Rather like signs and symptoms, the investigations available to diagnose acute pelvic inflammatory disease lack sensitivity. Blood tests such as a white cell count, erythrocyte sedimentation rate and C-reactive protein are all relatively non-specific. They may be elevated in pelvic inflammatory disease but in mild cases can be normal. In particular a leukocytosis is often not seen in non-pyogenic infections.
A pregnancy test, preferably measuring serum beta HCG, is mandatory to exclude an ectopic pregnancy and also the possibility of an ovarian accident associated with a very early intrauterine pregnancy. This should always be performed before commencing empirical antibiotic treatment. In most hospitals this is available as an emergency investigation. If it is not, a simple urinary pregnancy test is almost as accurate.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.