Pelvic inflammatory disease (PID) - Symptom
PID; Oophoritis; Salpingitis; Salpingo-oophoritis; Salpingo-peritonitis
The most common symptoms of PID include:
- Fever (not always present; may come and go)
- Pain or tenderness in the pelvis, lower abdomen, or sometimes the lower back
- Vaginal discharge with abnormal color, texture, or smell
Other symptoms that may occur with PID:
Note: There may be no symptoms. People who experience an ectopic pregnancy or infertility often have had silent PID, which is usually caused by chlamydia infection.
Signs and tests:
You may have a fever and abdominal tenderness. A pelvic examination may show:
- A cervix that bleeds easily
- Cervical discharge
- Pain with movement of the cervix
- Tenderness in the uterus or ovaries
Lab tests that look for signs of infection are:
Other tests include:
- Culture of your vagina or cervix to look for gonorrhea, chlamydia, or other causes of PID
- Pelvic ultrasound or CT scan to look for other causes of your symptoms, such as appendicitis or pregnancy, and to look for abscesses or pockets of infection around the tubes and ovaries
- Serum HCG (pregnancy test)
- Reviewed last on: 9/2/2009
- Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Facility, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Centers for Disease Control and Prevention (CDC). Update to sexually transmitted diseases guidelines, 2006: fluoroquinolones no longer recommended for treatment of gonococcal infections. MMWR. 2007;56:332-336.
U.S. Preventive Services Task Force. Screening for gonorrhea: recommendation statement. Am Fam Physician. 2005;72:1783-1786.
Meyers D, Wolff T, Gregory K, et al. USPSTF recommendations for STI screening. Am Fam Physician. 2008;77:819-824.
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