Irregular menstruation and lower back pain are symptoms of pelvic inflammatory disease?

Patient's question:

It has been 26 days now. The breasts have been sore and swollen since March 2nd. Yesterday, I bought a pregnancy test kit, but the result was negative. In the past, most of the time, the soreness and swelling started 7 days before my period. I am quite disappointed now. Is it pelvic inflammatory disease (PID) if my menstrual cycle is irregular, I have lower back pain, and I experience vaginal dryness during sexual intercourse with my husband?

Doctor's answer:

During sexual activity, the secretion of fluid gradually increases only when sexual arousal is present. If sexual arousal is insufficient, lubricating fluid may be secreted in small amounts or not at all, leading to vaginal dryness. If the foreplay time during sexual activity is shorter than ten minutes, the likely reason for vaginal dryness is insufficient sexual arousal. Additionally, gynecological inflammation and endocrine disorders can also cause vaginal dryness. It is recommended to shorten the foreplay time during sexual activity and find more ways to excite oneself. Both partners should frequently communicate and jointly explore effective ways to become aroused, including body arousal points. In pathological cases, identifying the cause and treating it accordingly is essential. When patients face the harm of pelvic inflammation, we should actively adopt treatment measures and avoid avoiding medical consultation.

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