It is not possible to generalize whether you can get pregnant naturally with pelvic inflammatory disease. Generally speaking, you can’t get pregnant naturally with acute pelvic inflammatory disease, but you can get pregnant naturally with chronic pelvic inflammatory disease. 1. Acute Pelvic Inflammatory Disease: Acute pelvic inflammatory disease can cause persistent pain in the lower abdomen, and it can also affect the implantation of the fertilized egg. If the fertilized egg does implant, it can lead to miscarriage or spontaneous abortion. Therefore, acute pelvic inflammatory disease is not recommended to get pregnant, it is best to cure before preparing for pregnancy. 2. Chronic pelvic inflammatory disease: If chronic pelvic inflammatory disease is not an acute attack, there will only be mild abdominal pain, and the endometrial inflammation will not be very obvious, then it is possible to get pregnant naturally. Patients with pelvic inflammatory disease should go to the hospital in time, follow the doctor’s advice to cure, and then consider the preparation for pregnancy is appropriate.