How to check for pelvic inflammatory disease

Pelvic inflammatory disease is very harmful to women. For patients suspected of pelvic inflammatory disease, they must go to the hospital for a formal diagnosis in time. Only through a good examination can symptomatic treatment be carried out. There are many methods of examination, such as ultrasound examination, laparoscopy and posterior fornix puncture examination, etc. Through a good examination and then regular treatment, more adverse effects on health can be avoided.

1. Ultrasound examination

Mainly B-type or grayscale ultrasound scanning and radiography, this pelvic inflammatory disease examination technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. However, mild or moderate pelvic inflammatory disease is difficult to show characteristics on B-mode ultrasound images.

2. Physical examination

The patient presented with an acute illness, elevated temperature, increased heart rate, abdominal distension, and tenderness in the lower abdomen. When pelvic inflammatory disease spreads to the abdominal cavity, peritoneal irritation signs are positive, there is tenderness, rebound pain and muscle tension in the entire abdomen, and bowel sounds are weakened or disappear.

3. What kind of examination is needed for pelvic inflammatory disease? Laparoscopy

If it is not diffuse peritonitis and the patient's general condition is good, laparoscopy can be performed on patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the severity of pelvic inflammatory disease.

4. Posterior fornix puncture

It is one of the most commonly used and valuable methods for diagnosing pelvic inflammatory disease in gynecological acute abdomen. The contents of the abdominal cavity or the rectouterine fossa obtained through puncture, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis. Microscopic examination and culture of the punctured material are even more necessary.

The typical symptoms of acute pelvic inflammatory disease in women are fever, lower abdominal pain that is resistant to pressure, and excessive and purulent vaginal discharge. May be accompanied by fatigue, low back pain, and menstrual disorders. Severe cases may include high fever, chills, headache, and loss of appetite. The systemic symptoms of chronic pelvic inflammatory disease are mostly not obvious, sometimes there may be low fever and fatigue. The course of the disease is long, and some patients may have symptoms of neurasthenia. Experts remind that if women are worried that they may have pelvic inflammatory disease, they can use the above testing methods to preliminarily diagnose whether they have pelvic inflammatory disease.