What are the symptoms of chronic pelvic inflammatory disease?

Patient's question:

I want to ask about the symptoms of chronic pelvic inflammatory disease because I want to learn more about gynecological techniques.

Doctor's answer:

Hello
1. Chronic pelvic inflammatory mainly manifests as lower abdominal fullness, pain, and lower back soreness. Sometimes, it may also cause rectal fullness and discomfort. It often worsens after exertion, sexual intercourse, or before and after menstruation. This is because chronic inflammation leads to scar adhesions and pelvic congestion.
2. Due to pelvic congestion, patients may experience increased leukorrhea, excessive menstrual flow, and dysmenorrhea. If ovarian function is affected, menstrual disorders may occur. If fallopian tube adhesions and blockages occur, infertility may result.
3. Systemic symptoms are often not obvious, but low-grade fever and easy fatigue may occur. In cases with a longer course of illness, some patients may develop symptoms of neurosis.