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Pelvic Inflammatory Disease is the infection of the pelvic organs which includes you uterus and fallopian tubes and the ovaries how you detect this is patient comes with complaints of lower abdominal pain, which continues to be there now and then throughout the cycle. You can have some extra white discharge which can be bad smelling or lot of itching and you could have lack of appetite and feel nauseous. So in these cases the gynecologist has to evaluate you for the Pelvic Inflammatory Disease. This is picked up by a clinical examination that painful examination or tender examination in your lower abdomen can point the doctor that you could be having this PID. Some cultures can be done to pick up the infection in terms of bacteria or other organisms like Chlamydia and then the ultrasound can also help us to diagnose because of the fluid or the swelling of the tubes which is evident.