Women’s reproductive health is a delicate balance, and conditions like Pelvic Inflammatory Disease (PID) can silently disrupt it. PID is more common than many realise and can lead to serious, long-term consequences if not diagnosed and treated in time. Understanding PID is essential for anyone new to sexual health and those who want to stay informed. This article explores what PID is, its symptoms, causes, complications, and how it can be prevented.
Overview
Pelvic inflammatory disease is a bacterial infection that affects the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It typically occurs when bacteria travel upward from the vagina or cervix.
PID is a serious health condition that requires timely medical attention, as it can lead to long-term complications such as infertility, ectopic pregnancy, and chronic pelvic pain if left untreated.
Many women may not experience noticeable symptoms in the early stages, which makes awareness especially important.
Symptoms of Pelvic Inflammatory Disease
The symptoms can vary from mild to severe. Some women may not notice any signs until the infection has progressed. Common symptoms include:
- Lower abdominal or pelvic pain
- Unusual or heavy vaginal discharge with an unpleasant odor
- Painful urination or intercourse
- Irregular menstrual bleeding
- Fever and chills
- Fatigue
If you notice any of these symptoms, it’s important not to ignore them. Early diagnosis and treatment can help prevent complications of pelvic inflammatory disease.
Causes and Risk Factors
PID usually results from sexually transmitted infections (STIs), particularly Chlamydia trachomatis and Neisseria gonorrhoeae. However, other types of bacteria can also cause PID, especially after childbirth, miscarriage, abortion, or insertion of an intrauterine device (IUD).
Risk factors for PID include:
- Having multiple sexual partners
- Unprotected sex
- Sexually active and under 25 years of age
- A history of STIs or PID
- Douching (which can push bacteria upward)
- Not using barrier methods of contraception
Complications of Pelvic Inflammatory Disease
If left untreated, pelvic inflammatory disease can lead to the formation of scar tissue and fluid-filled abscesses in the reproductive tract. Over time, this can result in lasting damage to the reproductive organs.
Such damage may lead to complications, including:
- Infertility (difficulty getting pregnant or inability to conceive)
- Ectopic pregnancy (a fertilised egg implants outside the uterus, often in a fallopian tube)
- Chronic pelvic pain (persistent lower abdominal pain that may last for months or years)
- Tubo-ovarian abscesses (pockets of infected fluid forming around the fallopian tubes or ovaries)
PID Prevention
PID is preventable, and these simple steps can help reduce your risk:
- Practice safe sex. Use condoms consistently and try to limit the number of sexual partners.
- Talk to your healthcare provider about safe and suitable contraception options.
- Get regular STI screenings, especially if you’re under 25 or have higher risk factors.
- Avoid douching, as it can upset the natural balance of vaginal bacteria. Encourage your partner to get tested too.
- Seek immediate treatment if you or your partner tests positive for an STI.
When to See a Healthcare Expert
Seek medical advice immediately if you think you’ve been exposed to a sexually transmitted infection or notice symptoms such as:
- Intense pain in the lower abdomen
- High fever
- Nausea and vomiting, especially if you’re unable to keep food or fluids down
- Strong-smelling or unusual vaginal discharge
At Apollo Cradle & Children’s Hospital, our dedicated team of gynaecologists and healthcare professionals is here to support you with expert, compassionate care. With state-of-the-art facilities and a patient-centric approach, we ensure every woman receives the attention and treatment she deserves.
Your reproductive health is a vital part of your overall well-being. Don’t hesitate to reach out if you have concerns. Early action can make all the difference.

