What are the signs and symptoms of pelvic inflammatory disease?

What are the signs and symptoms of pelvic inflammatory disease? Did you know?

Symptoms of pelvic inflammatory disease

1. The symptoms of acute pelvic inflammatory disease are: rapid onset, severe condition, lower abdominal pain, fever, chills, headache, and loss of appetite. During the examination, the patient was found to have an acute appearance, high body temperature, fast heart rate, tension, tenderness, and rebound pain in the lower abdominal muscles. Pelvic examination: There is a large amount of purulent secretions in the vagina, obvious tenderness in the dome, tenderness and rebound pain in the uterus and bilateral appendages, or thickening of one side of the appendages. The symptoms of chronic pelvic inflammatory disease are slow onset and long course. The systemic symptoms are not obvious, and there may be low fever, easy fatigue, lower abdominal back pain, etc.

2. During the examination, it is found that the uterus is often posterior, with limited mobility, or adhesions and fixation. According to the medical history, symptoms and signs, acute and chronic pelvic inflammatory disease can be diagnosed. 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.

3. Systemic symptoms of chronic pelvic inflammatory disease include low fever and fatigue. Some patients may experience neurasthenia due to the long course of the disease, such as insomnia, depression, and general discomfort. Lower abdominal swelling, pain, and lumbar pain usually worsen after fatigue, sexual intercourse, and before and after menstruation. Due to chronic inflammation, pelvic congestion, menorrhagia, ovarian damage, and fallopian tube adhesions and obstruction can lead to infertility.

4. Symptoms: The patient has an acute appearance, fever, accelerated heart rate, lower abdominal muscle tension, tenderness, and rebound pain. Gynecological examination shows that there is a large amount of purulent secretion flowing out of the cervix, the circle is obviously painful, and the posterior circle may be full and fluctuating, indicating pelvic abscess; cervical congestion and obvious pain; uterine tenderness, limited activity; obvious tenderness on both sides of the uterus, thickening of the fallopian tubes can be touched, and there is obvious tenderness; if it is an abscess, a tumor with obvious tenderness can be touched, with a sense of fluctuation; in case of parauterine connective tissue inflammation, a flake increase on one or both sides of the parauterine can be touched, or both sides of the uterine fundus ligament are highly edematous and thickened, with obvious tenderness.