PELVIC INFLAMMATORY DISEASE:WHAT ARE THE SYMPTOMS?
The most common symptom of PID is pain in the pelvis and lower abdomen. The pain is usually dull, and it can occur on one side or both sides of the pelvis. Other symptoms—discharge and an odor from the vaginal area, burning with urination, and spotting between periods or after sexual intercourse—may also be present. A woman may notice heavier than usual periods and pain during intercourse. With more severe infection, there can be fever and chills, and nausea and vomiting. In addition, PID can sometimes spread into the abdominal cavity and cause infection around the liver, experienced as pain in the upper right part of the abdomen. This condition is known as Fitz-Hugh Curtis syndrome. In other cases there may be no symptoms with PID, and the infection may go undetected until it is discovered during a pelvic examination.
Symptoms generally occur within a few days to a few months after infection, but they may take longer to show up. With each episode of PID, a woman undergoes a 20 percent reduction in her future fertility and runs a 20 percent risk of being subject to chronic pelvic pain and an increased risk of an ectopic (tubal) pregnancy.
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