Ascending endocervix infection causing endometritis, salpingitis, parametritis, oophoritis, tubo-ovarian abcess and/or pelvic peritonitis (pretty much itis of anything in pelvis)

Aetiology

• 85% caused by STIs, often polymicrobial
• mostly neisseria and chlamydia
• MG + gardnerella possible but unlikely

Risk factors

• Sex
• Upper genital instrumentation

Epidemiology

• <35yo more likely STI

• 35yo more likely non STI

Symptoms

• fever
• lower abdo pain
• deep dyspareunia (pain with sex)