Does chronic pelvic inflammatory disease cause vaginal bleeding?

Patient's question:

In April 2011, the previous treatment and its effects: Intravenous drips and taking Chinese medicine every month did not help. What kind of help you want: Want to understand what the reason is for the skin peeling.

Doctor's answer:

Pelvic inflammatory disease (PID) refers to the inflammation of the female pelvic reproductive organs, the connective tissues surrounding the uterus, and the pelvic peritoneum. Chronic PID is often a result of inadequate treatment during the acute phase, as it tends to develop over a long period with persistent and stubborn symptoms. Bacteria from the external genitalia can ascend and infect the pelvic area through the uterus and fallopian tubes. Scarred adhesions and pelvic congestion caused by chronic inflammation can lead to a heavy, aching sensation in the lower abdomen and lower back pain, often worsening during physical exertion, masturbation, or around the time of menstruation. Chronic pelvic inflammation generally does not cause vaginal bleeding.

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