Gonorrhea and Chlamydia are commonly associated with PID. True or False?

• A. True
• B. False
• C. Not associated
• D. Unknown

Answer: (A)

Gonorrhea and chlamydia are commonly associated with PID because they’re sexually transmitted infections that can ascend from the cervix into the upper reproductive tract, causing pelvic inflammatory disease. The pathogens Neisseria gonorrhoeae and Chlamydia trachomatis are the most frequent culprits in PID, and if the infection isn’t treated, it can inflame the uterus, fallopian tubes, and surrounding tissues, leading to infertility, ectopic pregnancy, and chronic pelvic pain. Clinically, PID is suspected in a patient of reproductive age with lower abdominal or pelvic pain and cervical motion tenderness, often with fever or vaginal discharge, which is why prompt evaluation and treatment are important. While these organisms are common causes, PID can be caused by other bacteria as well, but the association with gonorrhea and chlamydia is strong and clinically important.