Understanding Pelvic Inflammatory Disease
Know about the pelvic inflammatory disease, its symptoms, causes, diagnosis and treatment. Learn how it affects your health, along with prevention and management of pelvic inflammation.
Written by Dr. M L Ezhilarasan
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 22nd Aug, 2025
Introduction
Pelvic Inflammatory Disease (PID) is a common but often misunderstood health condition that affects many women. If you or someone you know has been diagnosed with PID or is experiencing symptoms, it’s important to understand what it is, how it affects the body, and what steps can be taken to manage or treat it.
What Is Pelvic Inflammatory Disease (PID)?
Pelvic Inflammatory Disease is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It usually occurs when bacteria from the vagina or cervix travel upward into these organs. PID can range from mild to severe and, if left untreated, may lead to serious complications like chronic pelvic pain, infertility, or ectopic pregnancy.
Consult a Gynaecology doctor for Personalised Advice
What Causes PID?
Most cases of PID are caused by sexually transmitted infections (STIs), particularly chlamydia and gonorrhea. However, other bacteria, including those normally found in the vagina, can also lead to PID.
Some common risk factors include:
- Having unprotected sex
- Multiple sexual partners
- A history of STIs
- Recent insertion of an intrauterine device (IUD) – though the risk is low if proper screening is done beforehand
- Douching can disrupt the natural balance of bacteria in the vagina
Symptoms of PID
PID symptoms can vary—some women may experience severe pain, while others may have mild or no symptoms at all.
Common signs include:
- Pelvic or lower abdominal pain (often dull or cramping)
- Unusual vaginal discharge (may be yellow or green with a foul odour)
- Pain during sex or urination
- Irregular menstrual bleeding
- Fever or chills (in more severe cases)
Since symptoms can be subtle, many women may not realize they have PID until complications arise. If you experience any of these symptoms, it’s important to see a doctor promptly.
How Does PID Affect Health?
If left untreated, PID can lead to:
- Chronic pelvic pain – Persistent discomfort that may interfere with daily life.
- Infertility – Scarring in the fallopian tubes can block the passage of eggs, making it difficult to conceive.
- Ectopic pregnancy – A fertilised egg may implant outside the uterus, which is life-threatening.
- Tubo-ovarian abscess – A pocket of pus that forms in the reproductive organs, requiring medical intervention.
Early diagnosis and treatment can help prevent these complications.
How Is PID Diagnosed?
Doctors diagnose PID based on:
- Medical history & symptoms – Discussing your symptoms and sexual health history.
- Pelvic exam – Checking for tenderness or abnormal discharge.
- Lab tests – Testing for STIs like chlamydia and gonorrhea.
- Ultrasound or laparoscopy – In severe cases, imaging may be needed to check for abscesses or damage.
Treatment Options
PID is treated with antibiotics to clear the infection. Depending on severity, treatment may include:
- Oral antibiotics – For mild cases.
- Intravenous (IV) antibiotics – For severe infections or if hospitalisation is needed.
- Pain relief – Over-the-counter pain relievers may help with discomfort.
It’s crucial to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully cleared.
Lifestyle and Prevention Tips
While PID can be serious, there are ways to reduce your risk and support recovery:
1. Practice Safe Sex – Use condoms to lower the risk of STIs.
2. Get Regular STI Screenings – Early detection helps prevent PID.
3. Avoid Douching – It disrupts healthy vaginal bacteria.
4. Seek Prompt Treatment – If you suspect an STI or PID, see a doctor immediately.
5. Follow Up with Your Doctor – Ensure the infection is completely treated.
When to See a Doctor?
If you experience:
- Persistent pelvic pain
- Unusual discharge
- Pain during sex or urination
- Fever with pelvic discomfort
Final Thoughts
Pelvic Inflammatory Disease is treatable, but awareness and early action are key. By understanding the symptoms, causes, and prevention methods, you can take charge of your reproductive health. If you have any concerns, don’t hesitate to reach out to a healthcare provider.
Consult a Gynaecology doctor for Personalised Advice
Consult a Gynaecology doctor for Personalised Advice
Dr. Bandana J
Obstetrician and Gynaecologist
18 Years • MBBS, DGO
Secunderabad
Apollo Hospitals Secunderabad, Secunderabad
Dr. Vineet Mishra
Infertility Specialist
36 Years • MD, Phd, DSc
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
Dr. Vandana Sinha
Obstetrician and Gynaecologist
14 Years • MBBS, MS(Obs & Gyn), Fellow in Gynec-Onco. & Gynec Endoscopy
Ahmedabad
Apollo Hospitals Gandhinagar, Ahmedabad
(175+ Patients)
Dr. Sanchita Dube
Obstetrician and Gynaecologist
17 Years • MBBS, MD, DNB
Noida
Apollo Hospitals Sector 26, Noida
(100+ Patients)
Dr. Mercy C V
Obstetrician and Gynaecologist
36 Years • MBBS, DGO
Angamaly
Apollo Hospitals Karukutty, Angamaly
(75+ Patients)
Consult a Gynaecology doctor for Personalised Advice
Dr. Bandana J
Obstetrician and Gynaecologist
18 Years • MBBS, DGO
Secunderabad
Apollo Hospitals Secunderabad, Secunderabad
Dr. Vineet Mishra
Infertility Specialist
36 Years • MD, Phd, DSc
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
Dr. Vandana Sinha
Obstetrician and Gynaecologist
14 Years • MBBS, MS(Obs & Gyn), Fellow in Gynec-Onco. & Gynec Endoscopy
Ahmedabad
Apollo Hospitals Gandhinagar, Ahmedabad
(175+ Patients)
Dr. Sanchita Dube
Obstetrician and Gynaecologist
17 Years • MBBS, MD, DNB
Noida
Apollo Hospitals Sector 26, Noida
(100+ Patients)
Dr. Mercy C V
Obstetrician and Gynaecologist
36 Years • MBBS, DGO
Angamaly
Apollo Hospitals Karukutty, Angamaly
(75+ Patients)
