Pelvic Inflammatory Disease (PID) is caused by the ascending spread of microorganisms from the vagina and cervix to the uterus, fallopian tubes, and surrounding structures. Neisseria gonorrhoeae and Chlamydia trachomatis are common causes. Left untreated, PID can lead to long-term complications like infertility, ectopic pregnancy, and chronic pelvic pain. Treatment involves a broad-spectrum antibiotic regimen to eliminate the infection and prevent complications. Hospitalization is recommended for severe cases or if there is no improvement with outpatient oral antibiotics.