Lower abdominal pain with or without vaginal discharge in a sexually active patient.


Investigate whether the abdominal tenderness is due to the following:

  • Surgical causes
  • Gynaecological causes such as pregnancy, missed periods, abdominal vaginal bleeding, recent delivery and abdominal mass

***If the investigation above is positive refer for gynaecological or surgical care. If negative proceed as follows; otherwise,


Pelvic Inflammatory Disease (PID)


Implementation of 4Cs:

  1. Tabs Norfloxacin 800mg STAT
  2. Caps Doxycycline 100mg BD x 1/52
  3. Tabs Metronidazole 400mg BD x 10/7

Refer if pregnant.