Medicines and products for pelvic inflammatory disease

PID is treated with antibiotics prescribed by a doctor. Starting early lowers the risk of scarring and infertility.

Antibiotics

• Mild to moderate PID (outpatient): a combination that covers gonorrhoea, chlamydia and other bacteria, for example a ceftriaxone injection with doxycycline and metronidazole for about 14 days. Choices differ by local guidelines and resistance.
• Severe PID (hospital): intravenous antibiotics until improvement, followed by tablets
• Partners are treated at the same time, whatever their test result

Pain relief

Paracetamol or ibuprofen, as advised.

Surgery or procedures

• Drainage of an abscess if it does not respond to antibiotics
• Surgery in rare, severe cases
• IUD removal may be considered if there is no improvement in 2 to 3 days. Your doctor will advise.

Safety points

• Complete the entire antibiotic course
• Avoid alcohol with metronidazole
• Doxycycline can cause stomach upset and sun sensitivity
• Tell your doctor if you may be pregnant. Some antibiotics, such as doxycycline, are not used in pregnancy.
• Report rash, swelling of the face or breathing difficulty at once

Ayurvedic and herbal products

Herbal powders, washes and inserts do not replace antibiotics and can delay care. Do not use them in place of treatment.

Follow-up

Review in 2 to 3 days, and test again in about 3 months for STIs, as repeat infection is common.

See a doctor if you do not improve within 3 days, or your symptoms return.

Remember

The right antibiotics, taken fully and with partner treatment, clear most PID.