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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