Pelvic inflammatory disease

Medium urgency
-Moderately severe

This is the inflammation of the female reproductive organs caused by bacterial infection.

In most cases, the infection is produced by Gonococcus or Chlamydia, which is why it is associated with sexually transmitted diseases (STDs).

The infection may run without any symptoms. When symptoms appear, the most common ones include fever, foul-smelling and foul looking vaginal discharge and pain or tenderness in the pelvis, the lower abdomen or lower back.

It is diagnosed through clinical history collection, full genital examination, laboratory tests, vaginal discharge culture and/or gynecological ultrasound or CT scan.

Treatment is based on pain killers and antibiotics. If present, intrauterine devices (IUD) must be removed and surgery may be required in severe cases.

Bibliographic references
  1. Jonathan Ross. Pelvic inflammatory disease: Pathogenesis, microbiology, and risk factors. UpToDate. Feb 19, 2015.
  2. Jonathan Ross, Mariam R Chacko. Pelvic inflammatory disease: Clinical manifestations and diagnosis. UpToDate. Jun 13, 2016.
  3. Harold C Wiesenfeld, CM. Pelvic inflammatory disease: Treatment. UpToDate. Mar 13, 2016.
  4. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64:1.
  5. Soper DE. Pelvic inflammatory disease. Obstet Gynecol 2010; 116:419.
  6. Holmes KK. Enfermedades de transmisión sexual: resumen y estudio clínico. Harrison. Manual de Medicina. 16º edición. 416-418.
  7. 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.
  8. Brunham 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. 
  9. Gradison M. Pelvic inflammatory disease. Am Fam Physician. 2012 Apr 15;85(8):791-6. PMID: 22534388.
Author
Dr. Josep Estadella
Copyright
© TeckelMedical 2026

Symptoms

    White vaginal discharge


    Lower abdominal pain


    Painful sexual intercourse


    Genital and/or anal bleeding during intercourse


    Lower back pain

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Consult with your primary care physician regarding the prescription of antibiotics.