Yes, most women with pelvic inflammatory disease (PID) can become pregnant, but some cannot do so without some intervention by a fertility specialist. PID happens when a woman contracts one or more untreated sexually transmitted diseases (STDs), including gonorrhea and Chlamydia, and does not get treatment for the STDs.
These STDs are infections and cause inflammation in a woman's pelvic organs, including the uterus, cervix, fallopian tubes and ovaries. Untreated pelvic inflammation can create scar tissue in the pelvic cavity, including inside and around the fallopian tubes. Since the fallopian tubes are where the egg is released and fertilized, scar tissue can block both movement and access to the egg by the sperm, not allowing fertilization to take place and ultimately preventing pregnancy.
Your doctor will help you understand your treatment options; scar tissue can be removed surgically, allowing the body to become pregnant naturally or with only minor interventions. Occasionally the scar tissue is either too widespread or has damaged the fallopian tubes, but this doesn't mean a pregnancy is out of the question, either. In this case in vitro fertilization (IVF) can be a very effective treatment and pregnancy can happen.