Abstract
Pelvic inflammatory disease (PID) isamajor cause of morbidity and reproductive difficulty in women ofchildbearing age. This article outlines the pathogenesis, clinical evaluation and management of PID with a focus on the management oflong-term fertility-related sequelae. The clinical presentation of PID can be variable and clinicians need to have a low threshold for suspecting the diagnosis. Despite a good clinical response to antimicrobials, the risk of long-term complications is high. Therefore, a history of PID would warrant early review in couples planning conception for further evaluation and discussion of the various modalities available for treatment if spontaneous conception does not occur.
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