What Are the Symptoms of PID?
Q: I am 30 years old with two young children. I had the Mirena IUD for 3 years after I had my daughter. I had a period monthly with the IUD, just spotting for 3-4 days.
At the 3 years mark I had my period as normal. I had sex shortly after that. About 2 weeks after my period, I had spotting and cramping on the left pelvic area. Spotting lasted about a week. Pain persisted after that and has gradually moved around my lower back, down my buttocks and thigh, up my side to under my breast. This pain is on left side. I had the IUD removed at a low-cost clinic because I was uninsured, hoping pain would go away. But pain has not subsided. I also had breast tenderness like with pregnancy, but had negative pregnancy test. I then started having diarrhea. Then I had bloating, feeling full, gas and excessive belching. I can barely button my pants and scale shows a gain of 4 lbs in a week. Diarrhea has gone but now there are soft stools. I also feel frequent need to urinate but there is no pain or blood with urine.
I went to the ER, since pain is gradually getting worse. I was told that I have BV and kidney infection. My blood test was normal while urine showed high white blood cell counts.
I have just started medication for both but I am not convinced with the diagnosis. I do have an appointment with a Gynae in 2 weeks. But I am wondering if I should find some way to get a US done sooner to look for cyst. Symptoms are freaking me out because they are consistent with ovarian cancer based on my online research.
I should add that my gallbladder was removed 4 years ago.
Your symptoms point towards some infective process. It’s unlikely to be a malignancy, though it’s always better to rule it out.
It is common to get pelvic infections after IUD removal.
A broad term for such infections is PID or pelvic inflammatory diseases. This includes infection in any of the organs in the pelvis like vagina, cervix, uterus, tubes etc.
Common Symptoms of PID
Signs and Symptoms of pelvic inflammatory disease include:
- Pain in lower abdomen
- Pain in lower back
- Painful urination
- Nausea or vomiting
- Stomach upsets like diarrhea
- Pain during sex
- Foul smelling vaginal discharge
- Pain in rectum (buttocks)
- Bleeding between periods or irregular periods
UTIs may accompany. Infections of urinary tracts give symptoms like :
- Increased frequency of urine
- Lower abdomen or lower back pain
- Turbidity in urine
- Presence of WBCs in urine
Proper antibiotics are required at the earliest. Urgency is necessary. Any delay in treatment may lead to spread of infections to other reproductive organs.
PID spreads very fast and damages the reproductive organs. It may lead to deposition of fibrous tissues in fallopian tubes causing their obstruction.
It is recommended that you get an early appointment with your gyne and start with the right medication as soon as possible.