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Pelvic inflammatory disease — DRCOG MCQ

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HardContraception and Sexual HealthPelvic inflammatory diseaseDRCOG

A 22-year-old has new lower abdominal pain, deep dyspareunia, abnormal vaginal discharge and cervical motion tenderness after a new sexual partner. Pregnancy test is negative and she is stable. What is the most appropriate management?

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Correct answer: D — Start empirical PID treatment, obtain samples and arrange partner care

The best answer is “Start empirical PID treatment, obtain samples and arrange partner care”. The minimum clinical criteria for PID support treatment here, and delayed therapy can increase the risk of tubal damage. Testing for chlamydia, gonorrhoea and other infections, partner management and safety-netting are important, but results should not delay empirical broad-spectrum treatment once urgent alternatives and pregnancy have been assessed.

Reference: BASHH: Pelvic inflammatory disease guideline: https://www.bashh.org/resources/6/pid_2019/