Not Sure If I Have Pid Please Help Me.

I am 22 with 2 children (1 is 23 months and 1 is 5 months old) after my daughter was born i was on the contraceptive implant for about 2 months before coming off it due to prolonged bleeding and went on the depo contraceptive injection and the bleeding after my daughter was born finally ended after 16 weeks.

So about early december i started getting pelvic pain (near the front of my pelvis) which felt at first like i had damaged myself even though i knew i hadnt. Then it disappeared for a few days and then came back with stinging at the front of my vagina, if feelt like its on the bone but my doctor has dismissed its on the pubic bone even though i know i feel it in that area. This only happens at night and only once during day which was early morning and it stopped by 10am.

It only happens at nights on and off sometimes it can go for a week and then come back for one night and dissapear again. I know i dont have any sti's even though the doctor basically accused me of cheating on my husband which i havent ehres no way i have a sti or std but the doctor is convinced this is what it is. a different female doctor said hurt my pelvis (sprain) which has since been ruled out.

Can anyone please give me their opinions on this im so concerned and i feel so alone i need to go for a double doctor appointment on thursday for an internal and some swabs i researched pid but cant find syptoms

An Ep User An EP User
2 Responses Jan 20, 2013

I hate this for you. Unfortunately there is a stigma attached to PID because so many cases of PID are caused by a sexually transmitted disease, but not all cases. I've had PID twice now, and my symptoms were acute, meaning they came on pretty suddenly both times and I received IV antibiotics and months of oral antibiotics. The prolonged bleeding does kinda tip me off to PID, as a bloodly discharge is often a symptom along with pelvic pain. Everyone's body is different, so everyones symptoms are different.

My pain makes me feel like I'm in labor. I can feel my cervix throbbing and my uterus becomming inflammed. I usually have a high fever of about 101 for a few days until my treatment kicks in. I'm nauseated and defiantly NOT hungry for food. And both times, it's been very difficult to urrinate. It's not that it hurts to pee, it just won't come out, and when it does, it's not a very strong stream.

A vaginal exam/pap smear and swabs will help you rule out certain things, but aren't always conclusive, because everyone is different, and your infection might be higher up than a swab can go. If they do a swab and see lots of white blood cells, then you probably have PID. If they even suspect PID they should start you on antibiotics ASAP, and you might have to take them for a while.

Just a thought, but you might have gotten PID originally after giving birth, and the ongoing bleeding for 15 weeks was a side effect. PID can lay low in some people, and it's possible you've had this for 5 months. In that case, they may need to treat you with IV antibiotics and do an ultrasound to rule out any damage to your reproductive organs.

I know how tough all this can be with two little ones running around, and keeping up with them is hard when you don't feel your best. You should have gotten your results back by now, I hope you'll let us know how they went. I'm curious to see what's going on. & if you don't get the answers you need, you should find a new doctor willing to figure this out.

It's really disturbing to me how many stories here have incidents of health professionals making patients feel at unease or guilty about seeking help for this.
First, you are not alone - symptoms like these are so friggin scary and I can totally understand how horrible you must be feeling because your experience with the doc sounds awful. Yes, they need to ask you personal sexual questions, yes they need to check for stds, but this should all be done with respect and sensitivity.
I was diagnosed with chronic PID on the sole basis of symptoms and an examination, and given antibiotics - I tested negative for all stds and have had the same sexual partner for 7 years . As I understand it there are two types - acute and chronic. Acute usually results in immediate hospitalisation, whereas chronic can give symptoms that are not always solely definable as PID which in itself is rubbish, but is usually very treatable. PID can be caused by bacterial infections in the cervix, which are often a result of stds but not always - it is the easiest cause to diagnose which I think has created a stigma. It wasn't in my case, and its not in many other women. My dr put it to me as the pelvis being a big giant bowl which has the bowel, kidneys and womb working within it, and it is not always possible to understand the trigger for infection as the area is so complex.

The problem is, that because various things can cause pelvic pain, it's hard to diagnose which can be very frustrating especially if you see the wrong dr. My main advice to you would be to try and keep your chin up (not easy I know) if you've had the results for your swabs back and everything is ok, that doesn't necessary rule out PID. It is important that your doctor gives you an internal examination so they an allocate the specific area of pain. If you do not feel like your doctor is helping you, get a second opinion at a sexual health clinic - they're much more used to dealing with PID and other gynaecological conditions. I was told that antibiotics were necessary even if my symptoms aren't PID, because it is a difficult disease to diagnose, but the antibiotics given usually cover treatment for a wide range of bacterial issues- it covers many bases. As you have experienced difficulty post-childbirth it is likely you may need an ultrasound or further treatment than this, but there are so many options for treatment, I just think in your case you might need to be assertive in the sense that its ok to get a second opinion -it's your body and the dr is not always right. Take care :)