1) uterine or adnexal tenderness or 2) cervical motion tenderness and the 2002 Guidelines recommend that a PID diagnosis be considered for women with any pelvic tenderness and any signs of lower genital tract inflammation.
Additional diagnostic criteria to enhance the specificity include oral temperature greater than 101°F (38.3°C); abnormal cervical or vaginal mucopurulent discharge; white blood cells on saline microscopy of vaginal secretions; elevated erythrocyte sedimentation rate; elevated C-reactive protein; and laboratory documentation of cervical infection with N. gonorrhea or C. trachomatis.
If with an IUD, remove if less than three weeks after placement.
from the CDC Guidelines/NEJM 2015 review:
Outpatient regimen for mild-to-moderate pelvic inflammatory disease
Ceftriaxone 250 mg im single dose
Cefoxitin 2 g im with probenicid 1 g po
Inpatient regimen for moderate-to-severe pelvic inflammatory disease with or without tubo-ovarian abscess
One of the following:
Don't be creative. Follow the CDC guidelines