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?
Hi,
No firbroids haven't been mentioned. Would those have
shown up on my ultrasound, or could I have developed
them since April?
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
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
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