Pelvic Pain: Is It Pelvic Inflammatory Disease? - Obstetrics and Gynecology

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Pelvic cavity issues?


I had sexual intercourse with my boyfriend on the fourth day of my menstrual period without using protection, but he pulled out quickly.
This happened on Tuesday night.
Then, on Thursday afternoon, I started feeling lower back pain, and later that evening, I developed a fever and went to the emergency room.
Since it is currently flu season, the doctor prescribed me antipyretics and antiviral medication.
However, after taking the antipyretics, I still feel soreness in my lower back and the sides of my thighs.
I want to know if this could be pelvic inflammatory disease (PID).
I researched online and found that symptoms include unusual odor, discharge, lower abdominal pain, and burning sensation during urination, but I do not have any of those symptoms.
So, I would like to ask if this could be the case.

QQ, 20~29 year old female. Ask Date: 2017/06/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is possible that you have inflammation of the pelvic cavity or urinary tract.
I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant tests (such as ultrasound, bacterial culture of secretions, microscopic examination, urinalysis, X-rays, blood tests, etc.) to address your pain.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2017/06/02

More Info


Pelvic pain can be a complex issue, and it’s understandable to be concerned about the possibility of pelvic inflammatory disease (PID) or other related conditions. Based on your description, it seems that you experienced some discomfort following unprotected sexual intercourse during your menstrual period, which was shortly followed by symptoms of lower back pain and fever.
Firstly, it’s important to note that PID is an infection of the female reproductive organs, often caused by sexually transmitted infections (STIs) such as chlamydia or gonorrhea. Common symptoms of PID include lower abdominal pain, abnormal vaginal discharge, fever, painful urination, and pain during intercourse. However, not all individuals with PID will exhibit all these symptoms, and some may have very mild symptoms or none at all.
In your case, you mentioned that you do not have any unusual discharge, lower abdominal pain, or burning sensation during urination, which are typical signs of PID. The fact that your symptoms began with lower back pain and fever could suggest a different issue, such as a urinary tract infection (UTI), muscle strain, or even a viral infection, especially since you mentioned that it is flu season.
The back pain you are experiencing could be related to muscle strain, particularly if you have been more active than usual or if you have been in positions that may have strained your back. Additionally, fever can be a sign of an infection, but it does not specifically indicate PID without other accompanying symptoms.
Given that you have already consulted a physician who provided you with antipyretics and antiviral medication, it is crucial to monitor your symptoms closely. If your back pain persists or worsens, or if you develop new symptoms such as unusual vaginal discharge, severe abdominal pain, or persistent fever, it would be wise to follow up with your healthcare provider. They may recommend further testing, such as a pelvic exam, ultrasound, or cultures, to rule out PID or other conditions.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Rest and Hydration: Ensure you are getting plenty of rest and staying hydrated, as this can help your body recover from any potential infection.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, always follow the dosage instructions and consult your doctor if you have any concerns.

3. Heat Therapy: Applying a heating pad to your lower back may provide relief from muscle tension and pain.

4. Avoid Strenuous Activities: Until you have a clearer understanding of your symptoms, it may be best to avoid heavy lifting or strenuous exercise that could exacerbate your back pain.

5. Follow-Up Care: If symptoms persist or worsen, seek medical attention promptly. It’s essential to address any potential infections or complications early on.

In conclusion, while your symptoms do not strongly indicate PID at this time, it is crucial to remain vigilant and consult with your healthcare provider for further evaluation if necessary. Your health and well-being are paramount, and timely medical advice can help ensure that any underlying issues are appropriately addressed.

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