Clinical manifestations of pelvic adnexitis

I believe everyone knows the importance of the pelvic cavity to female friends. Female friends must pay attention to protecting their pelvic cavity in daily life. The most common symptom of the pelvic cavity is pelvic inflammatory disease. Pelvic inflammatory disease causes great harm to female friends, so we need to understand the clinical manifestations of pelvic inflammatory disease. In addition, adnexitis is also a major disease that harms female friends. Let’s take a look at the symptoms of pelvic adnexitis.

There are two types of pelvic inflammatory disease: acute and chronic

1. Acute pelvic inflammation

The symptoms are lower abdominal pain, fever, increased vaginal discharge, and persistent abdominal pain that worsens after activity or sexual intercourse. If the condition is severe, there may be chills, high fever, headache, and loss of appetite. Those who develop the disease during menstruation may experience increased menstrual flow and prolonged menstruation. If pelvic inflammatory disease forms a pelvic abscess, it may cause local compression symptoms. Compression of the bladder may cause frequent urination, painful urination, and difficulty urinating; compression of the rectum may cause rectal symptoms such as tenesmus. Further development of acute pelvic inflammatory disease can cause diffuse peritonitis, sepsis, septic shock, and in severe cases can be life-threatening.

2. Chronic pelvic inflammation

It is caused by the failure to thoroughly treat acute pelvic inflammatory disease or the patient's poor physical condition and prolonged course of the disease. The symptoms of chronic pelvic inflammatory disease are lower abdominal distension, pain and lumbar and sacral soreness, which are often aggravated by fatigue, after sexual intercourse, and before and after menstruation. The second is abnormal menstruation and irregular menstruation. When the disease lasts for a long time, some women may experience symptoms of neurasthenia such as lack of energy, general discomfort, and insomnia. It often takes a long time to heal and recurs repeatedly, leading to infertility and fallopian tube pregnancy, seriously affecting women's health.

Clinical manifestations of adnexitis

1. Acute adnexitis

The main symptom is acute lower abdominal pain accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests can show an increase in white blood cell count and a significantly increased neutrophil ratio. Symptoms of adnexitis: If acute adnexitis is not treated promptly or thoroughly, it may turn into chronic adnexitis.

2. Chronic adnexitis

There are abdominal pains of varying degrees. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesion of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbar pain, which may be mild or severe, accompanied by increased vaginal discharge, low back pain, menstrual disorders, etc., and often worsen during menstruation or after fatigue. During gynecological examination, there is tenderness, thickening, or a tender mass in the adnexal area on both sides or one side, and the white blood cell count is elevated or normal. Some symptoms may not be very obvious sometimes, but because the fallopian tubes and ovaries are adjacent to each other, it is difficult to distinguish when inflammation occurs. In particular, chronic inflammation of the fallopian tubes can lead to fibrosis, thickening and blockage of the fallopian tubes over time, and may also cause adhesion to surrounding tissues. If both ends of the fallopian tube are blocked, hydrosalpinx may form, and the accumulated water will penetrate into the ovaries that are adhered together, forming a fallopian tube ovarian cyst. It can easily cause infertility or ectopic pregnancy.

In the above article, we introduced two diseases that are more harmful to female friends. One is pelvic inflammatory disease, and the other is adnexitis. Pelvic inflammatory disease and adnexitis bring great pain to female friends. The above article analyzes in detail the clinical manifestations of pelvic adnexitis.