Why does pelvic peritonitis occur?

Pelvic peritonitis often occurs in women who are sexually active and menstruating. It rarely occurs in women before menarche, after menopause or unmarried women. If pelvic peritonitis occurs, it is often the spread of inflammation in adjacent organs. It can be divided into acute and chronic according to its course of disease and clinical manifestations. The following are the main causes of female pelvic peritonitis.

(1) Postpartum or post-abortion infection: The patient is weak after childbirth or miscarriage, and the cervix has not yet closed well after dilation. At this time, the bacteria in the vagina and cervix may ascend and infect the pelvic cavity.

(2) Postoperative infection in gynecological surgery: If the disinfection is not strict or there is chronic inflammation of the reproductive system during artificial abortion, IUD insertion or removal, tubal insufflation, salpingography, endometrial polyp removal, or submucosal uterine myomectomy, postoperative infection may occur. Some patients do not pay attention to personal hygiene after surgery, or do not follow the doctor's advice and resume sexual life too early, which can also cause bacterial infection and cause pelvic peritonitis.

(3) Spread of inflammation to adjacent organs: The most common occurrence is when appendicitis and peritonitis occur. Since they are adjacent to the female internal reproductive organs, inflammation can spread directly and cause inflammation of the female pelvic peritoneum. When suffering from chronic cervicitis, inflammation can also spread through the lymphatic circulation and cause pelvic connective tissue inflammation.

(4) The main cause of female pelvic peritonitis is also lack of hygiene during menstruation: during menstruation, the endometrium is exfoliated, the blood sinuses in the uterine cavity are open, and blood clots exist, which are good conditions for bacterial growth. If you do not pay attention to hygiene during menstruation, use sanitary napkins or toilet paper that do not meet hygiene standards, or have sexual intercourse, it will provide bacteria with an opportunity for retrograde infection, leading to pelvic peritonitis.