Evaluation And Treatment of Any Abnormal Bleeding ,Primary Infection
Pelvic inflammatory disease (PID) is a general term for an infection that affects the lining of the uterus (endometritis), the fallopian tubes (salpingitis), and/or the ovaries (oophoritis). It is caused primarily by sexually transmitted infections that spread up from the opening of the uterus to these organs.
Part of the reason PID is underdiagnosed is that women may also have some, most, or none of these other symptoms: abnormal or foul discharge from the vagina or urethra, pain or bleeding during or after intercourse, irregular bleeding or spotting, increased menstrual cramps, increased pain during ovulation, frequent or burning urination, inability to empty the bladder, swollen abdomen, sudden high fever or low-grade fever that comes and goes, chills, swollen lymph nodes, lack of appetite, nausea or vomiting, pain around the kidneys or liver, lower back or leg pain, feelings of weakness, tiredness, depression, and diminished desire to have sex.
The intensity and extent of the symptoms depend on which microorganisms are causing the problem, where they are located (uterus, tubes, lining of the abdomen, etc.), how long you have had PID, what if any antibiotics you have taken, and your general health. PID is characterized as acute, chronic, or silent (when symptoms are not noticeable).
Most cases of PID are caused by microorganisms responsible for sexually transmitted infections. They can get into the body during sexual contact with an infected man or woman. If you are carrying these microorganisms, certain procedures or reproductive events can push them farther into your body, including miscarriage, childbirth, abortion, or other procedures involving the uterus, such as endometrial biopsy, hysterosalpingogram (X-ray of the reproductive tract), IUD insertion, or donor insemination.