Approach

Many episodes of PID go unrecognised.[1] Although some cases are asymptomatic, others are not diagnosed because the patient or healthcare provider fails to recognise the implications of mild or non-specific symptoms or signs (e.g., abnormal bleeding, dyspareunia, and vaginal discharge). Because of the difficulty of diagnosis and the potential for damage to the reproductive health of women, even by apparently mild or subclinical PID, healthcare providers should maintain a low threshold for the diagnosis of PID, particularly among the at-risk population for PID (e.g., sexually active women between the ages of 15 and 24, patients attending STD clinics, and those who live in other settings where the rates of gonorrhoea or chlamydia are high).[1][15]

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