Popular knowledge about female pelvic inflammatory disease

Pelvic inflammatory disease refers to inflammation of the female upper reproductive tract and surrounding tissues, usually including endometritis, salpingitis, oophoritis, etc. This disease is more common in women, and if not treated in time, it may lead to complications such as infertility, ectopic pregnancy, and chronic pelvic pain.

1. Symptoms of pelvic inflammatory disease

Symptoms of pelvic inflammatory disease are usually divided into acute and chronic phases. Acute phase symptoms usually include lower abdominal pain, fever, increased vaginal discharge, etc. Lower abdominal pain is the most common symptom of acute pelvic inflammatory disease. The pain may persist or worsen intermittently and may radiate to the waist or thighs. Chronic phase symptoms usually include lower abdominal pain, increased vaginal discharge, irregular menstruation, infertility, etc. These symptoms may be similar to those of the acute phase, but they are milder and last longer.

2. Causes of pelvic inflammatory disease

The causes of pelvic inflammatory disease usually include two aspects: endogenous and exogenous. Endogenous infection is usually caused by ascending bacteria in the vagina, while exogenous infection is usually caused by sexually transmitted diseases or improper surgical operations. In addition, bad living habits, unclean sexual behavior, excessive vaginal cleaning, etc. may also lead to the occurrence of pelvic inflammatory disease.

3. Diagnosis of pelvic inflammatory disease

The diagnosis of pelvic inflammatory disease is usually based on symptoms, physical examination and laboratory tests. Symptoms include lower abdominal pain, fever, increased vaginal discharge, etc. Physical examination includes gynecological examination, such as cervical lifting pain, uterine enlargement and tenderness, etc. Laboratory tests include elevated inflammatory markers such as white blood cell count and C-reactive protein. In addition, pelvic ultrasound and laparoscopy can also help diagnose pelvic inflammatory disease.

Treatment of pelvic inflammatory disease

Treatment of pelvic inflammatory disease mainly includes medication and surgery:

1. Medication

(1) Western antibiotics: Antibiotics are used for anti-infection treatment. Sensitive antibiotics are selected based on the drug sensitivity test of the pathogens. Commonly used antibiotics include cephalosporins, aminoglycosides, quinolones, etc. Antibiotic treatment should follow the principles of early, combined, adequate, and adequate duration to completely cure the disease and prevent recurrence.

(2) Chinese patent medicine: mainly for clearing away heat and dampness, removing blood stasis and relieving pain, such as Fuke Qianjin Tablets, Jingangteng Capsules, etc.

(3) Traditional Chinese medicine: mainly drugs that promote blood circulation and remove blood stasis, clear away heat and detoxify, such as Yinqiao Jiedu Decoction, Angong Niuhuang Pills, etc.

2. Surgery

Surgical treatment is mainly used for patients who are ineffective with drug treatment or whose condition is severe, including laparoscopic surgery and laparotomy. The surgical method varies according to the severity of the condition and the extent of the lesion, including lesion resection, abscess drainage, fallopian tube and ovarian resection, etc. After surgical treatment, drug treatment is still required, and regular follow-up is required to prevent recurrence.

5. Prevention of pelvic inflammatory disease

1. Keep the vulva clean: Wash the vulva with warm water every day and avoid using strong detergents or soaps.

2. Avoid excessive cleaning of the vagina: The vagina has a self-cleaning function. Excessive cleaning will disrupt the balance of vaginal flora and lead to bacterial infection.

3. Pay attention to sexual hygiene: avoid unclean sexual behavior and pay attention to cleaning the vulva before and after sexual intercourse.

4. Avoid surgical procedures such as abortion: Surgical procedures such as abortion can easily lead to infection. If surgery is necessary, choose a regular hospital and pay attention to preventing infection after the operation.

5. Enhance immunity: Maintaining a healthy lifestyle, such as a balanced diet, moderate exercise, and adequate sleep, can improve immunity and prevent infection.

6. Regular gynecological examinations: Regular gynecological examinations can detect and treat gynecological diseases early and prevent the occurrence of pelvic inflammatory disease.

6. Misconceptions about pelvic inflammatory disease

1. Myth 1: Pelvic inflammatory disease can heal itself. In fact, if pelvic inflammatory disease is not treated in time, it may lead to serious consequences such as infertility and ectopic pregnancy.

2. Myth 2: Antibiotics are the only way to treat pelvic inflammatory disease. In fact, antibiotics are only one way to treat pelvic inflammatory disease. Comprehensive treatment measures such as surgical treatment and physical therapy are also needed according to the condition.

3. Myth 3: Chronic pelvic pain must be caused by pelvic inflammatory disease. In fact, chronic pelvic pain may be caused by a variety of reasons, such as endometriosis, ovarian cyst pedicle torsion, etc.