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The Reproductive Medicine Program at the Massachusetts General Hospital Department of Obstetrics and Gynecology provides sophisticated, compassionate care for reproductive health problems, placing the highest emphasis possible on patient safety.
The Minimally Invasive Gynecologic Surgery (MIGS) Center at Massachusetts General Hospital delivers innovative, multidisciplinary care for a full range of gynecologic conditions including endometriosis, fibroids, abnormal uterine bleeding, ovarian cysts/masses, pelvic pain, urinary incontinence and gynecologic cancers.
The Benign Gynecology Program at the Massachusetts General Hospital Department of Obstetrics & Gynecology delivers compassionate, expert care for the full range of gynecologic issues.Request an appointment online
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Adult Patients Only
The Obstetrics Program at Massachusetts General Hospital provides state-of-the-art, individualized care for women before, during and after childbirth.
Pediatric Patients Only
The Division of Adolescent and Young Adult Medicine at MassGeneral Hospital for Children provides outstanding primary care and consultative care to adolescents and young adults.
To schedule an appointment with an adolescent medicine specialist, please call: 617-643-1201
For other pediatric specialties, please call: 888-644-3248.
Pelvic Inflammatory Disease (PID)
What is pelvic inflammatory disease (PID)?
Pelvic inflammatory disease or PID is an infection of a woman’s reproductive tract. It can affect the uterus, fallopian tubes, and the ovaries. Scar tissue grows between internal organs leading to ongoing pelvic pain. It can also lead to ectopic pregnancy. This is when the fertilized egg grows outside the uterus. If left untreated, PID can lead to chronic infection. Also, you may not be able to get pregnant.
What causes PID?
Bacteria cause PID. Often the same type of bacteria that causes sexually transmitted diseases (STDs). PID may also develop if bacteria travel through the vagina and the cervix from the use of an intrauterine device (IUD).
What are the risk factors for PID?
Women of any age can get PID. But, those at greater risk of PID from sexually transmitted bacteria include:
- Women under 25 who are sexually active
- Women of childbearing age
- Women who use intrauterine devices (IUDs)
What are the symptoms of PID?
These are the most common symptoms of PID.
- Pain and tenderness spread throughout the lower part of the belly
- Pelvic pain
- Increased foul-smelling vaginal discharge
- Fever and chills
- Vomiting and nausea
- Pain during urination
- Belly pain (upper right area)
- Pain during sex
The symptoms of PID may look like other conditions or health problems. Always talk with your healthcare provider for a diagnosis.
How is PID diagnosed?
Your healthcare provider will do a medical history and a physical and pelvic exam. Other tests may include:
- Exam of vagina and cervix samples under a microscope
- Blood tests
- Pap test. For this test, cells are taken from the cervix and checked under a microscope. It's used to find cancer, infection, or inflammation.
- Ultrasound. This test uses high-frequency sound waves to make an image of the organs.
- Laparoscopy. This is a minor procedure done using a laparoscope. That is a thin tube with a lens and a light. It is inserted into an incision in the abdominal wall to view the reproductive tract.
- Culdocentesis. For this test, a needle is inserted into the pelvic cavity through the vaginal wall to get a sample of pus.
How is PID treated?
Your healthcare provider will discuss the best treatment with you based on:
- How old you are
- Your overall health and medical history
- How sick you are
- How well you can handle specific medicines, procedures, or therapies
- How long the condition is expected to last
- Your opinion or preference
Antibiotic pills are used to treat PID, especially if it’s due to a STD. For severe infection, you may need to stay in the hospital for intravenous (IV) antibiotics. Sometimes, surgery is needed.
Key points about PID
- Pelvic inflammatory disease (PID) is an infection of a woman’s reproductive tract. It can affect the uterus, fallopian tubes, and/or the ovaries.
- Left untreated, chronic infection and infertility can develop.
- It is caused by bacteria, often the same type of bacteria that causes STDs.
- Sexually active women under age 25, and those of childbearing age are at the greatest risk of getting PID from an STD.
- PID can cause pelvic pain, belly tenderness, vaginal discharge, fever, chills, and pain during urination and sex.
- Treatment includes antibiotics, especially if you have a STD.
Next stepsTips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.