Diagnosing PID - Getting the balance right

C. Marks*, R. L. Tideman, C. S. Estcourt, S. Smart, J. Page, K. Wagner, A. Mindel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


The objective of the study was to determine the clinical manifestations and diagnostic criteria used to diagnose presumptive pelvic inflammatory disease (PID) at the Sydney Sexual Health Centre (SSHC). The study was a retrospective, case-note review of all women diagnosed with presumptive PID between April 1991 and December 1997. Seven hundred and thirteen women were included. The commonest recorded symptoms were vaginal discharge (68%), lower abdominal pain (65%) and dyspareunia (57%), while adnexal tenderness (83%), cervical motion tenderness (75%) and cervicitis (56%) were the most frequently recorded examination findings. Sixty-two per cent were prescribed doxycycline and metronidazole. The recording of signs and symptoms in women with presumptive PID was poor and only 22% met the current Centers for Disease Control (CDC) diagnostic criteria. It is likely that PID is over diagnosed in this group of women. This may lead to under diagnosis of other conditions causing pelvic pain and may be detrimental to reproductive health.
Original languageEnglish
Pages (from-to)545-547
Number of pages3
JournalInternational Journal of STD and AIDS
Issue number8
Early online date11 Apr 2000
Publication statusPublished - Aug 2000
Externally publishedYes


  • Diagnosis
  • Pelvic inflammatory disease (PID)
  • Reproductive health
  • Treatment

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Pharmacology (medical)


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