Which statement best reflects management of concurrent STIs in suspected PID?

• A. Always treat concurrent STIs
• B. Treat only if symptoms are present
• C. Do not treat partners
• D. Only treat after hospital admission

Answer: (A)

When PID is suspected, you treat concurrent STIs proactively because many patients have coexisting infections and some infections are asymptomatic. Empiric, broad-spectrum antibiotics are given to cover the common pathogens (gonorrhea and chlamydia) regardless of immediate test results, to prevent complications such as infertility, ectopic pregnancy, and chronic pelvic pain. Treating sexual partners is also essential to stop transmission and reduce reinfection risk. Testing for other STIs can be done, but treatment should not be delayed waiting for results. The other approaches fall short because infections can be present without symptoms, partners should be treated, and management of PID with concurrent STIs is not contingent on hospital admission.