This an be attributed with infection, surgical procedures such as childbirth, endometrial biopsy, insertion of an
intrauterine device (IUD) or miscarriage. It usually presents with fever, pain or tenderness in the pelvis, lower abdomen, or sometimes the lower back, vaginal discharge with abnormal color, texture, or smell, bleeding after intercourse, irregular menstrual bleeding or spotting, or even painful sexual intercourse. Treatment is usually with antibiotics.