How is pelvic inflammatory disease diagnosed?

How is pelvic inflammatory disease diagnosed?

If the patient is a sexually active young woman or someone at high risk for a sexually transmitted disease, and other causes have been ruled out, gynecologic examination may identify pelvic inflammatory disease, including uterine tenderness or cervical or adnexal tenderness.

1. The patient is a sexually active young woman or a high-risk group for sexually transmitted diseases: Pelvic inflammatory disease is a group of diseases caused by infection of the female upper reproductive tract, including endometritis, salpingitis, pelvic peritonitis, etc., which often occur in young women during their active reproductive period. High-risk behaviors may also increase the risk of disease.

2. Exclude other causes: If symptoms such as lower abdominal pain, abnormal vaginal discharge, and abnormal vaginal bleeding are obvious, excluding other causes can also be used as one of the criteria for diagnosing pelvic inflammatory disease.

3. Gynecological examination includes uterine tenderness, cervical tenderness or adnexal tenderness: The minimum diagnostic criteria for pelvic inflammatory disease also include gynecological examination that is consistent with uterine tenderness, cervical tenderness, and adnexal tenderness.

The minimum diagnostic criteria for pelvic inflammatory disease are the above points, but in addition to the above points, additional criteria such as increased erythrocyte sedimentation rate and increased leukocytosis in vaginal secretions can also be used to determine pelvic inflammatory disease. Once pelvic inflammatory disease is confirmed, timely treatment is also required to avoid delaying the best treatment time and affecting the recovery of the disease.