Pelvic inflammatory disease is a term for inflammation of the uterus, fallopian tubes, and/or ovaries as it progresses to scar formation with adhesions to nearby tissues and organs. It causes scarring in these organs. This can lead of infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is a vague term and can refer to viral, fungal, parasitic, though most often bacterial infections. PID should be classified by affected organs, the stage of the infection, and the organism(s) causing it.
Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. You are at greater risk if you
- Are sexually active and younger than 25
- Have more than one sex partner
When symptoms of PID occur, they may include:
- abnormal vaginal discharge, possibly with an odor
- pain during urination or more frequent urination
- aching pain in the lower abdomen
- pain in the upper abdomen or more frequent urination
- fever and chills
- nausea and vomiting
- irregular menstrual bleeding
- pain during sex
- back pain
Diagnosis is based on symptoms and physical examination. Pelvic examination and abdominal palpation.
Other tests are commonly performed:
- Complete blood count
- Examination of cervical fluid
- Pelvic ultrasound.