How to diagnose pelvic inflammatory disease accurately

How to diagnose pelvic inflammatory disease accurately? Pelvic inflammatory disease is also a common gynecological disease. Although the female reproductive system has a strong defense function, it is easy to induce pelvic inflammatory disease if it is infected by bacteria. The symptoms of this disease have many similarities with other gynecological diseases. So, how to diagnose pelvic inflammatory disease accurately?

1. Clinical Diagnosis

For patients with a history of acute pelvic inflammation and symptoms and signs, the diagnosis is usually not difficult. However, sometimes patients have more symptoms but no obvious history of pelvic inflammation and positive signs. In this case, the diagnosis of chronic pelvic inflammation must be made with caution to avoid making a hasty diagnosis and causing mental burden to the patient. Sometimes pelvic congestion or varicose veins in the broad ligament can also produce symptoms similar to chronic inflammation.

Chronic pelvic inflammatory disease and endometriosis are sometimes difficult to distinguish. Endometriosis causes more pronounced dysmenorrhea. If typical nodules can be felt, it will help with the diagnosis. Laparoscopy can be performed when the distinction is difficult. Hydrosalpinx or tubo-ovarian cysts need to be distinguished from ovarian cysts. In addition to a history of pelvic inflammatory disease, the former has a sausage-shaped mass, a thin cyst wall, and adhesions around it; while ovarian cysts are generally more round or oval, have no adhesions around them, and move freely.

2. Differential Diagnosis

1. Endometriosis: The main manifestation is secondary progressive dysmenorrhea, accompanied by menstrual disorders or infertility. If there are tender nodules on the posterior wall of the uterus, the uterosacral ligament, and the posterior depression, it can be diagnosed. In addition, those who have chronic pelvic inflammatory disease and have not been effectively treated for a long time should consider the possibility of endometriosis.

2. Ovarian tumor: Ovarian malignant tumor can also present as a pelvic mass, which is adherent to the surrounding area, inactive, tender, and easily confused with an inflammatory mass. However, the general health condition is poor, the disease progresses rapidly, the pain is continuous, and it is not related to the menstrual cycle. B-ultrasound examination can show abdominal masses, which is helpful for diagnosis.

The clinical differential diagnosis of pelvic inflammatory disease is very important. I hope that everyone can have a certain understanding after reading it. Actively understanding the relevant knowledge of the disease can help us to achieve early detection and early treatment. No matter what type of disease it is, only timely diagnosis and treatment can we restore our health as soon as possible and enjoy a good life.