Pelvic inflammatory disease (PID) is an infection in the ovaries, fallopian tubes, and/or uterus. PID is caused by a sexually transmitted disease (STD). STDs are infections that spread through sex (vaginal, oral, or anal). Treatment with antibiotics can help prevent long-lasting problems and stop the infection from spreading to other people.

Treatment:

• Take all the antibiotics exactly as the health care provider recommended. Don't stop the antibiotics early, even if the signs of PID are gone, or it could come back.
• Tell all sexual partners from the past 2 months to get treatment too, even if they don't have signs of an STD. If your health care provider gave you a prescription for your partner(s), be sure you give it to them.
• Don't have sex until treatment is done and there are no signs of PID or other STDs in you and your partner. This is usually at least 1 week after treatment starts. Signs of an STD include belly pain, fever, abnormal discharge, pain when peeing, or genital warts or sores.
• If you have pain, cramps, or fever, you can:
  • Take ibuprofen (such as Advil®, Motrin®, or a store brand) OR acetaminophen (such as Tylenol® or a store brand). Follow dose instructions on the label.
  • Try a warm heating pad on your belly.

Follow up:

• Go for follow-up STD testing as recommended by the health care provider.
• Get all doses of the human papillomavirus (HPV) vaccine (shot). HPV is an STD that can lead to some kinds of cancer and genital warts.

• You can't get or take the antibiotics.
• You have a new or higher fever.
• You're not getting better after a few days on antibiotics.
• You get better, then develop signs of an STD.

• You get sudden, severe pain in the belly.
• You have heavy vaginal bleeding.
• You are vomiting (throwing up) and can't keep anything down.

What happens if PID is not treated? If PID isn't treated, a girl can have problems like:

• ongoing pain in the lower belly
• trouble getting pregnant
• ectopic pregnancy (pregnancy outside the womb)

Sometimes, if PID has gone on too long, a girl may still get these problems even after treatment. 

Can I get PID again? Yes. Girls can get PID again if partners with STDs don't get treatment, or if a girl has sex with someone else who has an STD.

How can I avoid getting another STD? The best way to avoid STDs is not to have sex (vaginal, oral, or anal). If you do have sex, you should:

• Use a condom every time you have sex (vaginal, oral, or anal).
• Have only one partner, who has already been tested and does not have an STD. That partner should not have sex with other people.