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About Pelvic Inflammatory Disease

Pelvic Inflammatory Disease (PID) is a serious infection affecting a woman's reproductive organs, often caused by untreated STIs. It can lead to severe complications if not addressed promptly. TheDrugClub helps ensure you can access the vital medications needed for treatment without financial stress, making essential care more affordable for individuals and families.

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It typically occurs when sexually transmitted infections (STIs), like chlamydia or gonorrhea, spread from the vagina or cervix upward into the reproductive system. While STIs are the most common cause, other bacteria can also lead to PID.

Symptoms of PID can vary widely. Some women experience mild or no symptoms, making it difficult to diagnose early. Others may have severe pelvic pain, fever, unusual vaginal discharge with a foul odor, painful intercourse, painful urination, or irregular bleeding. If left untreated, PID can lead to serious health issues, including chronic pelvic pain, infertility, and an increased risk of ectopic pregnancy (a pregnancy outside the uterus) due to scarring in the fallopian tubes. It can also cause a tubo-ovarian abscess, a life-threatening collection of pus in the reproductive organs.

Common Treatments and Medications

Treating PID primarily involves antibiotics to clear the infection. Your doctor will likely prescribe a combination of antibiotics, often administered orally or, in more severe cases, intravenously. Common medications include doxycycline, metronidazole, and ceftriaxone. It's crucial to complete the entire course of antibiotics, even if symptoms improve, to ensure the infection is fully eradicated. Pain relievers, both over-the-counter and prescription strength, may also be recommended to manage discomfort. Additionally, all sexual partners need to be tested and treated to prevent reinfection.

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Receiving a PID diagnosis can be stressful enough without worrying about the

The information above is for educational purposes only and does not constitute medical advice. Consult your healthcare provider before making medication decisions.

MedlinePlus overview of Pelvic Inflammatory Disease

What is pelvic inflammatory disease?

Pelvic inflammatory disease (PID) is an infection of the uterus, ovaries, and other female reproductive organs. PID causes scarring in these organs. This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses (a collection of pus), and other serious problems. PID is the most common preventable cause of infertility in the United States.

What causes pelvic inflammatory disease?

Many types of bacteria can cause PID, but it's often caused by sexually transmitted infections (STIs). Gonorrhea and chlamydia are the most common causes of PID.

You are at greater risk for PID if you:

Are sexually active and younger than age 25.

Have more than one sex partner.

Douche. Douching can push bacteria into your reproductive organs. It may also hide the signs of PID.

Have an STI and do not get treated.

Have had PID or an STI before.

It's not as common, but sometimes using an intrauterine device (IUD) for birth control can increase your risk for PID. However, your risk is usually only during the first three weeks after the IUD is placed inside your uterus.

What are the symptoms of pelvic inflammatory disease?

If you have PID, you may have mild or no symptoms. If you do have symptoms, the most common symptom is pain in the lower abdomen (belly). Other symptoms can include:

Fever

Foul-smelling vaginal discharge

Bleeding between periods

Pain or bleeding during sex

Painful urination (peeing)

See your health care provider if you have any symptoms of PID or if you think you or your partner were exposed to an STI. Early treatment is important. Waiting too long for treatment increases the risk of infertility.

How is pelvic inflammatory disease diagnosed?

There is no one test for PID. To check for PID, your provider may:

Ask about your medical and sexual history

Review your symptoms

Do a pelvic exam

Order blood, urine, and imaging tests

What is the treatment for pelvic inflammatory disease?

Antibiotics are used to treat PID. You must take all the medicine, even if your symptoms go away to make sure the infection is cured. You will likely need to follow up with your provider to make sure the treatment is working.

Tell your recent sex partner(s) so they can get tested and treated. Don't have sex until you finish treatment, otherwise you can reinfect each other.

If you're pregnant, have an abscess, or your symptoms don't go away, you may need to have surgery or be hospitalized for treatment.

Treatment cannot fix any permanent damage already done to your internal organs.

If you don't get treated, complications can occur, such as:

Scar tissue may develop in your fallopian tubes.

Infertility.

An abscess may develop in your reproductive organs. If untreated, this could become a life-threatening infection.

Long-term pelvic or abdominal (belly) pain.

Can pelvic inflammatory disease be prevented?

The best way to protect yourself against STIs is not to have sex.

If you do decide to have sex, a few ways you can lower your risk include to:

Practice safe sex by using a condom every time you have sex, limit your number of sex partners, and ask your partners about their sexual history.

Get tested for chlamydia and gonorrhea every year and ask your partner to get tested.

Don't douche since this can upset the balance of bacteria in your vagina.

Source: MedlinePlus, U.S. National Library of Medicine. MedlinePlus topic page. Topic date: 01/13/2003. MedlinePlus file date: 10/15/2026 02:30:37.

This information is educational and is not medical advice.

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