Pelvic Inflammatory Disease (PID)
Pelvic Inflammatory Disease (PID): A Pelvic Floor Therapist's Insight
Pelvic Inflammatory Disease (PID) is a condition of the reproductive organs that affects nearly one million women in the United States each year and has the potential to lead to severe complications if left untreated (ACOG, 2019). As a pelvic health occupational therapist, I understand the implications PID can have on a woman's daily activities and well-being.
PID occurs when bacteria from the vagina or cervix travel into the reproductive organs, causing infection and inflammation. In approximately 85% of cases, bacteria is a result of sexually transmitted infections, chlamydia and gonorrhea, though it may also be due to bacterial vaginosis or other microorganisms entering the vagina (Jennings & Krywko, 2023). Symptom severity ranges and may include but are not limited to pain in the back, lower abdomen, and pelvic region, pain with urination, painful intercourse, as well as abnormal vaginal discharge, bleeding, and fever or chills. PID is diagnosed through a medical assessment, including a pelvic exam, ultrasound, blood tests, or other pathology tests. Antibiotics are the first choice for effectively treating PID and pain medications, depending on individual symptoms.
If you're experiencing pelvic floor issues, explore our Pelvic Floor Therapy Services to see how we can help.
Without appropriate medical attention and treatment, long-term complications may include infertility, ectopic pregnancy, chronic pain, and increased risk of other infections (Jennings & Krywko, 2023). Without treatment, it may result in scarring or tissue damage of the reproductive organs and supporting tissue, affecting the pelvic muscle's ability to function optimally, leading to muscle tension, weakness, or decreased coordination. For residual symptoms, pelvic floor therapy is an evidence-based, holistic treatment option that is both effective and non-invasive. As a pelvic floor rehabilitation specialist, I work with individuals following medical treatment of PID, supporting and guiding them through functional rehabilitation and recovery. With the high prevalence of chronic pelvic pain affecting as many as one-third of women with PID, it is important that patients and doctors are aware of the benefits and positive outcomes of therapy (Jennings & Krywko, 2023).
Ongoing PID symptoms may have a significant impact on quality of life and occupational engagement due to pain, fatigue, sexual dysfunction, and increased stress/anxiety. Therapy offers a unique approach to helping individuals with tailored treatment plans. Individualized treatment may include pain management strategies, stress management techniques, education, bladder/bowel retraining, manual therapy to release muscle tension and improve scar tissue/adhesions, therapeutic exercises and activities for relaxing or strengthening the pelvic floor and supporting muscles, and lifestyle modifications.
Understanding these symptoms is the first step. Learn more about how our Pelvic Floor Therapy Services can provide relief and support.
Empowerment and advocacy play a pivotal role in pelvic floor therapy. I appreciate a collaborative approach to providing women with the knowledge and tools to participate in and guide their rehabilitation journey. From personalized functional exercises to stress management techniques, empowering patients builds a sense of ownership over their health and well-being. A pelvic floor therapist may collaborate with other health professionals, such as gynecologists, urologists, physical therapists, and nutritionists, to better care for and support patients.
Pelvic Inflammatory Disease continues to be a concern among women, but timely care and treatment can prevent complications and thus reduce disruption in quality of life. As a pelvic floor occupational therapist, I am passionate about supporting individuals with pelvic floor dysfunction in reclaiming their pelvic health and enhancing engagement in daily activities. Remember, seeking timely and comprehensive care is crucial for treating PID and its impact on pelvic floor health.
To understand how pelvic floor therapy can benefit you, visit our Services Page, or for more insights, read our post on the Impact of Commuting on Pelvic Health.
Disclaimer: This blog is not intended to be medical advice. If you are experiencing symptoms of PID, please consult with your primary care provider immediately or seek emergent care if needed.
References:
Jennings, L. K., & Krywko, D. M. (2023, January). Pelvic inflammatory disease - statpearls - NCBI bookshelf. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK499959/
Pelvic inflammatory disease (PID). The American College of Obstetricians and Gynecologists. (2019, August). https://www.acog.org/womens-health/faqs/pelvic-inflammatory-disease#:~:text=PID is diagnosed in more,a fallopian tube or ovary.
