What are the diagnostic criteria for pelvic inflammatory disease?

Patient's question:

I had an abortion surgery last month, and now I always feel discomfort down there, a bit itchy, and also have a lot of discharge, which is yellow and smells fishy and foul. What could be going on? Please ask: Do I need to get checked?

Doctor's answer:

I. Salpingitis: The most common type of pelvic inflammatory disease.
II. Salpingitis with hydrops and tubo-ovarian cysts.
III. Chronic pelvic connective tissue inflammation: The inflammation most commonly spreads to the connective tissues around the uterus and the uterosacral ligaments. Based on medical history, symptoms, and physical examination findings, a diagnosis of chronic pelvic inflammation can generally be made. Sometimes, it is necessary to distinguish it from endometriosis, pelvic tuberculosis, ectopic pregnancy, and ovarian tumors. Patients face gynecological and obstetric interference, and we should actively implement careful examinations and treatments, without avoiding medical visits. If gynecological and obstetric conditions do not improve with treatment, it is important to promptly change the treatment plan.

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