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Pelvic Inflammatory Disease


Pelvic inflammatory disease (PID)

is a condition that causes your reproductive organs to become inflamed. Your reproductive organs include your ovaries, fallopian tubes, uterus, cervix (lower area of your uterus), and vagina.

Common symptoms include the following:

  • Fever
  • Nausea or vomiting
  • Pain during sex, especially if your PID is new
  • Lower abdominal or back pain
  • Green or yellow discharge from your vagina that may have an unusual or bad smell
  • Vaginal bleeding or spotting during or after sex or bleeding in between your monthly periods

Seek care immediately if:

  • You have chills or a high fever.
  • You have pain in your upper right abdomen.
  • You have pain in your lower abdomen that does not go away with rest or medicine.
  • Your symptoms get worse or do not improve after 3 days of treatment.

Contact your healthcare provider if:

  • You have nausea or are vomiting.
  • Your skin is red, itchy, or you have a new rash.
  • You think or know you are pregnant.
  • You have questions or concerns about your condition or care.

Treatment for PID

may include medicine to treat or prevent infection or reduce pain. You may need surgery to treat other problems related to your PID. If you have an abscess on your tube or ovary, you may need surgery to drain it. Surgery may also be needed to remove scar tissue from your reproductive organs. Ask your healthcare provider for more information about surgeries or other procedures you may need.

Manage PID:

  • Finish your treatment. If you do not finish your treatment for PID, your infection may not go away. You may also have an increased risk for another STI in the future.
  • Do not have sex until your healthcare provider says it is okay. You will need to finish treatment before it is safe to have sex.
  • Talk to your sex partners. If you have an STI, tell your recent partners. Tell them to see a healthcare provider for testing and treatment. This will help stop the spread of infection to others or back to you.

Decrease your risk for PID:

  • Do not have unprotected sex. Always use a latex condom. Do not have sex while you or your partners are being treated for an STI.
  • Get tested for STIs before and after new sex partners. Talk to your partner and ask them to get tested.
  • Do not delay treatment for STIs or vaginal infections. Talk to your healthcare provider if you think you have an STI. Early treatment can prevent health problems that may lead to PID.

Follow up with your healthcare provider as directed:

You may need a follow up visit a few days after you start your treatment. Your treatment may need to be changed if your symptoms are not getting better. Your healthcare provider may ask you if your recent sexual partners have also been treated for an STI. You may need more tests if your symptoms do not go away or worsen after treatment. Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.