Patient's question:
I am 26 years old, female. Last year, I was carefully diagnosed with pelvic inflammatory disease. After that, I took medication for treatment, but I still feel it hasn't improved. Now, I still have a lot of leukorrhea and often have lower back pain. Please ask if pelvic inflammatory disease can cause infertility?Doctor's answer:
It's possible. Pelvic inflammatory disease (PID) is a common gynecological condition, including endometritis, pelvic peritonitis, pelvic ligamentitis, and salpingitis and oophoritis. The main factors causing pelvic inflammatory disease are: poor personal hygiene conditions; the widespread use of intrauterine devices (IUDs); postpartum infection and postabortion infection; insufficient emphasis on sterile procedures before and during certain gynecological minor surgeries; and unprotected sex or sex during menstruation, among others. PID can be divided into acute and chronic types. Acute PID often has a history of acute infection and manifests as lower abdominal pain, tenderness and rebound tenderness, fever, and a large amount of purulent vaginal discharge. Chronic PID presents with systemic symptoms such as occasional low-grade fever, fatigue, lower abdominal fullness, pain, and lumbosacral discomfort, which often worsen after exertion, sexual intercourse, or around the menstrual period.