Six tips to protect your pelvis

In life, people often neglect small problems and thus develop diseases. Pelvic inflammatory disease is one of them. So, how do we check for pelvic inflammatory disease? How do we check for pelvic inflammatory disease correctly?

The methods for checking pelvic inflammatory disease generally include:

(1) Laparoscopy

If it is not diffuse peritonitis and the patient's general condition is good, laparoscopy can be performed on patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases. Laparoscopy can not only correctly examine pelvic inflammatory disease, but also examine the severity of pelvic inflammatory disease and make a preliminary judgment.

(2) Ultrasonic examination

It mainly uses B-type or grayscale ultrasound scanning and radiography, which is a very accurate technology for detecting pelvic inflammatory disease.

(3) Pathogen culture

The specimens are from the same source as above and should be inoculated on Thayer-Martin medium immediately or within 30 seconds and cultured in a 35°C incubator for 48 hours to identify bacteria by glycolysis. A new relatively rapid chlamydial enzyme assay has replaced the traditional chlamydia detection method. Chlamydia trachomatis antigen detection can also be performed using mammalian cell culture. This method is an enzyme-linked immunosorbent assay.

(4) Direct smear of secretions

The samples can be vaginal, cervical, or urethral secretions, or peritoneal fluid (obtained through the posterior fornix, abdominal wall, or laparoscopy), and direct thin-layer smears are made and stained with methylene blue or Gram after drying. Fluorescein monoclonal antibody dye can be used for microscopic examination of Chlamydia trachomatis. Any star-shaped flashing fluorescent spots observed under a fluorescence microscope are positive.

(5) Posterior fornix puncture

Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for pelvic inflammatory disease. Normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus can further clarify the diagnosis, and microscopic examination and culture of the puncture material are even more necessary.

(6) Examination of male partners

This helps women check for pelvic inflammatory disease. The urethral secretions of the male companion can be taken for direct smear staining or culture of gonorrhea. If positive, it is a strong evidence, especially in asymptomatic or mildly symptomatic patients.

To sum up the above, when checking for pelvic inflammatory disease, it is necessary to look at the female patient's own symptoms to determine which method to choose for pelvic inflammatory disease. And if there is a male partner, it is best to accompany him for the examination.

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