Why are women more prone to pelvic inflammatory disease?

Patient's question:

Always hear advertisements talking about gynecological inflammation and things like pelvic inflammatory disease and vaginal inflammation. Are women very prone to getting these diseases? Why is that? I have a few friends who have also suffered from pelvic inflammatory disease. Why are women prone to pelvic inflammatory disease?

Doctor's answer:

Sexual activity and the number of sexual partners are the main causes of pelvic inflammatory disease (PID), most of which are due to sexual activity or sexual violence. The transmission of PID is not significantly related to the frequency of sexual intercourse, but it is closely associated with the number of sexual partners. Women with multiple sexual partners have a 5 times higher incidence rate compared to those without such relationships. Postpartum or post-abortion transmission occurs because women are physically weak after childbirth, and the cervix has not yet closed. If trauma or sexual activity occurs during childbirth, pathogens can easily enter the uterine cavity, leading to transmission and thus causing acute pelvic inflammatory disease. Intrauterine devices (IUDs), generally reported to show that women using IUDs have a 2 to 4 times higher incidence rate compared to those who do not, even higher, of course, depending on the type of breast pump used.

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