Contraceptive Technology and Reproductive Health Series: Home Page Contraceptive Technology and Reproductive Health Series Back to FHI Website
Sexually Transmitted Diseases
Introduction Contents Post-Test References Go To Presenter Info


Section 1
Section 2
Section 3

- Topics
- Introduction
- Objectives
- Approaches
- Laboratory
- Clinical
- Syndromic
- Syndromic
- Strengths
- Weaknesses
- Accuracy
- Genital Ulcer
- Algorithm
- Urethral
- Algorithm
- Vaginal
- Vaginitis
- Cervicitis
- Algorithms
- Algorithms
- Algorithms
- Abdominal
- Algorithm
> Algorithm
- Other Issues
- Treatment
- Screening
- The Four Cs
- Resources
- HIV Testing
- Vaccination
- Preliminary
- Summary


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Section 3 - STD Management

Lower Abdominal Pain: Algorithm (continued)

Lower Abdominal Pain: Algorithm diagram

Slide 72

At this point in the algorithm, the provider performs a pelvic exam including speculum if possible. If the woman has pain when the provider moves her cervix during the pelvic exam, or if the provider observes cervical discharge during the speculum exam, the provider treats for PID or refers to a higher level of care. If no pelvic exam is possible, a provider should use a woman’s temperature as a guide. In this situation, if the client has a temperature 38° Celsius or higher and complains of abdominal pain, she should be treated for PID.

Treating for PID requires treatment for gonorrhea, chlamydia and anaerobic bacteria.

If her pain persists, the woman should return to the clinic within three days. If her condition has improved at that point, treatment should be completed. If it has not improved, she should be referred to a higher level of care.

If the woman does not experience pain or have discharge during the pelvic examination, or an elevated temperature, she is not treated for PID. If her pain does not go away in three days, she should return to the clinic for re-evaluation.



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