Symptoms of early pelvic inflammatory disease

Pelvic inflammatory disease is a common gynecological disease that has a serious impact on women's life and work, so it is necessary to take preventive measures, be familiar with some common knowledge about pelvic inflammatory disease, and prevent it before it happens.

The symptoms of acute pelvic inflammatory disease are: rapid onset, severe condition, lower abdominal pain, fever, chills, headache, loss of appetite. During the examination, the patient was found to be acutely ill, with high temperature, fast heart rate, muscle tension, tenderness and rebound pain in the lower abdomen.

Pelvic examination: There is a lot of purulent discharge in the vagina, the fornix is ​​obviously tender, the uterus and bilateral adnexa are tender, rebound tender, or one side of the adnexa is thickened. The symptoms of chronic pelvic inflammatory disease are characterized by slow onset and long course. The systemic symptoms are mostly not obvious, but may include low fever, fatigue, and lower abdominal pain. During the examination, it is found that the uterus is often posterior, limited in movement, or adherent and fixed.

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.

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, sexual intercourse, and before and after menstruation. Chronic inflammation can lead to pelvic congestion, menorrhagia, menstrual disorders when ovarian function is damaged, and infertility when the fallopian tubes are blocked by adhesions.