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  • Title: Letter: The IUD and PID.
    Author: Kendall W.
    Journal: Can Med Assoc J; 1976 Jul 03; 115(1):20. PubMed ID: 1277056.
    Abstract:
    A 1974 survey of 191 cases of pelvic inflammatory disease (PID) in a health clinic in Vancouver revealed that: 1) ages were between 15-31 years; 2) 19.3% of the cases isolated from the cervical canal were diagnosed as Neisseria gonorrhoeae; 3) 64 women (33.5%) wore IUDs; 4) a dilatation and curettage or other "invasive" gynecologic procedure had been performed in the preceding 3 years in 55 cases (28.8%); 5) treatment for gonorrhea had been given in the past in 61 cases (33.3%); 6) 149 cases of 1st onset PID (78%) N. gonorrhoeae was isolated in 29 (2 0%), an IUD was worn in 50 (35.5%), and a preventive gynecologic procedure had been performed in 40 (26.6%); and 7) all the women were sexually active and most had a history of sequentially monogamous relationships. Prior to inserting an IUD the physician should acquire more information on the woman's past and present lifestyle and should give a thorough gynecologic investigation as a precautionary measure in preventing PID or as an impetus for earlier treatment.
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