Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. How can I determine if I have pelvic inflammatory disease?Doctor's answer:
Pelvic inflammatory disease (PID) is classified into acute and chronic types. The main symptoms of acute PID are lower abdominal pain, fever, and increased vaginal discharge. The pain is persistent and may be relieved after movement or sexual intercourse. If the condition is severe, symptoms may include chills, high fever, headache, and loss of appetite. During menstruation, the disease may cause prolonged menstrual periods and excessive bleeding. If PID is tightly encapsulated, it can form a pelvic abscess, leading to localized symptoms. If it affects the bladder, it may cause frequent urination, dysuria, and difficulty urinating. If it affects the rectum, it may cause rectal symptoms such as tenesmus. Further progression of acute PID can lead to diffuse peritonitis, sepsis, and septic shock, with severe cases potentially being life-threatening.