- Progression of cervicitis from gc or chlamydia to involve uterus & fallopian tubes
- Hx sexual activity
- Lower education level
- Multiple sex partners
- Acute lower abd/pelvic area pain
- Malodorous smelling vaginal d/c
- Irreg vaginal bleeding
- Clinically more severe if tubo-ovarian abscess
- Rarely, RUQ pain if inflammatory process spreads to peri-hepatic region (Fitz-Hugh-Curtis syndrome), between liver capsule and diaphragm
- Cervical motion pain
- Uterine tenderness
- Pain on palpation adnexa
- Rare RUQ pain if peri-hepatic inflammation