How to diagnose pelvic inflammatory disease accurately

How to diagnose pelvic inflammatory disease accurately? We all know that there are many types of clinical diseases. If they are not diagnosed through scientific and professional examinations, it is easy to misdiagnose them, especially gynecological diseases. Not only are the incidence rates high in our lives, but there are also many types, which can easily confuse people. So, for gynecological diseases such as pelvic inflammation, how do we diagnose it?

1. Patients with a history of acute pelvic inflammatory disease and symptoms and signs are usually easy to diagnose. However, sometimes patients have more symptoms but no obvious history of pelvic inflammatory disease and positive signs. In this case, the diagnosis of chronic pelvic inflammatory disease 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.

2. Chronic pelvic inflammatory disease and endometriosis are sometimes difficult to distinguish. Endometriosis causes more severe 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.

3. Pelvic inflammatory adnexal masses are adhered to the surrounding area and are immobile. They are sometimes confused with ovarian cancer. Inflammatory masses are cystic while ovarian cancer is solid. B-ultrasound examination is helpful for differentiation. Acute pelvic inflammatory disease has a history of acute infection, dull pain in the lower abdomen, muscle tension, tenderness and rebound pain, accompanied by a fast heart rate, fever, and a large amount of purulent secretions in the vagina. The systemic symptoms of chronic pelvic inflammatory disease are sometimes low fever and easy fatigue. Some patients develop symptoms of neurasthenia due to the long course of the disease, such as insomnia, lack of energy, and general discomfort.

4. In severe cases, there may be high fever, headache, chills, loss of appetite, large amounts of yellow leucorrhea with odor, abdominal distension, tenderness, back pain, etc. Nausea, abdominal distension, vomiting, diarrhea, etc. may occur when there is peritonitis. When pus is formed, there may be a lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be difficulty urinating, frequent urination, urinary pain, etc., and if the mass is located in the back, it may cause diarrhea.

It can be seen that the diagnosis of pelvic inflammatory disease is not complicated. Therefore, once the symptoms of the disease appear, we must pay attention to it and actively go to the hospital for examination and treatment. Needless to say, the hazards and impacts of gynecological diseases are more or less understood. In addition to active treatment, patients with pelvic inflammatory disease must also pay attention to daily care in order to recover as soon as possible.