How is pelvic peritonitis transmitted?

Pelvic peritonitis refers to inflammatory lesions of one or more parts of the female pelvic organs and tissues (including the uterus, fallopian tubes, pelvic peritoneum and pelvic connective tissue). These inflammatory lesions include endometritis, salpingitis, oophoritis and adnexitis. Pelvic peritonitis is often caused by bathing during menstruation or sexual intercourse, poor disinfection during childbirth, abortion, vaginal surgery, and the spread of appendicitis.

1. Spreading upward along the genital mucosa: After the pathogens invade the vulva and vagina, or the flora in the vagina, they spread along the mucosal surface through the cervix, endometrium, and fallopian tube mucosa to the ovaries and abdominal cavity. This is the main route of infection for non-pregnancy and non-puerperal pelvic peritonitis.

2. Spread through the lymphatic system: The pathogens invade the pelvic connective tissue and other parts of the internal reproductive organs through the lymphatic vessels of the vulva, vagina, cervix and uterine body trauma, which is the main route of infection for postpartum infection and post-abortion infection.

3. Transmission through blood circulation: The pathogens first invade other systems of the human body, and then infect the genitals through the blood circulation. This is the main route of bacterial infection.