Pregnancy Bliss | Reproductive Health Answers
Ofloxacin and Erythromycin are only used if, for whatever reason, the other two cannot be used. Doxycycline is not used in pregnancy.
Contrary to the myth, the intrauterine contraceptive device does not cause or increase the risk of pelvic infection. Multiple sexual partners is the main risk factor.
Normally the device will be left in place while the woman is on antibiotics. If there is no clinical improvement after three days into the course, the device can be removed. However, there is a theoretical risk of pregnancy as the prevention of implantation effect of the device will be lost. If fertilization of the egg had already taken place, the woman could end up pregnant. This needs to be borne in mind.
Treating sexual contacts
It is important that current and recent sexual contacts are traced, informed, offered tests and treated. This is particularly important where Chlamydia has been identified as the causative organism. Chlamydia can remain relatively silent even in men. Gonorrhoea is almost always symptomatic in men. Where facilities allow, this exercise ought to be organised via the genitor-urinary medicine (GUM) clinic. If the bacteria causing the pelvic infection is confirmed to be not of the sexually transmitted variety, tracing and treating of sexual contacts is unnecessary.
A woman treated for PID can use a contraceptive of her choice. If she is likely to continue having multiple sexual partners in the future and prefers the intrauterine contraceptive device, then a Levonorgestrel releasing device (Mirena) should be offered. This is because it is known to offer some protection against pelvic infection. However, it is important to make clear that the protection is by no means total and the mainstay of avoiding repeat infection is to avoid unprotected sex especially with multiple partners. Protection should be in the form of barrier methods (condoms).
Last update: October 08, 2012