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To prevent a recurrence of PID, teach the patient the following:Take showers instead of bathsWear clean, cotton, nonconstrictive underwearAvoid using tampons if they were the problemDo not doucheChange sanitary pads or tampons at a minimum of every 4 hoursIf using a diaphragm, remove it after 6 hoursIf any unusual vaginal discharge or odor occurs, contact a healthcare provider immediatelyMaintain a proper diet, with exercise and weight controlMaintain proper relaxation and sleepHave a gynecological examination at least annuallyUse a condom if there is any chance of infection in the sexual partnerUse a condom if the sexual partner is not well known or has had another partner recentlymedications. Although the pain is present most of the time and may last for years, the severity of the pain changes and is dependent on individual patient perception. buy cialis Talk to your doctor to find out if taking part in a clinical trial might be right for you. 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