Which gynecological disease causes all-over fatigue

Patient's question:

My aunt is 39 years old this year. Recently, whenever I see her, I feel she looks very lacking in charm and seems completely exhausted. She says it might be a gynecological disease, so I want to ask which kind of gynecological disease would cause overall weakness?

Doctor's answer:

A gynecological disease that causes overall fatigue, pelvic infection, and pelvic inflammatory disease (PID) are common gynecological inflammatory conditions among women. PID primarily includes endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis, among others. PID mainly occurs during the sexually active period, while it rarely happens in unmarried women before menarche or after menopause. The common symptoms of acute PID are lower abdominal pain, which worsens after movement or sexual intercourse, fever, and increased vaginal discharge. Uterine fibroids, also known as leiomyomas, are the most common benign tumors in women and are very common among women aged 30 to 50.

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