Pelvic Inflammatory Disease (PID) is one of the most heartbreaking causes of mechanical infertility because it can destroy a woman's fertility without warning,
long before she is even considering getting pregnant. PID is usually the result of a bacterial infection that can involve the ovaries, fallopian tubes, uterus and cervix.
The bacteria commonly enter the body through the vagina and cervix and spread from there throughout the pelvic cavity.
The best-known cause of PID is sexually-transmitted diseases, especially chlamydia and gonorrhea.
PID can also result from using an interuterine device (IUD),
complication from earlier pregnancy or infection following any surgery of the reproductive tract.
Depending on the infectious organism and the severity of infection, the acute phase of the disease may be characterized by lower abdominal pain, fever, painful sexual intercourse, irregular bleeding and profuse vaginal discharge.
As with any bacterial infection, signs such as these should be treated as quickly as possible with antibiotics. On the other hand, some PID infections, like chlamydia, may not have symptoms of any kind, yet can cause extensive damage to the reproductive organs, especially the fallopian tubes.
Most fertility problems associated with PID are not caused by active infection, but instead by scarring from past infections. Untreated, chronic PID creates a condition of long-standing inflammation within the pelvic cavity, and this sets up a reactionary environment within the reproductive organs, especially the fallopian tubes.
If antibiotics are not prescribed or have not been effective, chronic scarring may result. If a woman suspects she has (or has had) PID, it's important to consult a medical doctor for a diagnosis and possible treatment with antibiotics.
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