Clinical manifestations of pelvic inflammatory disease

Pelvic inflammatory disease is often the spread of inflammation in adjacent organs. According to its course of disease and clinical manifestations, it can be divided into acute and chronic. So what are the clinical manifestations of pelvic inflammatory disease ?

1. The clinical manifestations of pelvic inflammatory disease are menstrual disorders. In the early stage, there may be menorrhagia due to endometrial congestion and ulceration. Most patients have been ill for a long time when they seek medical treatment, and the endometrium has been damaged to varying degrees, which manifests as scanty menstruation or amenorrhea.

2. Lower abdominal pain Due to pelvic inflammation and adhesions, there may be varying degrees of lower abdominal pain, which worsens during menstruation.

3. If the systemic symptoms are in the active stage, there may be general symptoms of tuberculosis, such as fever, night sweats, fatigue, loss of appetite, weight loss, etc. Sometimes only fever occurs during menstruation.

4. Infertility is also a clinical manifestation of pelvic inflammatory disease. Due to the destruction and adhesion of the fallopian tube mucosa, the lumen is often blocked; or due to adhesions around the fallopian tube, the lumen sometimes remains partially unobstructed. However, the mucosal cilia are destroyed, the fallopian tube is stiff, the peristalsis is restricted, and the transport function is lost, and conception is impossible, so most patients are infertile. Genital tuberculosis is often one of the main causes of primary infertility.

5. Systemic and gynecological examinations vary greatly due to the degree and extent of the lesions. Many patients are diagnosed with endometrial tuberculosis only after undergoing diagnostic curettage for infertility, without obvious physical signs or other subjective symptoms. In more serious patients with peritoneal tuberculosis, the abdomen may feel flexible or have signs of ascites during examination. When encapsulated effusions are formed, cystic masses may be palpated with unclear boundaries and inactivity. The surface may be hollow to percussion due to intestinal adhesions. The uterus is generally poorly developed, and its movement is often restricted by adhesions around it. If the appendages are affected, masses of varying sizes and irregular shapes may be palpated on both sides of the uterus. They may be hard, uneven in surface, and appear as nodules or papillae, or calcified nodules may be palpated.

The above is an introduction to the clinical manifestations of pelvic inflammatory disease. Do you have a better understanding of the classification of infertility? If you have any questions, you can consult our experts online.

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