Symptoms of pelvic inflammatory disease

Pelvic inflammatory disease is one of many gynecological diseases. The harm of pelvic inflammatory disease is very great. It will not only bring great negative impact to women's body, but also cause infertility in severe cases. Let's take a closer look at the symptoms of pelvic inflammatory disease.

Symptoms of pelvic inflammatory disease:

1. Recent history of miscarriage, childbirth, gynecological surgery, chronic pelvic inflammatory disease, and improper menstrual management.

2. Symptoms include chills, high fever, headache, lack of energy, poor appetite, lower abdominal pain, and increased leucorrhea.

3. Tension of abdominal muscles, tenderness and rebound pain in both lower abdomens, internal examination of uterine enlargement, tenderness, pelvic mass, etc. When abscess is formed, there may be lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be dysuria, frequent urination, dysuria, etc.; if the mass is located in the back, it may cause diarrhea, tenesmus and difficulty in defecation.

4. The total and classified white blood cell counts increase.

5. Acute abdominal diseases such as appendicitis, ectopic pregnancy, ovarian cyst pedicle torsion or rupture were ruled out.

6. Chronic pelvic inflammatory disease: Systemic symptoms sometimes include 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. Lower abdominal distension, pain, and lumbar pain are often aggravated after fatigue, sexual intercourse, and before and after menstruation. Chronic inflammation can cause pelvic congestion and menorrhagia. Menstrual disorders may occur when ovarian function is damaged, and infertility may occur when the fallopian tubes are blocked by adhesions. Acute inflammation may cause serious consequences such as diffuse peritonitis, sepsis, and even septic shock. Chronic inflammation, due to long-term treatment and repeated attacks, affects women's normal work and life as well as their physical and mental health.

Symptoms of acute pelvic inflammatory disease:

Acute pelvic inflammatory disease refers to acute inflammation of the female internal reproductive organs and the surrounding connective tissues and pelvic peritoneum. It can be confined to one site or occur in several sites simultaneously. Common pathogens include Staphylococcus, Streptococcus, Escherichia coli, anaerobic bacteria and sexually transmitted pathogens such as gonococci, mycoplasma, chlamydia, etc. It spreads to the pelvic cavity through the lymphatic, blood or directly.

Typical symptoms: fever, lower abdominal pain that refuses to be pressed, and a large amount of purulent vaginal discharge. May be accompanied by fatigue, back pain, and menstrual disorders. In severe cases, high fever, chills, headache, and loss of appetite may be seen. If there is peritonitis, digestive system symptoms such as nausea, vomiting, and abdominal distension may occur.

Symptoms of chronic pelvic inflammatory disease:

Chronic pelvic inflammatory disease refers to chronic inflammation of the female internal reproductive organs and the surrounding connective tissues and pelvic peritoneum. The scope of chronic pelvic inflammatory disease is mainly limited to the fallopian tubes, ovaries, and pelvic connective tissues. Common types include: salpingitis, hydrosalpinx and tubo-ovarian cysts, and chronic pelvic connective tissue inflammation. The diagnosis of chronic pelvic inflammatory disease can usually be made based on medical history, symptoms and signs.

Typical symptoms: The main clinical manifestations are menstrual disorders, such as menorrhagia, oligomenorrhea or amenorrhea; due to pelvic inflammation and adhesions, there may be varying degrees of increased leucorrhea, pain in the waist and abdomen, pain in the lower abdomen, etc. If chronic adnexitis has formed, a lump may be felt; if left untreated for a long time, it may easily cause female infertility. Most of the systemic symptoms are not obvious, and sometimes there may be fever, night sweats, fatigue, loss of appetite, weight loss, etc. Sometimes there is only fever during menstruation, susceptibility to fatigue, and a long course of illness. Some patients may have symptoms of neurasthenia.

Clinical manifestations of tuberculous pelvic inflammatory disease:

The clinical manifestations of genital tuberculosis are very inconsistent. Many patients may be asymptomatic, while some patients have severe symptoms.

1. Menstrual disorders may cause menorrhagia in the early stage 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 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. Therefore, 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 found to have endometrial tuberculosis only after undergoing diagnostic curettage for infertility, without obvious physical signs or other subjective symptoms. For 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 movement is often restricted by adhesions around it. If the adnexa 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 papillary protrusions. Calcified nodules may also be palpated.

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