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Multiple Choice

Which is a sign of pelvic inflammatory disease (PID)?

Foul-smelling vaginal discharge signals an active infection in the upper reproductive tract, which is what pelvic inflammatory disease involves. As bacteria ascend from the vagina to the uterus and fallopian tubes, they cause inflammation and pus, producing a muco-purulent, often malodorous discharge. The other symptoms can occur with many conditions and are less specific to PID, whereas the presence of foul discharge directly reflects the infectious inflammatory process characteristic of PID.

Foul-smelling vaginal discharge signals an active infection in the upper reproductive tract, which is what pelvic inflammatory disease involves. As bacteria ascend from the vagina to the uterus and fallopian tubes, they cause inflammation and pus, producing a muco-purulent, often malodorous discharge. The other symptoms can occur with many conditions and are less specific to PID, whereas the presence of foul discharge directly reflects the infectious inflammatory process characteristic of PID.