Sexual health

Pelvic inflammatory disease (PID)

PID is infection and inflammation of the upper genital tract, often from untreated chlamydia, gonorrhoea or Mycoplasma genitalium. It is treatable, and prompt antibiotics protect future fertility.

Common symptoms

Pelvic or lower abdominal pain, often both sides
Unusual discharge or smell
Pain with sex, bleeding after sex or between periods
Fever, feeling unwell

Useful to track

When symptoms started
New partners or unprotected sex
Fever readings
Pain score

Tests and conversations that may be relevant

Vaginal or cervical swabs and urine tests for chlamydia, gonorrhoea and Mycoplasma genitalium
Pregnancy test
Examination for cervical tenderness
Ultrasound if an abscess is possible

When to see a GP or specialist

Any of these symptoms — PID is usually treated on suspicion rather than waiting for results
Recent partner treated for an STI

Urgent warning signs

High fever, severe pain or vomiting — go to emergency or an urgent care clinic
Pain with a positive pregnancy test

In Australia, call 000 or healthdirect on 1800 022 222.

Questions to take to a clinician

Should I start treatment today while results are pending?
Which infections was I tested for?
Does my partner need testing and treatment?
When should I be re-tested?

Log a symptom Ask about this

Thrush (yeast infection)Bacterial vaginosis (BV)Chlamydia Gonorrhoea

eophi shares general information reviewed against Australian guidance. It never diagnoses. If something feels urgent, call 000 or healthdirect on 1800 022 222.