Guideline sources The following summarized guidelines for the evaluation of pelvic inflammatory disease are prepared by our editorial team based on guidelines from the French National College of Gynecologists and Obstetricians (CNGOF 2019). 1 Guidelines 1. Diagnostic investigations Physical examination: perform a pelvic examination in a female patient consulting for symptoms compatible with pelvic inflammatory disease. B Show 2 more Blood tests: Obtain the following blood tests in patients with suspected pelvic inflammatory disease: CBC CRP. B Show 2 more Pelvic imaging: do not rely on pelvic ultrasound to establish the diagnosis of uncomplicated pelvic inflammatory disease, because of its poor sensitivity and specificity. D Show 3 more 2. Diagnostic procedures Diagnostic laparoscopy: do not perform laparoscopy for the sole purpose of making a positive diagnosis of pelvic inflammatory disease. D https://web.pathway.md/diseases/recas04tAPeX45ncI 1/2 6/29/23, 11:00 PM Pelvic inflammatory disease Pathway References 1. Charv riat A, Fritel X. Diagnosis of pelvic inflammatory disease: Clinical, paraclinical, imaging and laparoscopy criteria. CNGOF and SPILF Pelvic Inflammatory Diseases Guidelines. J Gynecol Obstet Hum Reprod. 2019 Jun;48 6 369 378. Open 2. Simms I, Warburton F, Westrom L. Diagnosis of pelvic inflammatory disease: time for a rethink. Sex Transm Infect. 2003 Dec;79 6 491 4. Open 3. Gaitan H, Angel E, Diaz R et al. Accuracy of five different diagnostic techniques in mild-to-moderate pelvic inflammatory disease. Infect Dis Obstet Gynecol. 2002;10 4 171 80. Open 4. Munday PE. Pelvic inflammatory disease an evidence-based approach to diagnosis. J Infect. 2000 Jan;40 1 31 41. Open 5. US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC et al. Screening USPSTF for Gynecologic Conditions With Pelvic Examination US Preventive Services Task Force Recommendation Statement. JAMA. 2017;317 9 947 953. Open 6. Suneeta Soni, Paddy Horner, Michael Rayment et al. British Association for Sexual Health and HIV national guideline for the management of infection with Mycoplasma genitalium 2018 . BASHH. 2018. Open https://web.pathway.md/diseases/recas04tAPeX45ncI 2/2