Gold standard for diagnosis of PID?
Diagnostic LaparoscopyVisualization of purulent exudate coming through the fimbrial end of the fallopian tube is diagnostic of acute PI(D). The best material for culture is this exudate. Thus laparoscopy is the gold standard though diagnosis is mostly clinical. Laparoscopy is also the gold standard for ectopic pregnancy, ovulation, endometriosis.Ref: Shaw&;s Textbook of Gynaecology; 16th edition; Chapter 13; Pelvic Inflammatory disease
Clinical triad of Pain, Fever and Cervical tenderness
Histologic confirmation of Endometritis
Diagnostic Laparoscopy
USG
Infections of the genital tract