Experts talk about how to diagnose pelvic inflammatory disease

Pelvic inflammatory disease has always been a common disease among women of childbearing age, often occurring in married women, and now also in young women. The common cause is premature sexual activity, as sexual behavior is closely related to pelvic inflammatory disease. How to diagnose pelvic inflammatory disease? What are the diagnostic examination criteria for pelvic inflammatory disease? In response to the above questions, we invite relevant experts to introduce them.

How is pelvic inflammatory disease diagnosed? Experts explain:

Chronic pelvic inflammatory disease and endometriosis are sometimes difficult to distinguish. Endometriosis causes more significant dysmenorrhea. If typical nodules can be felt, it will help with the diagnosis. Laparoscopy can be performed when the distinction is difficult. Hydrosalpinx or tubo-ovarian cysts need to be differentiated from ovarian cysts. In addition to a history of pelvic inflammatory disease, the former has a sausage-shaped mass with a thin cyst wall and adhesions around it; while ovarian cysts are generally more round or oval, with no adhesions around them and are free to move. Pelvic inflammatory adnexal masses are adhered to the surrounding area and are immobile. They are sometimes confused with ovarian cancer. Inflammatory masses are cystic while ovarian cancer is solid. Type B ultrasound examination is helpful for differentiation.

Acute and chronic pelvic inflammatory disease can be diagnosed based on medical history, symptoms and signs. However, differential diagnosis must be done well. The main differential diagnosis of acute pelvic inflammatory disease includes: acute appendicitis, ectopic pregnancy, ovarian cyst pedicle torsion, etc.; the main differential diagnosis of chronic pelvic inflammatory disease includes: endometriosis and ovarian cancer.

Acute pelvic inflammatory disease has a history of acute infection, with dull pain in the lower abdomen, muscle tension, tenderness and rebound pain, accompanied by rapid heart rate, fever, and a large amount of purulent vaginal discharge. In severe cases, there may be high fever, headache, chills, loss of appetite, a large amount of yellow leucorrhea with odor, abdominal distension, tenderness, and lower back pain. Nausea, abdominal distension, vomiting, diarrhea, etc. may occur when there is peritonitis. When pus is formed, there may be a lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be difficulty urinating, frequent urination, and urinary pain. If the mass is located in the back, it may cause diarrhea.

The systemic symptoms of chronic pelvic inflammatory disease are sometimes low fever and fatigue. Some patients develop neurasthenia symptoms due to the long course of the disease, such as insomnia, lack of energy, and general discomfort. The lower abdomen is distended and painful, and the lumbar and sacral pain is often aggravated after fatigue, sexual intercourse, and before and after menstruation. Chronic inflammation can lead to pelvic congestion, menorrhagia, menstrual disorders when ovarian function is damaged, and infertility when the fallopian tubes are blocked by adhesions.

How to diagnose pelvic inflammatory disease? I believe everyone has already understood it. If you still have questions, please click on our online experts, who will give you more professional answers.

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