Key points for diagnosis of female pelvic inflammatory disease

Pelvic inflammatory disease is a common gynecological disease, and it can be acute or chronic. If acute pelvic inflammatory disease is not treated in time, it will turn into chronic pelvic inflammatory disease, with repeated attacks, leading to infertility, tubal pregnancy, chronic pelvic pain, and serious impact on women's health. So what are the key points for diagnosing pelvic inflammatory disease? The following is an introduction.

Key points for diagnosis of pelvic inflammatory disease:

1. Key points for the diagnosis of acute pelvic inflammatory disease: history of surgery that may cause cervical laceration, damage to the upper end of the vagina and the side wall of the uterus. The disease is accompanied by fever, headache, chills, and body temperature can reach above 38°C. Lower abdominal pain and radiating pain, lower abdominal mass and local compression and irritation symptoms, such as frequent urination, urgency, dysuria, diarrhea, and tenesmus. If the abscess ruptures and flows into the abdominal cavity, pelvic membrane inflammation may occur. In severe cases, systemic poisoning symptoms may occur. Gynecological examination shows obvious tenderness in the posterior fornix, tenderness in the cervix, tenderness or limited movement of the uterus, and a thickening and tenderness around the uterus. If an abscess is formed, a mass can be felt behind the uterus.

2. Key points for diagnosis of chronic pelvic inflammatory disease: Mild cases are often asymptomatic, while those with recurrent episodes may experience fatigue, general discomfort, lumbar and lower abdominal pain, and sexual intercourse pain. Gynecological examination shows that the bilateral uterosacral ligaments and main ligaments are thickened in a cord-like manner, with tenderness, bilateral parauterine tissue thickening, and a fixed uterus. In severe cases, a "frozen pelvis"-like change may occur.

The above is an introduction to the key points of diagnosis of pelvic inflammatory disease. I hope it can help you.