5 things to know about pelvic inflammatory disease
1. PID is underdiagnosed
PID is a non-notifiable syndrome comprising a spectrum of inflammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, tubo-ovarian abscess and pelvic peritonitis. Clinical presentation varies widely in both severity and symptomatology, ranging from asymptomatic to fatal rupture of tubo-ovarian abscess.
There are no clear diagnostic criteria and laparoscopy remains the gold standard despite the cost, invasive nature and lack of both specificity and sensitivity.