The main manifestations of acute and chronic pelvic inflammatory disease

Pelvic inflammatory disease is an inflammation of the female internal reproductive organs, the surrounding connective tissue, and the pelvic peritoneum. It is a common gynecological disease and is divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease.

Acute pelvic inflammatory disease

Acute pelvic inflammatory disease is a rapid disease, usually with a history of acute infection, lower abdominal pain, muscle tension, tenderness and rebound pain, accompanied by rapid heart rate, fever, and a large amount of purulent vaginal discharge; severe cases may include high fever, headache, chills, and a large amount of yellow leucorrhea. Acute inflammation may even cause diffuse peritonitis, sepsis, and even septic shock. Sometimes a pelvic mass can be palpated, with a series of irritation and compression symptoms. If the mass is located in the front, there may be difficulty urinating, frequent urination, and painful urination; if the mass is located in the back, it may cause diarrhea, tenesmus, and difficulty defecation. Gynecological examination shows tenderness in both adnexa, palpable lumps or thickening, and a sense of fluctuation when the mass is formed.

Chronic pelvic inflammatory disease

Acute pelvic inflammatory disease is not treated thoroughly or the patient is weak and the disease is difficult to cure. Long-term treatment may lead to chronic pelvic inflammatory disease. Some patients develop neurasthenia symptoms such as insomnia, dreaminess, and lack of energy due to the long course of the disease. The lower abdomen is distended, pain, and lumbar pain are aggravated. Due to the long-term stimulation of chronic inflammation, it can lead to pelvic congestion, menorrhagia, ovarian dysfunction, etc. In severe cases, it can cause infertility examinations. The uterus is often posterior, the fallopian tube is thickened or the parauterine tissue is thickened and tender, and there are cystic and inactive masses on one or both sides of the pelvic cavity.