Pelvic inflammatory disease (PID) is an infection of the uterus and Fallopian tubes typically caused by an infection with Chlamydia or Trichomonas. Other infections – bacterial, viral or fungal – may cause PID, which may be recurrent or simply persist as a chronic infection.

The symptoms are of pain ranging from a dull ache to sharp and cutting. This may be felt from the vagina through to the back. A discharge is frequently associated and is most commonly unpleasant smelling but not always.

Pelvic inflammatory disease generally occurs following intercourse but any vaginal examination, uterine operation such as a dilatation and curettage (D & C) or a termination may introduce infection.

A severe or persistent infection may lead to damage of the narrow Fallopian tubes and is a major cause of infertility. Uterine and ovarian infection may lead to abscesses.

Any problem in the pelvis may represent a stagnation or lack of energy in the base chakra. There is a strong correlation between PID and sexual promiscuity and the reasons for this need to be confronted if the problem is a chronic or repetitive one.


Any discomfort that persists or is severe must be examined by a GP.

Ultrasound, vaginal swabs and full blood counts to test the level of white cells are recommended before any treatment course is started. In severe cases these may be done after initiating treatment.

This is one of the few occasions when an antibiotic should be considered a first-line treatment. Failure to treat may lead to chronic, serious complications or infertility. Combination antibiotics for bacteria that breed well in non-oxygenated areas, as well as a broad-spectrum aerobic antibiotic, are usually used. Chlamydia and Trichomonas may require strong antibiotics and this treatment requires protection of the bowel and other body flora as described in the section on antibiotics .

Homeopathic treatments should be chosen from your preferred homeopathic manual depending upon the symptoms. Whilst deciding, use Aconite 6 every half an hour.

Herbal treatments can be used. Echinacea and Golden Seal are particularly useful for any infection and should be taken in the quantity recommended on a good quality product or via a naturopath.

If PID is associated with promiscuity a truly holistic answer must include counselling to confront the need for multiple partners.

Osteopathy and acupuncture are physical techniques to release blocked energy in the pelvis and encourage blood flow to wash out infections.

Yoga, Tai Chi, Qi Gong and Polarity therapy techniques should be used in conjunction with other treatments.

If intercourse was the initiating factor, the male partner needs to be examined using a penile swab and urine sample because many infections are asymptomatic. Urine samples, taken first thing in the morning may also isolate a causative bacteria.

Chronic recurrent conditions should be assessed by a complementary medical practitioner with experience in this area.