Secondary prevention involves keeping a lower genital tract infection from
either ascending to the upper genital
tract or being further transmitted with in the community. Traditionally, secondary prevention of PID (and other
STDs) includes disease detection, appropriate treatment, and partner notification. Early disease detection through
both targeted and general screening
programs, diagnosis based on symptoms and signs, and examination of sex
partners of individuals with proven
STDs have all been crucial to STD and
PID intervention strategies.7 Once the
diagnosis is suspected, effective treatment of lower genital tract infection is
crucial to PID prevention. This may include selective prophylactic (preventive
or epidemiological) treatment of patients with a high likelihood of infection
before microbiologie confirmation.