Pelvic Inflammatory Disease (PID) can be frightening, especially when you’re thinking about future fertility. But knowledge is powerful. Understanding how PID affects your reproductive system—and what you can do about it—can help you make informed decisions and protect your chances of becoming a parent.
👉 For the complete guide on PID and its impact on fertility, Read the full article here
Ask Dr. Stan
1. How does PID actually affect my fertility?
PID can damage the fallopian tubes, leading to scarring and blockages. These issues may prevent sperm from meeting the egg or hinder the egg’s journey to the uterus. Even a single episode of PID can reduce fertility, but the risk increases significantly with repeated infections.
2. Can I still get pregnant if I’ve had PID?
Yes, many women with a history of PID go on to have healthy pregnancies. However, your fertility may be affected depending on the extent of the damage. Early diagnosis and treatment are essential to minimizing complications. If you’ve had PID and are trying to conceive without success, speak with your healthcare provider about evaluation and next steps.
3. What are the signs that I might have PID?
Common symptoms include lower abdominal pain, abnormal vaginal discharge, pain during intercourse, painful urination, fever, or irregular menstrual bleeding. Some women have no symptoms at all, which is why regular STI screenings are important—even if you feel fine.
4. How is PID diagnosed?
There isn’t a single definitive test for PID. Diagnosis typically involves a pelvic exam, STI testing, and sometimes an ultrasound. In complex cases, additional tools like laparoscopy or endometrial biopsy might be used to assess internal inflammation and damage.
5. Can PID lead to ectopic pregnancy?
Unfortunately, yes. Scarring from PID can prevent the fertilized egg from reaching the uterus, leading to an ectopic pregnancy—where the embryo implants in the fallopian tube. This is a medical emergency and highlights the importance of early PID treatment.
6. What’s the treatment for PID?
Antibiotics are the first line of treatment and are usually effective if started early. Severe cases may require hospitalization or even surgery if abscesses are present. It’s critical to finish all prescribed medication and ensure your partner is treated too, to avoid reinfection.
7. Is my contraceptive method increasing my risk for PID?
In some cases, yes. Intrauterine devices (IUDs), especially when placed during an active STI, can increase PID risk. If you’re using an IUD and are at risk for STIs, talk to your doctor about screening and safe practices.
8. Can men carry the bacteria that cause PID without knowing it?
Absolutely. Men often show no symptoms of STIs like chlamydia or gonorrhea, but can still pass them on. That’s why regular screening for both partners is key to preventing PID and protecting fertility.
9. What can I do to protect my fertility if I’ve had PID?
First, treat any infection promptly. Continue regular checkups with your women’s health provider. Maintaining a healthy lifestyle, practicing safe sex, and considering fertility-preserving options like egg or embryo freezing can also support long-term reproductive health. Always consult your physician to create a personalized plan.
10. When should I see a fertility specialist after having PID?
If you’re under 35 and haven’t conceived after one year of trying—or after six months if you’re over 35—it’s time to consult a specialist. If you’ve had PID more than once, earlier evaluation may be helpful. Your provider can assess your fallopian tubes and offer guidance on fertility treatments, if needed.
