Health and Wellness advice you can trust

 
ACOG

Wellbeing is a new health and lifestyle resource, brought to you in association with the American College of Obstetricians and Gynecologists (ACOG), a nonprofit membership organization of more than 50,000 obstetrician- gynecologists. Designed for women at every stage of life, from pregnancy and birth, to menopause and beyond, Wellbeing is an essential guide for a healthier, happier you!

 
 

disclaimer

Neither this website nor its contents constitute an explicit or implied endorsement by the American College of Obstetricians and Gynecologists (ACOG), or by Boston Hannah International (BHI), of the products or services mentioned in advertising or editorial content. The editorial content on this website does not necessarily represent policies or recommendations by ACOG. This website is not intended to be exhaustive. While every effort has been made to ensure accuracy, neither ACOG, nor BHI shall have any liability for errors or omissions. Readers who have questions should consult their health care providers or other competent sources of information and guidance.

Click here to read the full disclaimer

 

Your health Pelvic inflammatory disease

 
 

The ABC of PID

Pelvic inflammatory disease

See your doctor immediately if you have symptoms of PID – it can often be treated quickly and effectively but, if left untreated, can cause infertility.

Pelvic inflammatory disease (PID) affects hundreds of thousands of American women each year, yet many people have never heard of it. Here we give you the lowdown on PID, including how to treat and prevent this disease.

Caused by bacteria, pelvic inflammatory disease (PID) is an infection in a woman's upper genital tract or reproductive organs. Many cases stem from sexually transmitted diseases (STDs), most commonly gonorrhea and chlamydia. If diagnosed quickly, PID can be treated successfully with antibiotics. Without prompt diagnosis and treatment, PID can lead to long-term complications, including chronic pelvic pain (see pelvic pain) and recurring PID. One in five women with PID becomes infertile. If a woman has recurring PID, she has a greater risk of infertility or an ectopic pregnancy.

What are the symptoms?

How can I prevent PID?

Take action to prevent STDs and therefore protect yourself from PID by:

  • Having sex only with a partner who doesn't have an STD and who only has sex with you
  • Limiting your number of sexual partners and avoiding those who are at increased risk of STDs
  • Using condoms every time you have sex, even if you use other methods of birth control
 

Symptoms vary from woman to woman, and can range from none at all to severe, making diagnosis difficult. See your doctor if you have any of these symptoms:

  • Abnormal vaginal discharge
  • Pain in the lower abdomen (often mild and aching)
  • Pain in the right upper abdomen
  • Abnormal menstrual bleeding
  • Fever and chills
  • Painful urination
  • Nausea and vomiting
  • Painful sex

Just because you have one of these symptoms, it does not mean that you have PID–it could be a sign of another problem.

Who is at risk PID?

Although most common in young women, PID can occur at any age in sexually active women. The following are most at risk:

  • Women with STDs, especially gonorrhea and chlamydia
  • Women who have sex with more than one partner (the more partners, the greater the risk)
  • Women whose sexual partners have other partners
  • Women who have had PID in the past
 

How is PID diagnosed?

Because the affected organs are difficult to examine and symptoms can be similar to those of other problems, PID can be hard to diagnose. Your doctor will ask you about your medical history, including sexual habits, birth control and symptoms. He or she may also do a pelvic exam to see if your reproductive organs are painful. If more information is needed, your doctor may order other tests such as an ultrasonagraphy, endometrial biopsy or a laparoscopy.

What treatments are available?

Thankfully PID can be treated and often cured. PID almost always involves more than one type of bacteria, and therefore often is treated with a combination of at least two antibiotics. As with all antibiotics, make sure you complete the course even if you feel better after a few days. Occasionally, it may be necessary to treat PID in a hospital if, for example, you are pregnant, severely ill or have to take antibiotics intravenously.

Remember, see your doctor immediately if you have symptoms of PID–it can often be treated quickly and effectively.

 
 

Related articles

Pelvic pain Pelvic pain

Not only can pelvic pain be a problem for thousands of women but also its diagnosis can be elusive. Here's an overview of the many possible causes and treatments.

 
 
Abnormal uterine bleeding Abnormal uterine bleeding

What causes abnormal uterine bleeding? How is it diagnosed? How can it be treated? We answer your most common questions.