Pelvic Inflammatory Disease (PID)

Do you have vaginal discharge, pain during urination, or pain during sex?  

If so, you may have Pelvic Inflammatory Disease (PID). Find out with ulta lab tests.

Pelvic Inflammatory Disease (PID) is a serious infection that affects a woman’s reproductive organs, including her uterus, ovaries, fallopian tubes, and cervix. It’s usually caused by untreated sexually transmitted infections like chlamydia and gonorrhea, but it can also be due to bacteria from the digestive system getting into the vagina. This happens when women have certain IUDs inserted into their uterus for birth control purposes. In some cases, PID may cause infertility if left untreated.

Symptoms of PID include abnormal vaginal discharge, which may be discolored and/or have an unpleasant odor; abnormal vaginal bleeding between periods, and/or after sex; pain in the lower abdominal area; difficulties and/or pain during urination (taking a pee); pain during or after sex; fever (which may cause chills, sweating, and a general feeling of unwellness).

Click on the title of the articles below to learn more about Pelvic Inflammatory Disease (PID) and the lab tests that can help you.

If so, you experience these symptoms; you may have contracted Pelvic Inflammatory Disease (PID). Don’t let this serious condition go undiagnosed. Order your lab tests to detect if you have a pelvic inflammatory infection so that you can get the correct treatment options, such as antibiotics that will get rid of this infection quickly without causing further damage to your body from your doctor.

We make it effortless and convenient for you to get the lab work you need to know your health — quickly, easily, and most importantly, economically – with over 2,000 discounted tests available at 2,100 locations across the country. Additionally, your results are private and secure, so you can rest assured that your information is safe with us. For the most part, Quest Diagnostics' results are available within 24 to 48 hours. So, what are you waiting for? Place your lab test order now!

We offer comprehensive lab testing for pelvic inflammatory. Order your blood tests to detect and monitor PID now and take control of your health. Select from the tests below and get started today.


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Increased CRP levels are found in inflammatory conditions including: bacterial infection, rheumatic fever, active arthritis, myocardial infarction, malignancies and in the post-operative state. This test cannot detect the relatively small elevations of CRP that are associated with increased cardiovascular risk.

Most Popular

Chlamydia trachomatis RNA, TMA

Patient Preparation 

Urine specimens: The patient should not have urinated for at least one hour prior to specimen collection. Female patients should not cleanse the labial area prior to providing the specimen.

Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the APTIMA® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit for urine specimens. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube labe

Clinical Significance

C. trachomatis infections are the leading cause of sexually transmitted diseases in the united states. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of chlamydial infections are severe if left untreated. Approximately half of chlamydial infections are asymptomatic.


Most Popular

Chlamydia/Neisseria gonorrhoeae RNA, TMA

Patient Preparation 

Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Female patients should not cleanse the labial area prior to providing the specimen.

Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the APTIMA® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit for urine specimens. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.

 

Clinical Significance

C. trachomatis infections are the leading cause of sexually transmitted diseases in the United States. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of Chlamydialinfections are severe if left untreated. Approximately half of Chlamydial infections are asymptomatic.
Neisseria gonorrhoeae (gonococci) is the causative agent of gonorrhea. In men, this disease generally results in anterior urethritis accompanied by purulent exudate. In women, the disease is most often found in the cervix, but the vagina and uterus may also be infected.


A Complete Blood Count (CBC) Panel is used as a screening test for various disease states including anemia, leukemia, and inflammatory processes.

A CBC blood test includes the following biomarkers: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet count, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs)

NOTE: Only measurable biomarkers will be reported.

Reflex Parameters for Manual Slide Review
  Less than  Greater Than 
WBC  1.5 x 10^3  30.0 x 10^3 
Hemoglobin  7.0 g/dL  19.0 g/dL 
Hematocrit  None  75%
Platelet  100 x 10^3  800 x 10^3 
MCV  70 fL  115 fL 
MCH  22 pg  37 pg 
MCHC  29 g/dL  36.5 g/dL 
RBC  None  8.00 x 10^6 
RDW  None  21.5
Relative Neutrophil %  1% or ABNC <500  None 
Relative Lymphocyte %  1% 70%
Relative Monocyte %  None  25%
Eosinophil  None  35%
Basophil  None  3.50%
     
Platelet  <75 with no flags,
>100 and <130 with platelet clump flag present,
>1000 
Instrument Flags Variant lymphs, blasts,
immature neutrophils,  nRBC’s, abnormal platelets,
giant platelets, potential interference
     
The automated differential averages 6000+ cells. If none of the above parameters are met, the results are released without manual review.
CBC Reflex Pathway

Step 1 - The slide review is performed by qualified Laboratory staff and includes:

  • Confirmation of differential percentages
  • WBC and platelet estimates, when needed
  • Full review of RBC morphology
  • Comments for toxic changes, RBC inclusions, abnormal lymphs, and other
  • significant findings
  • If the differential percentages agree with the automated counts and no abnormal cells are seen, the automated differential is reported with appropriate comments

