How to diagnose pelvic inflammatory disease

Pelvic inflammatory disease is a common gynecological disease in women of childbearing age. It is very harmful to women. The typical symptoms of pelvic inflammatory disease are fever, lower abdominal pain, and excessive vaginal discharge. Accompanied by fatigue, back pain, and menstrual disorders. Severe cases may include high fever, chills, headache, and loss of appetite. Therefore, women who have these symptoms must go to the hospital for examination and treatment in time.

How to diagnose pelvic inflammatory disease

1. Typical clinical manifestations. That is, the diagnosis is based on the female's symptoms, so if a woman shows signs of pelvic inflammatory disease, she must go to the hospital for examination in time.

2. Routine blood examination: white blood cells, 10x109/L, mainly increased neutrophils.

3. Ultrasound examination: shows exudation or inflammatory mass in the pelvic cavity.

4. Physical signs: The uterus is often posteriorly located, with limited mobility or adhesions. If it is salpingitis, the thickened fallopian tubes can be felt on one or both sides of the uterus, in a cord-like shape, with mild tenderness. If it is hydrosalpinx or tubo-ovarian cysts, cystic masses can be felt on one or both sides of the pelvic cavity, with limited mobility. If it is pelvic connective tissue inflammation, there will be flake thickening and tenderness on one or both sides of the uterus, and the uterosacral ligaments will be thickened, hardened, and tender.

5. Gynecological examination: The vagina and cervix are congested, with a large amount of purulent secretions, and the cervix is ​​painful when lifted. The uterus is tender and limited in movement. In case of salpingitis, the uterus may be thickened in a cord-like manner on one or both sides, with obvious tenderness. In case of connective tissue inflammation, the uterus may be thickened in a sheet-like manner on one or both sides, and the uterosacral ligament may be thickened, with obvious tenderness. When a pelvic abscess is formed, a cystic mass with unclear boundaries may be palpated, with tenderness.