse/ Gushing / Bright red colored + Dark clots Blood may have an offensive odor. Motion agg the blood flow. Pain in the sacral back extending to pubes before menses. Endometritis / Oophoritis following childbirth or an abortion.
PID + Metrorrhagia	Phos	Leucorrhoea of white or watery mucus may be present. A weak sensation in the abdomen with leucorrhoea.	Profuse uterine bleeding Weakness after menstrual bleeding. Ovarian pain (esp left-sided). Ovarian pain esp during menses.

Second class remedies

• Sul-i: Profuse Leukorrhea
• Leucorrhea after hysterical convulsions: Bell , Mag-m