How are pelvic inflammatory diseases caused?

Patient's question:

I am usually very healthy, I have never had any minor illnesses, but this time it's different. I have developed pelvic inflammatory disease. I am quite mindful of hygiene, but I just can't understand how pelvic inflammatory disease is usually caused?

Doctor's answer:

Endometritis is the most common inflammation in gynecology, and there are many causes of pelvic inflammation, mainly related to poor hygiene, especially during menstruation and before or after sexual activity. It is also related to frequent uterine operations, such as IUD removal, miscarriage, and induced abortion. Once pelvic inflammation is confirmed, it is essential to persist in medication for a period of time, and it is also necessary to pay attention to hygiene in daily life. Medication is more effective during menstruation.

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