Every twenty days, there is vaginal bleeding. Is it necessary to do an endometrial examination?

Patient's question:

Recently, I also found that my leukorrhea has been increasing. A colleague of hers said this might be a symptom of pelvic inflammatory disease, but we don't really understand this condition. I'd like to ask, what are the symptoms of chronic pelvic inflammatory disease?

Doctor's answer:

Here are the symptoms of chronic pelvic inflammatory disease:
(1) Chronic pelvic pain: Scar adhesions caused by chronic inflammation and pelvic congestion often lead to a heavy, aching sensation in the lower abdomen and soreness in the lumbar and sacral regions. It tends to worsen after physical exertion, prolonged standing, sexual intercourse, and before or after menstruation. Severe cases can interfere with training.
(2) Infertility and ectopic pregnancy: Fallopian tube adhesions and blockages can cause infertility and ectopic pregnancy.
(3) Abnormal menstruation: Endometritis often results in increased leukorrhea, menstrual irregularities, heavy menstrual flow, dysmenorrhea, and discomfort during sexual intercourse.
(4) Systemic symptoms: These are often not obvious, with only occasional low-grade fever and a feeling of fatigue.