Your Guide to Pelvic Inflammatory Disease (PID)
How Is Pelvic Inflammatory Disease Diagnosed?
Your doctor will begin with a detailed history of your general health and sexual activity. He or she will perform a pelvic exam to check the health of your reproductive organs, and look for evidence of gonorrhea and chlamydia infection. Your doctor may find the abnormal cervical discharge and tenderness of the cervix, fallopian tubes and cervix on examination. This discharge will be tested to determine the cause of the infection, including cultures for gonorrhea and chlamydia.
If your doctor suspects PID, he or she may order other tests, including:
Blood tests to analyze blood for evidence of infection.
Ultrasound (sonogram) to view the reproductive organs.
Other tests less commonly performed include:
Endometrial biopsy, a procedure in which a small sample of tissue from the lining of the uterus (endometrium) is removed for evaluation and testing.
Laparoscopy, a procedure during which a thin, lighted instrument (laparoscope) is inserted through a small cut in the lower abdomen to allow the doctor to examine the internal reproductive organs.
What Is the Treatment for PID?
If the findings of your exam or tests suggest PID, treatment is started immediately.
If abscesses have formed on the uterus or ovaries, your doctor may recommend hysterectomy (removal of the uterus) or oophorectomy (removal of the ovaries).