How is pelvic inflammatory disease diagnosed?

Pelvic inflammatory disease refers to inflammation of the female reproductive tract and surrounding tissues. Pelvic inflammatory disease often occurs in women who are sexually active and menstruating. With the improvement of living standards, some women are very concerned about the diagnosis of pelvic inflammatory disease. So what are the diagnostic methods for pelvic inflammatory disease? The following is a brief analysis of the diagnostic methods for pelvic inflammatory disease.

Diagnosis of pelvic inflammatory disease:

1. Physical signs: The uterus is often posteriorly located, with limited mobility or adhesions. If it is salpingitis, thickened fallopian tubes can be felt on one or both sides of the uterus, in a cord-like shape, with mild tenderness. If it is hydrosalpinx or tubo-ovarian cysts, cystic masses can be felt on one or both sides of the pelvic cavity, with limited mobility. If it is pelvic connective tissue inflammation, there is flake thickening and tenderness on one or both sides of the uterus, and the uterosacral ligaments are thickened, hardened, and tender.

2. Ultrasound examination: shows exudation or inflammatory mass in the pelvic cavity.

3. Gynecological examination: The vagina and cervix are congested, with a large amount of purulent secretions, and the cervix is ​​painful when lifted. The uterus is tender and limited in movement. In case of salpingitis, the uterus may be thickened in a cord-like manner on one or both sides, with obvious tenderness. In case of connective tissue inflammation, the uterus may be thickened in a sheet-like manner on one or both sides, and the uterosacral ligament may be thickened, with obvious tenderness. When a pelvic abscess is formed, a cystic mass with unclear boundaries may be palpated, with tenderness.

4. Routine blood examination: white blood cells, 10x109/L, mainly increased neutrophils.

In summary, the diagnosis of pelvic inflammatory disease can be diagnosed based on the above four points. If pus is extracted by puncturing the posterior fornix, further confirmation can be made. Hospitals with conditions can perform blood, cervical secretion culture or pus culture to identify the pathogen and provide assistance for clinical diagnosis and treatment.

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