What are the symptoms of chronic pelvic inflammatory disease?

Patient's question:

I saw a TV ad saying that chronic pelvic inflammatory disease doesn't just affect unmarried women, even teenagers can get it, which scared me to death. I'm still a virgin, though. But I always have itching down there, sometimes I even scratch it hard, and then I wash it with water at night, which helps a bit.

Doctor's answer:

Hello 1(1) Chronic pelvic pain: Scarring adhesions caused by chronic inflammation and pelvic congestion often lead to lower abdominal heaviness, pain, and lower back soreness. It tends to worsen after exertion, prolonged standing, sexual intercourse, and before or after menstruation. Severe cases can affect work. (2) Infertility and ectopic pregnancy: Tubal adhesions and blockages can cause infertility and ectopic pregnancy. The incidence of infertility after acute pelvic inflammatory disease is 20%–30%. As the condition progresses, the infertility rate shows an increasing trend. (3) Abnormal menstruation: Endometritis often presents with increased leukorrhea, menstrual disorders, heavy menstrual flow, dysmenorrhea, and discomfort during intercourse.

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