Primary prevention
Behavioral change is central to the prevention of PID, as potentially modifiable risk factors are associated with PID (e.g., practicing safe sex).[18][19] High-risk patients should be counseled on safer sex behaviors such as the use of condoms, and the risk of infection with STIs.[20] Counseling and testing for HIV infection should be done where appropriate.
Secondary prevention
Men who have had sexual contact with a woman diagnosed with PID during the 60 days prior to the onset of symptoms should be evaluated and treated with regimens that are effective against chlamydia and gonorrhea. If a patient's last sexual intercourse was >60 days before onset of symptoms or diagnosis, the patient's most recent sexual partner should be treated.
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Women should be advised to avoid sexual intercourse until they and their partners have completed the treatment course. If adequate screening for gonorrhea and chlamydia in the sexual partner(s) is not possible, empiric therapy for gonorrhea and chlamydia should be prescribed.[1]
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