What are the obvious symptoms of pelvic inflammatory disease?

Patient's question:

Usually pressing the abdomen doesn't hurt, nor does it cause lower back pain, but when the doctor performs a gynecological examination, forcefully pressing the abdomen with their hand inserted into the vagina causes some pain. Is this pelvic inflammatory disease? I had an ultrasound, but nothing significant was found.

Doctor's answer:

Pelvic inflammatory disease (PID) can be acute or chronic. It refers to inflammation of the female internal reproductive organs (such as the uterus, fallopian tubes, ovaries, and pelvic peritoneum) and the surrounding connective tissues. PID is a common gynecological disease. It is divided into acute and chronic types, with different symptoms and causes. Symptoms may include lower abdominal pain, excessive vaginal discharge, fatigue, lower back pain, and menstrual disorders. It is recommended to try oral Chinese herbal medicine Gynecological Qianjin Tablets (capsules). Use 3–4 courses for more severe cases, while milder cases may require 2–3 courses, with each course lasting 14 days. This can lead to recovery. Pay attention to hygiene. Underwear for gynecological disease patients, used bathtubs, towels, etc., should be sterilized by boiling in hot water. If either partner has athlete's foot, it should be treated actively.

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