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Uterine infection/pelvic inflammatory disease
Question
I previously had pelvic inflammatory disease just over a month ago. I recovered after a week of antibiotics and went on to have a normal period straight after this, however it was more painful. A week after this I noticed blood in my urine which lasted for maybe 2 days with slight pain. That was about 3 weeks ago and now I am late with my period by 9 days and am worried that I might be pregnant? But would that be possible, because P.I.D is supposed to lower the chance of conceiving?
I previously had pelvic inflammatory disease just over a month ago. I recovered after a week of antibiotics and went on to have a normal period straight after this, however it was more painful. A week after this I noticed blood in my urine which lasted for maybe 2 days with slight pain. That was about 3 weeks ago and now I am late with my period by 9 days and am worried that I might be pregnant? But would that be possible, because P.I.D is supposed to lower the chance of conceiving?
 Angela Lombard |
Answer Dear K Many thanks for your question. I am so sorry that you have experienced this often very painful condition. You are correct in saying that pelvic inflammatory disease inhibits conception, however there is still a remote chance that there may be a pregnancy with what you have mentioned, and also with you having been on a pharmaceutical antibiotic. Therefore, I do recommend that you have a pregnancy test done please. You may use one of the home pregnancy test kits for this purpose, but do test the urine before 10 a.m. in the morning, as this is the time that the human chorionic gonadotrophin hormone (HCG hormone) is raised when there is a pregnancy. If done at a later time in the day, you may end up with have a false reading either way. I recommend that you do the pregnancy test for peace of mind as well, due to your concern. I wish you well, and hope that you fully recover soon. Warm regards Angela
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Question
I have had extreme pain in my lower abdomen, about where my ovaries are, mostly on the left. It sometimes gets so bad that I cannot walk, if I sit down and get up again it feels like everything inside is going to fall out. I have had the Mirena inserted about 2 and a half years ago, after my second child was born, my period has become irregular the last couple of months. It is now the 3rd month without my period. Last Sunday night I had a discharge almost like water with tiny blood spots in. I went to go see my GP and he said that my uterus is abnormally big, my lining is too thick and there is an infection around my Mirena (like a water bubble). What would the treatment for this be?
I have had extreme pain in my lower abdomen, about where my ovaries are, mostly on the left. It sometimes gets so bad that I cannot walk, if I sit down and get up again it feels like everything inside is going to fall out. I have had the Mirena inserted about 2 and a half years ago, after my second child was born, my period has become irregular the last couple of months. It is now the 3rd month without my period. Last Sunday night I had a discharge almost like water with tiny blood spots in. I went to go see my GP and he said that my uterus is abnormally big, my lining is too thick and there is an infection around my Mirena (like a water bubble). What would the treatment for this be?
 Gabriell (Dr.) Prinsloo |
Answer The best treatment for an infection in the uterus is antibiotics. It is important to treat the infection as rapidly as possible so that it doesn’t spread. If the infection doesn’t clear in response to the antibiotics, it might be necessary to take a swab to see which bacteria are causing the infection and then to give different antibiotics for those bacteria. It might also be necessary to remove the Mirena to allow the infection to clear. The Mirena can then be replaced later once everything has healed. If the pain hasn’t cleared by now or if your periods continue to be irregular, then I would suggest going to see your Gynaecologist for an examination, ultrasound scan and further advice. Kind regards Dr Gabriell Prinsloo |
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