SymptomsBy Mayo Clinic staff
Signs and symptoms of pelvic inflammatory disease may include:
- Pain in your lower abdomen and pelvis
- Heavy vaginal discharge with an unpleasant odor
- Irregular menstrual bleeding
- Pain during intercourse
- Low back pain
- Fever, fatigue, diarrhea or vomiting
- Painful or difficult urination
PID may cause only minor signs and symptoms or none at all. Asymptomatic PID is especially common when the infection is due to chlamydia.
When to see a doctor
Go to the emergency room if you experience the following severe signs and symptoms of PID:
- Severe pain low in your abdomen
- Signs of shock, such as fainting
- Fever, with a temperature higher than 101 F (38.3 C)
If your signs and symptoms aren't severe, but they're persistent, see your doctor as soon as possible. Vaginal discharge with an odor, painful urination or bleeding between menstrual cycles can be associated with a sexually transmitted infection (STI). If these signs and symptoms appear, stop having sex and see your doctor soon. Prompt treatment of an STI can help prevent PID.
- Pelvic inflammatory disease fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/std/PID/STDFact-PID.htm. Accessed April 21, 2011.
- Hemsell DL. Gynecologic infections. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aID=3150553. Accessed April 21, 2011.
- Pelvic inflammatory disease. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp077.cfm. Accessed April 21, 2011.
- Pelvic inflammatory disease: Frequently asked questions. The National Women's Health Information Center. http://womenshealth.gov/faq/pelvic-inflammatory-disease.cfm. Accessed April 21, 2011.
- Trigg BG, et al. Sexually transmitted infections and pelvic inflammatory disease in women. Medical Clinics of North America. 2008;92:1083.
- Livengood CH, et al. Clinical features and diagnosis of pelvic inflammatory disease. http://www.uptodate.com/home/index.html. Accessed April 21, 2011.
- Livengood CH. Pathogenesis of and risk factors for pelvic inflammatory disease. http://www.uptodate.com/home/index.html. Accessed April 21, 2011.