Management of PID • Broad-spectrum antibiotics (oral or IV) • If tubo-ovarian mass/abscess is present – it should be treated medically but, if there is no response drainage should be done. • Drainage of a pelvic abscess by colpotomy may occasionally be needed Place of surgery in acute PID: Surgery can range from laparoscopy to laparotomy. Indications • No response to treatment and worsening of condition • Ruptured tubo-ovarian abscess • Drainage of a pelvic abscess • Doubtful diagnosis Other measures • Male partners should receive prophylactic treatment for gonococcal and chlamydial infection • Male partners should be counseled regarding condom use to prevent further exposure • PID patients and their partners should be counseled regarding HIV and STDs and should be offered confidential HIV testing. • If an IUCD is present, it must be removed once treatment is commenced. • Contraceptive counseling must be provided