A 29-year-old woman presents with lower abdominal pain, deep dyspareunia and cervical motion tenderness on examination. She has mucopurulent discharge...

Question

A 29-year-old woman presents with lower abdominal pain, deep dyspareunia and cervical motion tenderness on examination. She has mucopurulent discharge and a new sexual partner. Pregnancy test is negative. What is the most appropriate empirical management?

Accepted Answer

Empirical broad-spectrum antibiotics covering Chlamydia and gonorrhoea, such as Ceftriaxone plus Doxycycline

Answer

Single-dose Azithromycin only

Answer

Doxycycline monotherapy for 7 days

Answer

Topical Metronidazole only

Answer

No antibiotics until swab results are available

uk-plab-1 MCQ (SBA): Pelvic inflammatory disease

A 29-year-old woman presents with lower abdominal pain, deep dyspareunia and cervical motion tenderness on examination. She has mucopurulent discharge and a new sexual partner. Pregnancy test is negative. What is the most appropriate empirical management?