Pelvic inflammatory disease
Low-threshold clinical diagnosis of PID, excluding ectopic pregnancy, the ASHM 14-day ceftriaxone, doxycycline and metronidazole regimen, who to admit, IUDs, pregnancy, Mycoplasma genitalium and partner treatment.
Tier 2Condition
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- PID is ascending infection of the endometrium, tubes, ovaries and pelvic peritoneum. Presentation ranges from silent to septic, and no single test confirms it.
- ASHM: new pelvic pain in a sexually active person under 30 is highly predictive of PID once surgical emergencies are excluded. Treat on a low threshold; a missed episode costs fertility.
- Pregnancy test first. Ectopic pregnancy is the diagnosis you can't miss.
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Sources
- Australian STI Management Guidelines for Use in Primary Care: pelvic inflammatory diseaseAU/NZASHM (Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine), Current online edition, checked November 2026
- Australian STI Management Guidelines for Use in Primary Care: Mycoplasma genitaliumAU/NZASHM, Current online edition, checked November 2026
- Therapeutic Guidelines: Sexual and reproductive health (pelvic inflammatory disease)AU/NZTherapeutic Guidelines Limited (eTG complete), current eTG edition (topic version not verified)
- Workowski KA et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep 2021;70(4):1-187US Centers for Disease Control and Prevention, 2021 (still the current CDC edition, November 2026)
- Ness RB et al. Effectiveness of inpatient and outpatient treatment strategies for women with pelvic inflammatory disease: results from the PEACH randomized trial. Am J Obstet Gynecol 2002;186:929-37American Journal of Obstetrics and Gynecology, 2002
- Last updated
- 14 November 2026
What changed
- 14 November 2026 Turnstile bot check on sign-in and signed-out feedback