Pelvic Inflammatory Disease Oophoritis, PID, salpingitis, salpingo-oophoritis, salpingo-peritonitis This is an ascending infection of the lining of the uterus, the fallopian tubes, or the ovaries. Fever or chills Low back pain Fatigue Lack of appetite Nausea Foul-smelling vaginal discharge Frequent urination Pain with urination Pelvic pain Pain during intercourse Irregular menstrual bleeding or spotting Increased menstrual cramping No menstruation Ectopic pregnancies Infertility It is caused by gonorrhea, chlamydial infections, Mycoplasma, Staphylococcus, Streptococcus polycystic ovary disease, or postpartum infections. Pelvic examination shows cervical discharge, cervical tenderness, a friable cervix, uterine tenderness, or ovarian tenderness. Blood test shows elevated white blood cells (WBC) and elevated erythrocyte sedimentation rate (ESR) An endocervical culture A laparoscopy Sexual activity during adolescence Multiple sexual partners A past history of PID or any STD (sexually transmitted disease) Oral contraceptives ("the pill") Intrauterine device used for contraception Childbirth Abortion Endometrial biopsy Hospitalization and antibiotic therapy against a wide range of infectious agents Sex partners should be treated Infertility Ectopic Pregnancy