What are the symptoms of pelvic inflammatory disease with an IUD?

If women do not perform the procedure properly when inserting an IUD, or if they already have gynecological diseases, this can easily lead to pelvic inflammatory disease, which often causes symptoms such as abdominal pain and fever. Patients often experience increased leucorrhea, menstrual disorders, and even irregular vaginal bleeding. The pelvic tissues feel edematous, and there will be purulent secretions from the cervix, etc.

Common pathogens include streptococci, gonococci, mycoplasma, chlamydia, staphylococci, Escherichia coli, anaerobic bacteria, and sexually transmitted pathogens (such as gonococci, Chlamydia trachomatis, mycoplasma, and herpes viruses).

Abdominal pain and fever are the most common manifestations of pelvic peritonitis. Generally, patients experience fever first and then abdominal pain. Due to different pathogenic factors, some patients may experience both symptoms at the same time, and fear may occur before and during high fever.

Abdominal pain often manifests as severe pain in the lower abdomen on both sides, and sometimes the pain in the lower abdomen on one side is more severe. Patients often refuse to undergo massage examination because of the severe pain when pressing the abdomen. If the right side is more severe, it may be misdiagnosed as acute inflammation.

At the beginning of the disease, patients show symptoms such as dry mouth, headache, thirst, and a pulse that is significantly faster than normal. There is also increased vaginal discharge, menstrual disorders, or irregular vaginal bleeding. A small number of patients have abdominal distension and bladder irritation symptoms such as frequent urination and urgency. Examination showed that the patient had an acute illness, with a body temperature above 38°C, even 40°C or higher, and tenderness and rebound tenderness in the entire lower abdomen.

Gynecological examination showed that the pelvic tissue seemed to be edematous and there was severe tenderness; purulent secretions were discharged from the cervix, and the cervix was painful when lifted. Due to the tense abdominal muscles, the size and position of the uterus were difficult to check, and there was obvious tenderness. Blood tests showed that the number of white blood cells and neutrophils could reach 2.5×109L, the number of cells increased significantly, and the sedimentation rate increased, reaching 20-30 mm per hour. Posterior fornix puncture can be performed to remove inflammatory exudate.