How is pelvic inflammatory disease diagnosed?

Pelvic inflammatory disease is a common gynecological inflammatory disease among female friends. Its incidence rate has continued to rise recently, attracting the attention of many women. How to diagnose pelvic inflammatory disease?

Pelvic inflammatory disease is clinically divided into acute and chronic. The main pathogens that cause pelvic genital inflammation are Staphylococcus, Streptococcus, Escherichia coli, and anaerobic bacteria. How to diagnose pelvic inflammatory disease?

Acute and chronic pelvic inflammatory disease can be diagnosed based on medical history, symptoms and signs. However, differential diagnosis must be done well. The main differential diagnosis of acute pelvic inflammatory disease includes: acute appendicitis, ectopic pregnancy, ovarian cyst pedicle torsion, etc.; the main differential diagnosis of chronic pelvic inflammatory disease includes: endometriosis and ovarian cancer.

Acute pelvic inflammatory disease has a history of acute infection, dull pain in the lower abdomen, muscle tension, tenderness and rebound pain, accompanied by rapid heart rate, fever, and a large amount of purulent vaginal discharge. In severe cases, there may be high fever, headache, chills, loss of appetite, a large amount of yellow leucorrhea with odor, abdominal distension, tenderness, and back pain;

When there is peritonitis, nausea, abdominal distension, vomiting, diarrhea, etc. may occur; when pus is formed, there may be a lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be difficulty urinating, frequent urination, painful urination, etc., and if the mass is located in the back, it may cause diarrhea.

The systemic symptoms of chronic pelvic inflammatory disease are sometimes low fever and fatigue. Some patients develop neurasthenia symptoms due to the long course of the disease, such as insomnia, lack of energy, and general discomfort. The lower abdomen is distended and painful, and the lumbar and sacral pain is often aggravated after fatigue, after sexual intercourse, and before and after menstruation. Chronic inflammation leads to pelvic congestion and menorrhagia. When the ovarian function is damaged, menstrual disorders will occur. When the fallopian tubes are blocked by adhesions, it will lead to infertility.