Rwanda: Pelvic Inflammatory Disease

Rachna Pande
5 December 2010

PID or pelvic inflammatory disease refers to inflammation of the pelvic parts, i.e. reproductive parts.

It is one of the most common problems for which women seek consultation worldwide. It is more common in women in their reproductive years due to multiple factors.

Blood loss during menstruation is the first cause for infection and inflammation to occur in pelvic parts. The blood passed, provides a rich medium for bacteria and other germs to grow. Poor pelvic hygiene observed during menstruation and nylon undergarments aggravate the problem.

Intercourse with an infected partner also introduces germs in the pelvic parts, leading to PID.

Any intervention done during delivery like episiotomy (cutting of part of vagina during first delivery to make way for baby) or forceps delivery can induce infection. Even infection can occur during normal labor at times.

The more the number of pregnancies and deliveries, the greater is the susceptibility of the individual to have pelvic infection.

Women are more prone to urinary tract infections. Short length of the urethra (tube for passing out urine) facilitates germs to ascend easily. Because of the proximity of the urinary and pelvic parts, urinary infections can lead to pelvic infections.

Pain in the lower abdomen, lower back pain, vaginal discharge, vaginal itching, painful intercourse, pain during passing urine; all these symptoms indicate a pelvic infection. Colour and characteristics of the vaginal discharge can give a clue to the type of infection.



Author: Leslie Carol Botha

Author, publisher, radio talk show host and internationally recognized expert on women's hormone cycles. Social/political activist on Gardasil the HPV vaccine for adolescent girls. Co-author of "Understanding Your Mood, Mind and Hormone Cycle." Honorary advisory board member for the Foundation for the Study of Cycles and member of the Society for Menstrual Cycle Research.