How do I know if I have pelvic inflammatory disease?

Pelvic inflammatory disease is one of the common diseases in women, including metritis, salpingo-oophoritis, pelvic connective tissue inflammation and pelvic peritonitis. Since the fallopian tubes and ovaries are collectively called appendages, fallopian tube inflammation often affects the adjacent ovaries, so it is also called adnexitis.

The main transmission routes of pelvic inflammatory disease are: transmission through the blood circulation, transmission through the lymphatic system, transmission along the genital mucosa, and direct transmission after infection of adjacent organs.

How do you know if you have pelvic inflammatory disease? Pelvic inflammatory disease can be acute or chronic.

1. Acute pelvic inflammatory disease: There is a history of acute infection or surgery, dull pain, tenderness and rebound pain in the lower abdomen, accompanied by rapid heart rate, fever, and excessive vaginal purulent secretions.

2. Chronic pelvic inflammatory disease: Lower abdominal swelling, pain and lumbar pain often worsen after fatigue, sexual intercourse and before and after menstruation. Sometimes there is a low fever and easy fatigue. Some patients develop neurasthenia symptoms such as insomnia, depression, and general discomfort due to the long course of the disease.

The biggest complications of chronic pelvic inflammatory disease are dysmenorrhea and infertility. Chronic pelvic inflammatory disease is mainly manifested as bilateral salpingitis. Over time, the fallopian tube opening, especially the end that receives the egg, called the fimbria, is partially or completely locked. The mucosa in the fallopian tube is also adhered due to inflammation, causing the lumen to be narrowed or locked. In this way, the traffic of eggs, sperm or fertilized eggs will be blocked, leading to infertility and increasing the chance of ectopic pregnancy.