Patient's question:
I have always had a lot of leukorrhea, especially in the ten days after my period. Sometimes it is particularly heavy, and there are sometimes some blood streaks. When I feel like my period is coming, I have severe lower back pain. Is this a sign of pelvic inflammatory disease?Doctor's answer:
Symptoms (1) The patient may have mild fever, lower abdominal fullness and pain, which is often persistent. (2) The amount of leukorrhea significantly increases, which can be purulent with a foul odor, or may appear bloody. Recurrent acute endometritis during the postpartum period often presents with prolonged and foul-smelling lochia, usually indicating infection with Escherichia coli and anaerobic bacteria. If the infection is caused by Streptococcus haemolyticus or Staphylococcus aureus, the lochia is generally less in amount and has no obvious odor, but it is more prone to spread along the lymphatic system. (3) During gynecological examination, purulent leukorrhea is observed at the cervix, with cervical motion tenderness and mild tenderness of the uterus. Laboratory tests show decreased white blood cells and increased neutrophils.