Which of the following is not a common sign of pelvic inflammatory disease?

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Pelvic inflammatory disease is an infection of the upper female reproductive tract that typically causes local pelvic inflammation. The signs you most often see are lower abdominal or pelvic pain, tenderness when the cervix or adnexa are palpated, and vaginal discharge that is often foul-smelling. People frequently report pain with intercourse, and fever or malaise can occur, with occasional irregular vaginal bleeding if the lining or cervix are involved. Shortness of breath doesn’t reflect pelvic inflammation; it points to a respiratory issue or a more systemic problem rather than PID itself. Because foul discharge, unusual vaginal bleeding, and painful intercourse are common pelvic infection findings, they fit PID, while shortness of breath is not.