PID is more likely to begin during the first half of the menstrual cycle. Abdominal tenderness, adnexal tenderness, and cervical motion tenderness are the most frequently observed findings. Endometriosis Irritable bowel syndrome Somatization Gastroenteritis Cholecystitis Nephrolithiasis Laboratory Evaluation Laboratory studies may be entirely normal. An elevated leukocyte count does not distinguish PID from other diagnoses. Cervical cultures for gonorrhea or Chlamydia require 3-7 days for results.
Pelvic ultrasonography can detect pelvic abscesses.