what
infection and inflammation of female pelvic organs
usually result of ascending infection from endocervix
causative organisms
chlamydia - most common
gonorrhoea mycoplasma genitalium
mycoplasma hominis
features
lower abdo pain fever deep dyspareunia dysuria menstrual irregularities discharge
Ix
pregnancy test
high vaginal swab - often negative, so low threshold for treatment
chlamydia + gonnorhoea screen
Mx
oral ofloxacin + oral metronidazole
or
IM ceftriaxone + oral doxycyline + oral metronidazole
complications
Fitz-Hugh curtis syndrome
infertility
chronic pelvic pain
ectopic pregnancy