Yes, it is possible to go years without knowing you have PID (pelvic inflammatory disease). PID is a bacterial infection of the reproductive organs, and it can be difficult to diagnose. Symptoms of PID can include abdominal pain, fever, painful urination, unusual vaginal discharge, and pain during intercourse. However, these symptoms can overlap with other illnesses and conditions, so they may not be recognized as signs of PID.
In addition, PID typically does not cause any obvious signs or symptoms in the early stages, so it often goes undiagnosed for a long period of time. Without treatment, PID can lead to serious complications, including infertility, ectopic pregnancy, chronic pelvic pain, and increased risk of HIV and other STDs. Therefore, it is important to seek medical attention if you experience any persistent symptoms that may be associated with PID. Your doctor can perform a physical exam, order laboratory tests, and if necessary, provide treatment to help manage the infection.