ABSTRACT
This chapter examines how to investigate and manage sexually transmitted infections (STI) when encountered in the gynaecological setting. It identifies presentations of complications of common STIs, for example, acute Pelvic Inflammatory Disease (PID). PID is important because it can have serious long-term sequelae such as pelvic pain, ectopic pregnancy and infertility. The incidence of PID is unknown, as many cases go unnoticed until investigations for infertility are performed. Women with PID who are also infected with human immunodeficiency virus (HIV) should be treated with the same antibiotic regimens as women who are HIV-negative. The symptoms and signs of PID can be non-specific and treatment may have to be initiated empirically. PID should be considered as a sexually transmitted infection and therefore contact tracing, treating partners and liaison with genito-urinary departments are important features of management.
