Riverview Health

Lower Abdominal Pain? It Could Be More Than Cramps

Around “that time” of the month, many women may experience lower abdominal pain or cramps. And that’s normal! However, if lower abdominal pain lasts longer than a week, it could mean more than a hormonal change. You could be at risk for pelvic inflammatory disease (PID).

What is PID?

PID refers to an infection of the uterus, fallopian tubes and other reproductive organs. Most cases come about as a serious complication of two common sexually transmitted infections— chlamydia and gonorrhea. But you can develop PID without having an STI; it can be brought on by normal bacteria in the vagina and on the cervix.

What are the signs and symptoms?

Symptoms of PID vary from mild to severe. When PID is caused by chlamydial infection, more mild symptoms can occur, even when serious damage is being done to the reproductive organs. The most common signs of PID include:

  • Lower abdominal pain
  • Fever
  • Unusual vaginal discharge
  • Painful intercourse
  • Painful urination
  • Irregular menstrual bleeding

How is it treated?

Your healthcare provider will work with you to determine the best course of treatment. PID can be cured with several types of antibiotics—often you will be prescribed at least two antibiotics that battle a wide range of bacteria.

However, treatment will not reverse any damage that has already occurred to the reproductive organs. And any delay can lead to more severe damage. If you have any symptoms of PID, it’s critical that you call and arrange an appointment with your Riverview Health primary care physician to seek prompt medical treatment.

Has it been a while since your last check-up, or do you need a new physician? Call us at 317.565.0535 to request an appointment.

Sources: CDC.gov, WomensHealth.gov

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