Which of the following is not related to inflammatory masses?

Gynecological inflammation problems that often occur in women's bodies are common. Such as pelvic inflammatory disease, adnexitis, uterine inflammation and so on. Among them, the serious manifestation of pelvic inflammatory disease is the occurrence of a lump. Once a lump occurs, it means that pelvic inflammatory disease is gradually being accompanied by complications. Various inflammations in the body are also ready to try. Therefore, pelvic inflammatory disease needs to be treated promptly. So which of the pelvic masses is not related to inflammatory masses?

Pelvic inflammatory mass is an inflammation of the female pelvic organs that has not received regular treatment, resulting in chronic inflammatory histological changes in the pelvis, leading to the occurrence of pelvic inflammatory mass. Patients often first have clinical manifestations of acute salpingitis, which can be relieved by taking anti-inflammatory drugs. Symptoms include lower abdominal pain, fever, and vaginal bleeding. Normally, patients may experience increased vaginal discharge and reduced lower abdominal pain later. As the pelvic mass grows, the pain increases but is tolerable, presenting as a dull ache in the lower abdomen. The abdominal pain caused by pelvic inflammatory disease will also worsen during menstruation, but it is not as obvious as the dysmenorrhea caused by endometriosis.

Pathogenesis

The vast majority of pelvic inflammatory masses arise from acute salpingitis, which causes the fallopian tubes, ovaries, uterus, omentum, and intestine to adhere together, forming a pelvic inflammatory mass.

Causes infertility

Pelvic inflammatory disease is divided into acute and chronic types. If it is chronic pelvic inflammatory disease, it is often caused by the failure of acute pelvic inflammatory disease to be properly and thoroughly treated or the patient's physical condition is poor and the course of the disease is prolonged. Or there may be lower abdominal distension, pain, and lumbosacral soreness, which are often aggravated after fatigue, sexual intercourse, bowel movements, and before and after menstruation. Patients may have increased menstruation and leucorrhea, and menstrual disorders when ovarian function is damaged, which may lead to infertility when the fallopian tubes are blocked by adhesions. Chronic pelvic inflammatory disease is often caused by the failure to thoroughly treat acute pelvic inflammatory disease or the poor quality of the patient, resulting in a prolonged course of the disease.

Some patients have no history of acute illness. Chronic pelvic inflammatory disease is often stubborn and often forms adhesion masses in the fallopian tubes and ovaries, which are adhered to the surrounding areas. Anti-inflammatory drugs are not easy to enter, so it is not easy to cure completely. It often has acute attacks when the body's resistance is reduced or over-tired. Patients may have symptoms such as low fever, lower abdominal distension, dull pain, and lumbar and sacral pain. Symptoms may worsen after labor, during sexual intercourse, or before and after menstruation due to pelvic congestion. In addition, patients may experience increased vaginal discharge, or menstrual changes such as increased menstrual blood volume, frequent menstruation, prolonged menstruation, and often secondary infertility.

Disease classification

1. Symptoms of acute pelvic inflammatory disease: The disease is acute and severe, and may cause lower abdominal pain, fever, chills, headache, and loss of appetite. During the examination, the patient was found to be in an acute condition with a high temperature, a rapid heart rate, and muscle tension, tenderness, and rebound pain in the lower abdomen.

2. Symptoms of chronic pelvic inflammatory disease: The disease progresses slowly and has a long course. Systemic symptoms are mostly not obvious, but may include low fever, fatigue, lower abdominal pain, etc. During examination, it is found that the uterus is often posterior, with limited movement, or adhesions and fixation.

(1) Scar adhesions and pelvic congestion caused by chronic inflammation can cause lower abdominal distension, pain, and lumbar pain, which often worsens during fatigue, sexual intercourse, and before and after menstruation.

(2) Systemic symptoms are usually not obvious, but may include low-grade fever and fatigue. What are the symptoms of pelvic inflammatory disease, what are the symptoms of pelvic inflammatory disease, what is pelvic inflammatory disease, the course of the disease is long, and some patients may have symptoms of neurasthenia.

(3) Due to pelvic congestion, the patient may experience increased menstruation, ovarian dysfunction may cause menstrual disorders, and fallopian tube adhesion and blockage may cause infertility.

Disease progression

Pelvic inflammatory mass may be caused by inflammatory secretions in the fallopian tube lumen flowing into the pelvic and abdominal cavity through the fimbria, subsequently causing pelvic peritonitis and peri-oophoritis. The pelvic pain caused is directly proportional to the acuteness and chronicity of the inflammation, the range of inflammation, the strength of the pathogenic bacteria and toxins, and the severity of the lesion. Theoretically, chronic pelvic inflammatory disease often has a history of acute pelvic inflammatory disease, but clinically, most chronic pelvic inflammatory disease does not have a history of acute pelvic inflammatory disease. In addition, with the improvement of people's cultural level and the increase of economic ability, many patients take anti-inflammatory drugs at home, making many inflammatory diseases very atypical.