Pelvic or lower abdominal pain
Pain during sex
Painful urination
Unusual vaginal discharge
Foul-smelling vaginal discharge
Irregular vaginal bleeding
Bleeding after sex
Fever
Chills
Nausea or vomiting
Pain in the upper right abdomen
Tenderness in the pelvic area
Pain that gets worse with movement
A recent sexually transmitted infection
A partner with an STI
Symptoms that started after unprotected sex
A positive test for chlamydia or gonorrhea
A medical exam showing pelvic tenderness
A doctor’s evaluation is needed to confirm PID