Recurrence of warts is very common, especially in immune- compromised persons. No clear-cut standards for diagnosis. Usually diagnosed by symptoms and pain on the pelvic exam. Women with HIV and PID should be hospitalized for treatment with IV antibiotics. PID is usually caused by infection with gonorrhea or chlamydia, which spreads to the uterus, tubes and ovaries, carrying other pathogens and causing a mixed bacterial infection.
Chronic pain is common after several episodes.
PID can lead to tubal infertility. HPV should be ruled out. The infection is easily spread from person to person and it may disappear spontaneously. Immune compromise is associated with increased number of lesions and less likelihood of remission. This article is from HIV Newsline .