Clinical recommendation	Evidence rating	References
Physicians should suspect PID and have a low threshold to treat in women who are at risk of PID and have uterine, adnexal, or cervical motion tenderness on bimanual examination with no other apparent cause.	C	4
Women with mild to moderate PID may receive outpatient medical treatment without increased risk of long-term sequelae.	B	15,16
Fluoroquinolones should not be used in women with PID who have been to an area where fluoroquinolone-resistant Neisseria gonorrhoeae is endemic, who have had a partner who has been to an endemic area, or who have had a male partner who has sex with men.	C	13
Screening for and treating asymptomatic lower genital tract chlamydial infection is recommended to reduce the incidence of PID.	A	15,18