Step 2 - The slide review is performed by qualified Laboratory staff and includes: If any of the following are seen on the slide review, Laboratory staff will perform a manual differential:

  • Immature, abnormal, or toxic cells
  • nRBC’s
  • Disagreement with automated differential
  • Atypical/abnormal RBC morphology
  • Any RBC inclusions

Step 3 If any of the following are seen on the manual differential, a Pathologist will review the slide:

  • WBC<1,500 with abnormal cells noted
  • Blasts/immature cells, hairy cell lymphs, or megakaryocytes
  • New abnormal lymphocytes or monocytes
  • Variant or atypical lymphs >15%
  • Blood parasites
  • RBC morphology with 3+ spherocytes, RBC inclusions, suspect Hgb-C,
  • crystals, Pappenheimer bodies or bizarre morphology
  • nRBC’s

Culture, Urine, Routine 

Test Details

IMPORTANT- this is a REFLEX test..... ADDITIONAL CHARGES WILL BE APPLIED IF TEST IS POSITIVE.

If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge.  Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

  • ORG ID 1. $ 12.45 
  • ORG ID 2. $ 23.95 
  • PRESUMPTIVE ID 1. $ 12.45 
  • PRESUMPTIVE ID 2. $ 23.95 
  • SUSC-1  $14.95 
  • SUSC-2  $28.95
     

Clinical Significance

Culture, Urine, Routine - This culture is designed to quantitate the growth of significant bacteria when collected by the Clean Catch Guidelines or from indwelling catheters.  Quantitative culturing of urine is an established tool to differentiate significant bacteruria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. Infecting organisms are usually present at greater that 100,000 per mL, but a lower density may be clinically important. In cases of UTI where more than one organism is present, the predominant organism is usually significant and others are probably urethral or collection contaminants. When multiple organisms are isolated from patients with indwelling catheters, UTI is doubtful and colonization likely.


Most Popular

Neisseria gonorrhoeae RNA, TMA 

Patient Preparation 

Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Female patients should not cleanse the labial area prior to providing the specimen.

2 mL urine using APTIMA® Urine Specimen Collection Kit.

Alternative Specimen(s) 

Urine (no preservatives): 2 mL of urine, specimen must be transferred into the APTIMA® Urine Transport Medium within 24 hours of collection and before being assayed • ThinPrep® vial • SurePath™ vial

Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the APTIMA® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit for urine specimens. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.

Transport Container 

APTIMA® Transport tube


This test is specific for hCG beta subunit and offers sensitivity necessary to detect pregnancy as early as ten days post conception.

This test should be used only to determine pregnancy.

Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. CRP is also useful in monitoring inflammatory disease states.

Most Popular

Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of cells and other formed elements.

NOTE: Only measurable biomarkers will be reported.


IMPORTANT - This REFLEX TEST WILL result in an additional charge if a Culture, Urine, Routine #395 is performed. 

If you need just a Urinalysis, Complete test, order Urinalysis (UA), Complete #5463

Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.

if a Culture, Urine, Routine #395 is performed this is also a Reflux test that..... ADDITIONAL CHARGES WILL BE APPLIED IF TEST IS POSITIVE.

If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge.  Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

  • ORG ID 1. $ 12.45 
  • ORG ID 2. $ 23.95 
  • PRESUMPTIVE ID 1. $ 12.45 
  • PRESUMPTIVE ID 2. $ 23.95 
  • SUSC-1  $14.95 
  • SUSC-2  $28.95

NOTE: Only measurable biomarkers will be reported.



What is Pelvic Inflammatory Disease?

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs. The fallopian tubes, uterus, and ovaries can all be affected by PID. The infection may spread beyond the reproductive organs into the abdominal (peritoneal) cavity if left untreated.

About Pelvic Inflammatory Disease

PID is particularly common in younger women. Some women may have PID for years without developing any noticeable symptoms. Other women may experience significant symptoms almost as soon as they are infected.

Left untreated, PID may affect fertility and cause considerable pain and discomfort. Ectopic pregnancy is also more common in PID sufferers. As younger women are more prone to PID, they must regularly test for this common condition to minimize the risk of unwanted reproductive complications later in life.

Risk Factors for Pelvic Inflammatory Disease

Common risk factors for Pelvic Inflammatory Disease include:

  • Being a younger, sexually active woman. Women under the age of 25 are at particular risk of developing PID
  • Becoming sexually active at a young age.
  • Having several sexual partners.
  • Having unprotected sex (sex without a condom).
  • Having unprotected sex with a partner who has had multiple sexual partners.
  • Using vaginal douching as a hygiene measure.
  • Having a history of PID.

It's important to note that although multiple sexual partners increase the risk of introducing bacteria into the reproductive area that can lead to PID, women don't have to be sexually promiscuous to contract PID.

In some instances, PID is caused by infection following trauma to the vaginal tract. IUD insertion, childbirth, an abortion, a medical procedure involving the vagina, or a miscarriage.

Discreet, early testing can pick up PID, enabling it to be swiftly treated and resolved in most cases.

