What are the initial symptoms of pelvic inflammatory disease?

Patient's question:

I have been feeling some abdominal pain for a while, and my menstruation is also irregular. What are the initial symptoms of pelvic inflammatory disease?

Doctor's answer:

Symptoms of Acute Pelvic Inflammation: Lower abdominal dull pain, muscle tension, tenderness, and rebound tenderness, rapid heart rate, fever, and a large amount of purulent secretions in the vagina. In severe cases, symptoms may include high fever, headache, chills, loss of appetite, (1) General symptoms are often not prominent, sometimes with low-grade fever, and easy fatigue. The course of the disease can be prolonged, with some patients experiencing neurotic symptoms. (2) Scar adhesions and pelvic congestion caused by chronic inflammation can lead to lower abdominal heaviness, pain, and lower back soreness, which worsen during sexual intercourse and before or after menstruation. (3) Due to pelvic congestion, patients may experience excessive menstrual bleeding, and impaired ovarian function can lead to menstrual disorders. There are several treatment methods for pelvic inflammation, but the specific treatment depends on the patient's symptoms.

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