Symptoms of pelvic inflammatory disease 1, chronic pelvic pain
Scar adhesion and pelvic congestion caused by chronic inflammation often cause abdominal bulge, pain and lumbosacral pain. Often tired, standing for a long time, aggravated after sexual intercourse and before and after menstruation.
2. Infertility and ectopic pregnancy
Adhesion and obstruction of fallopian tubes can lead to infertility and ectopic pregnancy. The incidence of infertility after acute pelvic inflammatory disease is 20%-30%. With the development of the disease, the infertility rate is on the rise.
3. Abnormal menstruation
Endometritis often has increased leucorrhea, menstrual disorder, menorrhagia, dysmenorrhea, discomfort and so on. Pelvic congestion can cause an increase in menstrual flow, and ovarian dysfunction can cause menstrual disorder.
4, systemic symptoms
Some patients may have neurasthenia symptoms, such as listlessness, general malaise and insomnia. When the patient's resistance is poor, it is easy to have acute or subacute attacks.
Etiology of chronic pelvic inflammatory disease
1, immune factors
Inflammation can also occur when the natural defense function is destroyed, or the immune function of the body is reduced, endocrine changes or exogenous pathogens invade.
2. Disease migration
If acute pelvic inflammatory disease is not treated thoroughly, the course of disease will be prolonged and chronic pelvic inflammatory disease will occur; It may also be due to the direct spread of inflammation to neighboring organs, such as appendicitis and peritonitis, and spread to the pelvic cavity, leading to the occurrence of chronic pelvic inflammatory disease. Escherichia coli is the main pathogen.
3. Chlamydia infection
The patient may not have a history of acute pelvic inflammatory disease, but it is caused by chlamydia trachomatis infection.
4. Lesions
Some chronic pelvic inflammatory diseases are left over from acute pelvic inflammatory diseases, and no pathogens exist.
5, postpartum, after abortion and after gynecological surgery.
Such as curettage, tubal drainage, hysterosalpingography, hysteroscopy, induced abortion and other operations and invasive examinations that have certain damage to the pelvic cavity, or fail to strictly abide by the aseptic principle, can lead to mucosal injury, bleeding and necrosis of the reproductive tract, leading to upward infection of pathogens of endophytic flora in the lower reproductive tract.
6, related to sexual activity and age.
Pelvic inflammatory disease mostly occurs in sexually active women, especially those who have young first sexual behavior, multiple sexual partners, frequent sexual intercourse and sexually transmitted diseases.
7, lower reproductive tract infection
Sexually transmitted diseases of lower reproductive tract, such as gonococcal cervicitis, chlamydial cervicitis, bacterial vaginosis, etc., can lead to pelvic inflammatory disease through the connection between lower reproductive tract and pelvic cavity.
8. Poor sexual hygiene
Because of having sex during menstruation, use unclean menstrual pads, take a bath, etc. Pathogens can invade and cause inflammation. In addition, those who do not pay attention to sexual health care and neglect vaginal irrigation have a high incidence of pelvic inflammatory disease.
9. Acute attack of chronic pelvic inflammatory disease
Chronic pelvic inflammatory disease causes extensive pelvic adhesion, tubal injury and decreased tubal defense ability, which is easy to cause reinfection and recurrent attacks, leading to acute attacks of chronic pelvic inflammatory disease.
The harm of pelvic inflammatory disease is 1, which may lead to infertility.
Chronic pelvic inflammatory disease is a serious gynecological disease. These symptoms often involve bilateral fallopian tubes, leading to lumen adhesion or even complete obstruction. Then there is no way for sperm and eggs to combine, and female infertility will occur.
2, affect the life of husband and wife
Chronic pelvic inflammatory disease can cause low back pain and other symptoms. Once the disease occurs, it will cause patients with anxiety, irritability, irritability, depression and other negative emotions. If left untreated for a long time, it will lead to sexual apathy and affect sexual life.
3, leading to the occurrence of ectopic pregnancy.