Post Date November, 17 2024
Chronic pelvic inflammatory disease occurs from time to time in our daily lives, and it can also manifest. We need to conduct timely examinations and judgments based on our physical condition.
Symptoms of chronic pelvic inflammatory disease
1. Chronic pelvic pain: Scar adhesion and pelvic congestion caused by chronic inflammation often cause lower abdominal distension, pain, and lumbosacral pain. It often worsens after fatigue, prolonged standing, sexual intercourse, and before and after menstruation. The heavy ones affect work.
2. Infertility and ectopic pregnancy: Obstruction of fallopian tube adhesion can lead to infertility and ectopic pregnancy. The incidence of infertility after acute pelvic inflammatory disease is 20% to 30%. As the disease progresses, the infertility rate shows an upward trend.
3. Menstrual abnormalities: increased vaginal discharge due to endometritis, menstrual disorders, excessive menstrual blood flow, unpleasant pelvic congestion, and ovarian dysfunction due to increased menstrual flow can cause menstrual disorders.
4. Systemic symptoms: mostly inconspicuous, sometimes with low fever and easy fatigue. Due to the long duration of the disease, some patients may experience symptoms of neurasthenia such as low spirits, physical discomfort, and insomnia. When patients have poor resistance, they are prone to acute or subacute attacks.
Diagnosis of chronic discitis
1. If it is endometritis, uterine enlargement, or salpingitis with compression pain, one or both sides of the uterus come into contact with the cable shaped thick fallopian tubes, resulting in mild compression pain.
2. If it is hydrosalpinx or fallopian ovarian cyst, the cystic mass can be touched on one or both sides of the pelvic cavity, and the activity is often limited.
3. When pelvic connective tissue inflammation occurs, the uterus often tilts backwards, with limited movement or adhesion fixation. There are patches of thickening and tenderness on one or both sides of the uterus, as well as thickening, hardening, and tenderness of the uterosacral ligaments.
Examination of chronic pelvic inflammatory disease
1. Laparoscopic examination: This examination is generally applicable to people with pelvic inflammatory disease and other diseases. Laparoscopic examination can clarify the diagnosis and diagnosis, and also determine the degree of pelvic inflammatory disease.
2. Ultrasound examination: Ultrasound examination can identify masses formed by fallopian tubes, ovaries, and adhesions. B-type or grayscale scans and photographs are generally only applicable to severe pelvic inflammatory disease, and other degrees of pelvic inflammatory disease are not prominent.
3. Posterior fornix puncture: Through puncture, the content of the uterus can be obtained, and the microscopic examination and culture of the puncture material are more important, which can effectively clarify the diagnostic results. This posterior fornix puncture is also a type of examination for pelvic inflammatory disease.
