What are the symptoms of pelvic inflammatory disease?

In the early stages of pelvic inflammatory disease, symptoms such as increased vaginal discharge and dysmenorrhea may occur. These are some common symptoms of gynecological diseases, so many people may not find that they have pelvic inflammatory disease, but some obvious symptoms of pelvic inflammatory disease are easy to identify. For example, patients with acute pelvic inflammatory disease will have an elevated body temperature, a rapid heart rate, and a feeling of tension and tenderness in the lower abdomen. In severe cases, symptoms such as frequent urination and even fever may occur, as follows:

1. Typical symptoms:

① Patients with acute pelvic inflammatory disease have high body temperature, rapid heart rate, muscle tension, tenderness and rebound pain in the lower abdomen, a large amount of purulent secretions in the vagina, obvious tenderness in the vault, tenderness and rebound pain in the uterus and bilateral adnexa, or thickening of one side of the adnexa.

② The main manifestations of chronic pelvic inflammatory disease are lower abdominal distension, pain and lumbar pain, sometimes accompanied by anal distension and discomfort. Due to pelvic congestion, patients may have symptoms such as increased leucorrhea, increased menstruation, and dysmenorrhea. There is cervical lifting pain during gynecological examination.

①Acute pelvic inflammatory disease may be accompanied by chills, high fever, headache, and loss of appetite. Compression of the bladder can cause frequent urination, painful urination, and difficulty urinating; compression of the rectum can cause tenesmus, etc.

② The systemic symptoms of chronic pelvic inflammatory disease are mostly not obvious, sometimes there may be low fever, fatigue, and some patients with a long course of illness may have symptoms of neurasthenia.

① If the patient is found to have uterine tenderness, adnexal tenderness, cervical lifting tenderness, and if there is lower abdominal tenderness and signs of reproductive tract infection at the same time, the diagnosis can be made. Additional conditions for the diagnosis of pelvic inflammatory disease: oral temperature > 38.3°C, purulent discharge from the cervix or vagina. Laboratory examination of vaginal secretions revealed leukocytosis, increased erythrocyte sedimentation rate, and elevated C-reactive protein. Laboratory tests confirmed the presence of the pathogen.

② Specific diagnostic criteria for pelvic inflammatory disease: endometrial biopsy shows standard histopathological evidence of endometritis; vaginal B-ultrasound or magnetic resonance imaging examinations show thickening of the fallopian tube wall, tubal effusion or pelvic free fluid, and the presence of a tubal and ovarian mass; laparoscopy shows obvious congestion of the fallopian tube surface, edema of the fallopian tube wall, and purulent exudate at the fimbria or serosa of the fallopian tube.