Pelvic inflammatory disease symptoms and treatment

Pelvic inflammatory disease is a common gynecological disease that affects women's reproductive health and sometimes even causes infertility, so you should pay attention to its symptoms and actively treat it. Common symptoms include abdominal pain, fever, and increased vaginal discharge, and treatment includes medication and surgery.

1. Clinical manifestations

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.

II. Treatment

1. Medication

Antibiotics are the main treatment for acute pelvic inflammatory disease, including multiple routes of administration such as intravenous infusion, intramuscular injection or oral administration. A broad spectrum of antibiotics should be used in combination with anti-anaerobic drugs, and attention should be paid to the sufficiency of the course of treatment. It can also be combined with traditional Chinese medicine treatment to achieve better results.

2. Surgery

Patients with lumps such as hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and repeated inflammation are also suitable for surgical treatment. The principle of surgery is to completely cure the disease and avoid the chance of recurrence of residual lesions. Adnexemectomy or salpingectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.

3. Physical therapy

The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used methods include shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc. Traditional Chinese medicine also has the method of treating stains with Chinese medicine wrapping.