Causes of Pelvic Inflammatory Disease

PID is caused by bacteria entering the vaginal canal. In most cases, the bacteria go no further than the cervix. If the infection remains untreated, the bacteria may pass up into the uterus, which may begin to multiply, creating inflammation. Over time, the infection may spread further into the Fallopian tubes and ovaries.

Sexually Transmitted Diseases (STDs) due to bacteria (rather than viruses) are a common cause of PID. These include chlamydia, mycoplasma genitalium, and gonorrhea.

In addition, bacteria that naturally occur in the vaginal canal (Gardnerella vaginalis, Streptococcus agalactiae, or Haemophilus influenza) may also cause PID if they penetrate through the cervix into the uterus.

Signs and Symptoms of Pelvic Inflammatory Disease

The signs and symptoms of PID may be pretty subtle, which means they can be easily missed. Some women remain asymptomatic until the infection is quite advanced, meaning considerable damage may already have been done. 

If you are concerned about your PID risk or want peace of mind that you're not suffering from PID and aren't aware of it, a pelvic inflammatory disease lab test is the most accurate way of finding out if you're infected.

The main signs and symptoms of PID include:

  • An abnormal vaginal discharge, which may be discolored and/or have an unpleasant odor.
  • Abnormal vaginal bleeding between periods and/or after sex.
  • Pain in the lower abdominal area. The duration and severity of the pain may fluctuate over time.
  • Difficulties and/or pain during urination (taking a pee).
  • Pain during or after sex.
  • A fever (which may cause chills, sweating, and a general feeling of unwellness).

If you have any of these symptoms, it's important to get properly tested to find out the cause. Although a PID test can be used to identify whether PID-causing bacteria are present in abnormal numbers, it can't pick up other causes of pain, bleeding, or discharge. In rare cases, these symptoms can be a sign of cancer, so early diagnosis is really important.

Occasionally, a PID infection can become particularly severe. If you experience the following symptoms, it's important to visit your care provider as soon as possible or attend at ER.

  • Severe vomiting (especially if you can't keep down water).
  • Severe abdominal pain.
  • A high fever (more than 101 degrees Fahrenheit).
  • A foul-smelling vaginal discharge.

Remember that, in most cases, a course of suitable antibiotics is all that's needed to treat PID successfully.

If left untreated, in the long-term, PID may cause:

  • Chronic pain
  • Infertility
  • An increased risk of ectopic pregnancy
  • Abscesses in the ovaries and/or Fallopian tubes.

Prompt PID testing is safe, discreet, and fast, giving you the answers you need to make informed decisions about your health.

Lab Tests for Pelvic Inflammatory Disease

A definitive diagnosis of PID usually involves both a swab test (a swab is inserted into the vagina to collect a sample) and a blood test to investigate whether an unusually high number of white blood cells (WBC) are present. An elevated WBC count frequently indicates an infection.

Typically, PID Lab Tests include:

  • Swab test for Chlamydia
  • Swab test for Gonorrhoea
  • Complete Blood Count (blood test)
  • urinalysis (to rule out a UTI as the cause of the symptoms)
  • CRP (C-reactive Protein). A positive CRP may be a sign of an infection.
  • pregnancy test 
  • A cervical culture - this test investigates bacteria levels on the cervix and can be used to try and identify the cause of PID.

FAQs About Pelvic Inflammatory Disease

Is PID linked to promiscuity?

STDs cause a proportion of PID infections, but this isn't always the case. Many other cases occur due to pregnancy, childbirth, or trauma. For a fair percentage of cases, the cause of the infection isn't clear. PID lab tests offer the best way to diagnose PID, enabling it to be effectively treated quickly.

Can Damage Caused by PID be Reversed?

While effective treatment can halt PID damage, it's unfortunately rare that the damage can be reversed. This is why prompt PID diagnosis, using pelvic inflammatory disease lab testing alongside other diagnostic methods, is important. 

FAQs About Lab Testing for Pelvic Inflammatory Disease

How long will I have to wait for my results?

In most cases, your results will be ready in one to two business days.

Do I have to tell anyone about my results?

Your results are entirely confidential. However, we would urge you to share your results with your physician to get the care and treatment you need.

Ulta Lab Tests provides a cost-effective, accurate, fast, secure, and confidential PID testing service. By getting tested, you can take control of your health and make informed decisions while monitoring the changes in your health.

Order your low-cost pelvic inflammatory disease lab tests today.

Testing for PID

If you're showing signs of Pelvic Inflammatory Disease (PID), you need to be proactive. If left untreated, the infection can spread and get worse.

Ulta Lab Tests offers highly accurate and reliable tests so that you can make informed decisions about your health. Here are a few great things to love about Ulta Lab Tests:

  • You'll get secure and confidential results.
  • You don't need health insurance.
  • You don't need a physician's referral.
  • You'll get affordable pricing.
  • We offer a 100% satisfaction guarantee.

Order your PID lab tests today, and your results will be provided to you securely and confidentially online in 24 to 48 hours for most tests.