How is pelvic inflammatory disease diagnosed?

For patients with pelvic inflammatory disease, especially chronic pelvic inflammatory disease, the quality of life and sexual life will often be affected due to long-term unhealed, and it will cause female infertility, induce tumors and other gynecological diseases. Therefore, it is recommended that the treatment of pelvic inflammatory disease must be thorough, and it is best to go to a regular gynecological hospital for examination and treatment. So, how to diagnose pelvic inflammatory disease?

1. Ultrasound examination: Ultrasound examination can be used to examine a mass suspected of being an abscess. Multiple echo areas can be found in the mass, indicating that there is liquid pus in the mass. This method is a non-invasive examination, simple and easy to perform, with a reliability of more than 90%. Patients can also be examined through laparoscopy, which is currently the most accurate examination technology for pelvic inflammatory disease.

2. Posterior fornix puncture: If pus or serous fluid is extracted, tubal pregnancy can be ruled out. However, tubal pregnancy cannot be ruled out if no fluid is extracted. If the mass is hard and it is difficult to extract the contents, a small amount of saline can be injected before puncture, and then aspirated. If the saline withdrawn is reddish brown and mixed with small blood clots, it can be confirmed to be an old hematoma. If the extracted blood is mistakenly punctured into the vein, the blood will coagulate after a short period of time, but it will not coagulate if it is caused by tubal pregnancy.

3. Self-diagnosis: Acute pelvic inflammatory disease usually presents abnormal symptoms 7-14 days after infection. Patients may experience fever, chills, persistent lower abdominal pain, or lumbar pain. Chronic pelvic inflammatory disease occurs in young and middle-aged women, and most of them will experience lower abdominal pain, heaviness, back pain, excessive leucorrhea, menstrual disorders, sexual intercourse pain, and fever during menstruation.