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Hi Scruz-

I'm sorry you are going through this. PID is a painful problem, and it is often chronic. We have information about it here on EmpowHER: https://www.empowher.com/media/reference/pelvic-inflammatory-disease-pid#symptoms

Basically, PID is a syndrome you get after an infection. If it is treated immediately with antibiotics, it isn't as severe. The problem is many women don't have symptoms with the original infection, so the PID is doing damage to your pelvis and you don't even realize it until the damage is done.

The PID causes scar tissue to form in your pelvis. It can even cause abscesses and infertility, so congrats on your son! Once the damage is done and the scar tissue formed, you will likely have chronic problems. Just like scars on your skin, scars in your body don't just disappear. These scars can cause damage to your fallopian tubes, making it difficult for an egg to get out and travel to your uterus. The tubes can be blocked by the scar tissue. This can cause an ectopic pregnancy.

The scar tissue causes pain as well. It can make things that should move easily sort of stick together, like if you had a big scar between two fingers and they stuck together. Then it would hurt if you tried moving them around separately. This can happen in your pelvis.

Ectopic pregnancy is very dangerous and can be life threatening. Any time you have a flare up of your PID symptoms, you should call your gynecologist for advice. They may want you to come in so you can be sure you don't have an ectopic pregnancy or other issue.

As far as ovarian cysts, some people walk around with them and don't even know it. They can rupture, but often don't. If they rupture it is painful and then gone. The pain is severe, but then just disappears. This is not an uncommon thing. The National Institutes of Health have a good information page on ovarian cysts: http://www.nlm.nih.gov/medlineplus/ovariancysts.html

Another good source of information on PID is the CDC information page at: http://www.cdc.gov/std/PID/STDFact-PID.htm

I hope this helps you. If you trust your doctor, I would take the advice. If you aren't so sure of your doctor, you can always get a second opinion. The main thing to know is you have a chronic condition and you are going to have to partner with your health care provider to manage it. So find someone you feel comfortable with and have open communication.

I hope this helps you. Good luck.

March 31, 2010 - 6:34am

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