You have an increased risk
pelvic inflammatory disease (PID) if you:
- Are at
risk for getting a sexually transmitted disease (STD). Sexually active teens
and young women have the highest rate of STD infection. This is almost always
from having sex without using a condom. The cells of the
transformation zone in a younger woman's cervix are
most likely to be infected with
gonorrhea, two common STDs.
- Have had PID
before. If you have had PID once, your reproductive tract may be less able to
clear a new infection because of scar tissue from past PID.
had chlamydia before, which can lead to a "hypersensitive response" when you
are exposed to the bacteria again. A second infection can cause more irritation
and pelvic organ damage that is worse than the first time.
Doctors advise against douching because it increases your risk for vaginal and
- Douching may change the acidity of the
vagina. This can help more "bad" bacteria grow, while killing off "good"
bacteria, such as lactobacilli.
done incorrectly may flush bacteria from the vagina into the uterus.
Use condoms to avoid exposure to sexually transmitted
Some gynecological procedures can increase your risk of
PID by introducing bacteria into the reproductive tract. Such medical
PID is rare in women who are not sexually active, don't
have menstrual periods, are pregnant, or have had their uterus or ovaries
removed during a
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