Women's Health Community
Pelvic infection or something more?
About This Community:

This patient support community is for discussions relating to women's health issues, including bone health, gynecologic cancers, genetic testing, heart disease, infectious diseases, work issues, mammograms, reproductive health, sexuality, domestic abuse and sexual violence.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Pelvic infection or something more?

I'll apologize up front for this being long... but I want to give as much info as possible. In February (8 mos ago) I had sudden pelvic pain, chills and bleeding. This was about 1-1/2
weeks after my period and about 1 week after I had a bout of
the flu with a lot of diarrhea. My GP diagnosed PID and gave me flagyl. I took 2 rounds of this and felt fine. Then in April it
happened again. She sent me for an intravaginal ultrasound and prescribed zithromax and rocefin. The us said my ovaries were fine and there was a 2cm site of inflammation in my endometrium.
My GP said this indicated chronic infection and sent me to a gyno and he said the us meant "nothing" and a site of inflammation that small could not cause me any trouble.
In July I had an extremely heavy period and pain. A different gyno at the same office put me on bcp. Next period fine, but pain, and pain has not stopped. Pelvic pain has continued, mild
but persistent since July. I just finished a 10 day long but light period a couple of days ago and now I have worse pelvic
pain and brown spotting. My lower abdomen is distended, not exactly bloated, but sore. I also have mild lower back pain. I called the gyno and can't get in for a week. I realize I need to see the Dr. for a diagnosis but would like some advice from other ladies as to what tests I should ask for or if anyone else has experienced any symptoms like these.
Thanks so much for reading.
Related Discussions
5 Comments Post a Comment
Blank
Avatar_n_tn
Hi - this hasn't happened to me so I'm not speaking from experience - but it sounds like you're experiencing 2 different things.

Your first bout definitely sounds like PID but your ongoing pain and spotting sounds like it could be related to fibroids. Have they mentioned that at all?
Blank
Avatar_n_tn
Hi,
No firbroids haven't been mentioned. Would those have
shown up on my ultrasound, or could I have developed
them since April?
Blank
Avatar_n_tn
They *should* show up on your ultrasound but they may not have developed at that point.

Check out this fact sheet:

http://www.pennhealth.com/obgyn/health_info/fibroids/symptoms.html
Blank
Avatar_n_tn
I have been going through something similiar this month I have always had regular periods but this month my period went 9 days with spotting after and had mild pain around my ovaries area, I have no clue what this is I am not pregnant I took a HPT but now I am just tender and have slight bleeding on occasion if you get any answers maybe it will help me some also...so sorry you are going through all of this too God Bless
Blank
Avatar_n_tn
Once someone has a first case of PID, she has increased susceptibility to repeat episodes.  Although initial or distantly spaced PID episodes usually are due to STD, especially chlamydia or less frequently gonorrhea, recurrent episodes typically are due to normal vaginal bacteria.  Normal bacteria from the vagina get into the uterus and tubes all the time in healthy women, but previously damaged ones don't clear them out as well as normal--so those normal bacteria can lodge in scar tissue and cause infection.

In women with past PID, it can be quite difficult for a provider to distinguish between chronic infection that just doesn't clear up and smolders along; entirely new infections; and pain due to scarring, with no active infection at all.  If your provider seems uncertain about these issues, consider asking for a referral to an ObG with special expertise in infectious diseases.  Although there aren't a whole lot of them in private practice, such people usually can be found at major medical centers.

It could be important.  Persistent or recurrent PID is a major threat to future fertility.

Best wishes--  HHH, MD
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Women's Health Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Women's Health Answerers
1527510_tn?1392304944
Blank
Carly1306
United Kingdom
136956_tn?1363091289
Blank
ticked
Mississauga, ON
973741_tn?1342346373
Blank
specialmom
Avatar_f_tn
Blank
arlandonbloom
CO
9090222_tn?1401649595
Blank
Madpi
Avatar_f_tn
Blank
LaChaparrita89