Skip to main content

Pelvic Inflammatory Disease (PID) and Fertility

Pelvic Inflammatory Disease and Pelvic Pain Treatment

Pelvic inflammatory disease (PID) is caused by an infection and can lead to pain and infertility. The condition can get worse over time if left untreated. When diseased quicker, the chance for damage is less. Even with treatment, the pelvic pain may not go away. If you notice pain or discomfort, your should talk to your OBGYN to rule out pelvic inflammatory disease m.

A woman with pelvic inflammatory disease may have serious complications if she becomes pregnant. Once the infection resolves, your doctor might be able to address any fertility issues and pelvic pain. It would be best if you did not ignore this medical condition as it can affect your fertility greatly.  In Australia, PID affects around 1 in 8 women and is most common in sexually active women aged 20 to 24.

Pelvic inflammatory disease can cause pain and potentially infertility 
Pelvic inflammatory disease can cause pain and potentially infertility 

Treating the Infection

The pelvic inflammatory disease often needs antibiotics, and your doctor will prescribe it for up to two weeks. Microorganisms cause this infection, and more than one of these organisms may lead to pain and other issues. Since there may be several bacteria that are causing this pain, there may be several antibiotics used at the same time. The doctor will be able to make this determination. They will be able to guide a person and help a woman make the best decision for her health and one that is effective.

The doctor may need to change the dosage based on the treatment progress. You take antibiotics orally but may need IV medications if the case is severe. They may also get paid medication due to pelvic pain and need to take things easy while the body is healing.

Surgical Treatment for Pelvic Inflammatory Disease

With this problem, antibiotics in either form may not stop the disease. A person may need to take intravenous antibiotics based on how bad the infection is. If the condition progresses to a severe category, the patient might get hospitalized.

There are some other reasons why a person with pelvic inflammatory disease may need to take a visit to the hospital. If a woman is pregnant or has abscesses on the reproductive organs, then additional care is needed. HIV-positive patients also require more care. There may be serious complications that antibiotics might not be able to address and additional issues such as appendicitis that need more care.

Surgery may be needed if there are abscesses on the fallopian tubes or ovaries. Suppose some issues have not improved with medication, if they are threatening, or if they are going to rupture. The surgery is usually done laparoscopically. Your surgeon might decide to perform an emergency hysterectomy in rare cases where the condition may be life-threatening. The chances of this happening are rare and only in extreme cases.

Treatment of Pelvic Inflammatory Disease and the Pain

You may still be in pain even after clearing the infection and successfully treating pelvic inflammatory disease. Scar tissue and adhesions might persist that antibiotics cannot clear out.

You might need surgery to remove the adhesions, but this will not completely stop the pain.

To treat this pain, some women may benefit from over-the-counter pain killers or prescription pain killers. Antidepressants and hormonal treatment are common to treat the condition post-surgery. Other women choose physical therapy. Some use alternative medicines such as acupuncture. Transcutaneous electrical nerve stimulation (TENS) can be of help to relieve pelvic pain as well. Some women also get counselling to help with the pain and emotional strain this condition may have on them.

You might even need a hysterectomy in rare cases if other treatment methods are ineffective. Even this may not stop pelvic pain and is the last resort.

If a woman has a hysterectomy, she will no longer be able to get pregnant. A woman may want to speak about freezing her eggs or looking at other means. There are ways to have a biological child through a surrogate in the future.

OTC pain medication can help manage PID pain
OTC pain medication can help manage PID pain

Treatment for Pelvic Inflammatory Disease-Related Infertility

Antibiotics are the first step in treating inflammation, but they alone cannot repair any damage. It is important to provide measures to support further damage.

The most common cause of infertility related to PID is the blockage of the fallopian tubes. One tube may be blocked, or the other may be clear. If blockages are present in both tubes, you might need laparoscopic surgery; IVF treatment can also help.

With this condition, the blockage is usually at the distal end, which means the blockage is present near the ovary. It is harder to treat, and the success rate is around 25%.

A medical condition called hydrosalpinx can cause pelvic inflammatory disease-related infertility. In this condition, the fallopian tubes dilate and progressively fill with fluid. The condition might even render your IVF treatment ineffective. Your surgeon might decide to remove the fallopian tube to improve the chances of conception.

There may be an additional blockage that this condition has caused. There may be something that is blocking the fallopian tubes and the ovaries. Surgical intervention can help to resolve this issue. In some cases, an IVF treatment might help women get pregnant.

When to See Your Doctor?

A person should speak to their doctor about treating pelvic inflammatory disease and their options to treat this condition. A woman should talk to her doctor if she has trouble trying to conceive after a PID diagnosis. Some factors will determine if IVF or surgery is the most effective treatment. There are factors such as age that will impact this. The partner should also have a fertility test, which may affect the ability to conceive. There may be some other factors that the doctor will want to look at when it comes to this issue.

In some cases, IVF will give the woman the best chance of conception. She may not need to have surgery. It is something that the doctor will be able to help determine.

If a woman has chronic pelvic pain, this is something that she needs to speak to the doctor about too. Surgery may be helpful in this case to remove anything such as adhesions that are on the reproductive system. Surgery can also help remove any damages. If a woman is in pain, she is not likely to conceive. There is something to keep in mind before having this surgery. Even the medical procedure may not remove all of the pain. A woman may still experience pain in the pelvic area.

See your OBGYN if you have symptoms of PID
See your OBGYN if you have symptoms of PID

Risk of Pregnancy with a PID diagnosis

There is still a risk for a woman with the pelvic inflammatory disease to get pregnant even after surgery and successful management of the condition. If a woman is trying to conceive naturally or is undergoing assistance with IVF, there is still a higher chance and the risk of ectopic pregnancy. This condition is higher in a woman that has pelvic inflammation disease. You need to be aware of the signs and early symptoms of PID and speak to her doctor about any concerns you may have. The doctor can monitor you closely to ensure she and her baby are safe.