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Stomachache
I have lower abdominal pain
Have a fever
Stomachache gets worse when pressed
Stomach tenses when pressed lightly
Abdominal pain
Pain in the lower abdomen
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What is Pelvic Inflammatory Disease?
Pelvic Inflammatory Disease (PID) is a serious condition where there is infection and inflammation of the female pelvic organs such as the uterus, fallopian tubes and ovaries. It can present with abdominal pain, fever and foul vaginal discharge, and requires medical treatment. Some cases but not all are related to sexual activity and sexually transmitted diseases (STD). It is possible to get PID without an STD. Delayed treatment can lead to infertility due to damage to the fallopian tube.
Typical Symptoms of Pelvic Inflammatory Disease
- Stomach or abdominal pain with the abdomen becoming hard when gently pressed
- Increased vaginal discharge that is smelly
- Abnormal color, amount or odor of vaginal discharge
- Increase in vaginal discharge
- Stomach or abdominal pain occurs or worsens after sexual intercourse
- Fever
- History of infection of the pelvis
- Stomach pain that worsens when pressing and releasing stomach
Diagnostic Questions for Pelvic Inflammatory Disease
Your doctor may ask these questions to check for this disease:
- Do you have stomach or abdominal pain with your abdomen becoming hard when gently pressed?
- Has the vaginal discharge odor worsened recently?
- Have you noticed any changes in the color, amount, or odor of your vaginal discharge?
- Have you had more vaginal discharge lately?
- Does your stomach or abdominal pain occur or worsens after sexual intercourse?
Treatment of Pelvic Inflammatory Disease
Treatment for PID requires antibiotics for several weeks. Depending on the severity it can be treated in the clinic or emergency room, but occasionally may also require admission to the hospital. In some cases, surgery or a procedure may be needed to drain pus from an abscess (infected collection).
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Smelly vaginal discharge
- Vaginal discharge changed
- Lots of vaginal discharge
- Vaginal discharge odor
- Smelly vaginal discharge
- There is a large amount of vaginal discharge with bad smell
- Increase in vaginal discharge
- Excessive amount of vaginal discharge
- White vaginal discharge
- Increased vaginal discharge
- Yellow vaginal discharge
- Greyish vaginal discharge
- Excessive vaginal discharge
- Slight increase in vaginal discharge
- There is an increase in vaginal discharge
See full list
Symptoms Related to Pelvic Inflammatory Disease
Diseases Related to Pelvic Inflammatory Disease
FAQs
Q.
What conditions should be considered if heavy menstrual bleeding persists?
A.
Heavy menstrual bleeding, also known as menorrhagia, can be a significant concern for many women. If this condition persists, it is essential to consider various underlying causes to ensure appropriate diagnosis and management.
References:
Brenner PF. Differential diagnosis of abnormal uterine bleeding. Am J Obstet Gynecol. 1996 Sep;175(3 Pt 2):766-9. doi: 10.1016/s0002-9378(96)80082-2. PMID: 8828559.
Borzutzky C, Jaffray J. Diagnosis and Management of Heavy Menstrual Bleeding and Bleeding Disorders in Adolescents. JAMA Pediatr. 2020 Feb 1;174(2):186-194. doi: 10.1001/jamapediatrics.2019.5040. PMID: 31886837.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Curry A, Williams T, Penny ML. Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention. Am Fam Physician. 2019 Sep 15;100(6):357-364. PMID: 31524362.
https://www.aafp.org/pubs/afp/issues/2019/0915/p357.htmlRavel J, Moreno I, Simón C. Bacterial vaginosis and its association with infertility, endometritis, and pelvic inflammatory disease. Am J Obstet Gynecol. 2021 Mar;224(3):251-257. doi: 10.1016/j.ajog.2020.10.019. Epub 2020 Oct 19. PMID: 33091407.
https://www.ajog.org/article/S0002-9378(20)31193-5/fulltextBrunham RC, Gottlieb SL, Paavonen J. Pelvic inflammatory disease. N Engl J Med. 2015 May 21;372(21):2039-48. doi: 10.1056/NEJMra1411426. PMID: 25992748.
https://www.nejm.org/doi/10.1056/NEJMra1411426Gradison M. Pelvic inflammatory disease. Am Fam Physician. 2012 Apr 15;85(8):791-6. PMID: 22534388.
https://www.aafp.org/pubs/afp/issues/2012/0415/p791.htmlFord GW, Decker CF. Pelvic inflammatory disease. Dis Mon. 2016 Aug;62(8):301-5. doi: 10.1016/j.disamonth.2016.03.015. Epub 2016 Apr 20. PMID: 27107781.
https://www.sciencedirect.com/science/article/abs/pii/S0011502916000894?via%3DihubCDC - PID
https://www.cdc.gov/std/treatment-guidelines/pid.htm