Bacterial pelvic inflammatory disease symptoms

Pelvic inflammatory disease (PID) refers to inflammation of the female pelvic reproductive organs, the connective tissue around the uterus, and the retroperitoneum of the pelvis. Many women are concerned about how to detect pelvic inflammatory disease, what symptoms will appear in pelvic inflammatory disease, and how women suffering from pelvic inflammatory disease should be treated? Let's follow me to find out.

How to check for pelvic inflammatory disease

Clinical manifestations

The first symptom is chronic pain in the lower abdomen, which may be aching after medication and often worsens during fatigue, sexual intercourse and before and after menstruation. The second is irregular menstruation and irregular absence of menstruation. Some women with a long history of illness will experience neurasthenia symptoms such as listlessness, physical discomfort, and insomnia. Subacute symptoms include lower abdominal pain, fever, and increased secretions in women. The abdominal pain is persistent and aggravated by activity or sexual intercourse. If the condition worsens, there may be chills, high fever, headache, and loss of appetite.

Leucorrhea examination

The key points of leucorrhea examination are to check the cleanliness of leucorrhea, bacterial infection, vaginal diseases including fungi, Trichomonas, etc.

Pathogen shaping

By checking whether the specimen is mycoplasma positive and other infectious pathogens, a basis is provided for clinical treatment.

B-ultrasound examination

Pelvic inflammatory disease (PID) refers to inflammation of the female pelvic reproductive organs, the connective tissue around the uterus, and the retroperitoneum of the pelvis. Chronic pelvic inflammatory disease is usually caused by incomplete treatment of acute symptoms. It lasts for a long time and is difficult to cure.

Symptoms of pelvic inflammatory disease

Menstrual disorders

In the early stage, due to uterine wall hematoma and ulcer, there may be excessive menstruation. Most patients have been ill for a long time when they seek medical treatment, and the uterine wall has been damaged to varying degrees, and the main manifestations are scanty menstrual blood flow or amenorrhea.

Lower abdominal pain

Due to pelvic inflammation and adhesions, there may be varying degrees of lower abdominal pain, which is aggravated during menstruation.

Systemic symptoms

If it is the active stage, there may be common symptoms of tuberculosis, such as fever, night sweats, drowsiness, poor appetite, weight loss, etc. Sometimes only fever occurs during menstruation.

Infertility

Due to the destruction and adhesion of the bilateral fallopian tube mucosa, the inferior vena cava is often blocked; or due to the adhesion around the bilateral fallopian tubes, the inferior vena cava sometimes remains partially smooth. However, the mucosal microvilli are destroyed, the muscles of both fallopian tubes are stiff, and intestinal peristalsis is restricted, resulting in the loss of their transport function and inability to become pregnant. Therefore, the vast majority of patients suffer from infertility. Genital tuberculosis is often one of the key causes in patients with primary infertility.

Treatment of pelvic inflammatory disease

1. Medication

Antibiotics are the main treatment for acute pelvic inflammatory disease, including intravenous drip, intramuscular injection or oral administration. A wide range of antibiotics should be used in combination with anti-Pseudomonas aeruginosa drugs, and attention should be paid to the adequacy of the treatment process. It can also be used in conjunction with traditional Chinese medicine treatment to achieve stronger effects.

2. Surgery

Lumps such as hydrosalpinx or bilateral tubal ovarian cysts can be treated surgically; small foci of infection that repeatedly cause inflammation are also suitable for surgical treatment. Surgical treatment should be based on complete recovery to avoid residual diseases and the chance of recurrence, and adnectomy or bilateral fallopian tube removal should be performed. For young women, the ovaries should be preserved as much as possible. The actual effect of single treatment for chronic pelvic inflammatory disease is weak, so comprehensive treatment is appropriate.