Hi ! Appendicitis
is more of a clinical diagnosis by your doctor, and ultrasound examination can not confirmingly exclude it. What are the findings in the pelvis for which they leveled it as questionable PID ? What are the reports of routine blood tests like complete blood count
and urine test.
Even a silent urinary tract infection
can give rise to such pain abdomen.
If you are having increased intensity of pain during your periods, then it goes more towards pelvic inflammatory disease
(PID) or to a condition called endometriosis
. This can be excluded or diagnosed by a gynaecologist.
I would suggest you to discuss with your family physician and get reviewed on these aspects. Good luck.