Patient's question:
I've been feeling particularly uncomfortable with my body recently, especially with intense itching down there. Sometimes my discharge has been unusually heavy, and there's also been a strong odor. I went to the hospital for a check-up. The doctor told me I have pelvic inflammatory disease.Doctor's answer:
Chronic pelvic inflammatory disease (PID) that does not respond to prolonged treatment can lead to inflammatory fibrosis and hyperplasia, causing adhesions between the pelvic organs, intestines, omentum, and uterus, forming inflammatory masses. These masses gradually enlarge, and surgical intervention may be required during recurrent acute episodes.In cases of acute PID, if an adnexal abscess develops and symptoms do not improve within hours despite antibiotic and other medications, with persistent high fever, elevated white blood cell count, bilateral abscesses, or an increase in the size of the abscess compared to the original, surgical treatment may be considered.
Infertility caused by tubal adhesions due to chronic pelvic inflammation, resulting from inflammatory fibrosis and hyperplasia, can lead to adhesions or twists between the fallopian tubes and surrounding organs, or occlusion of the fimbriae, causing primary or secondary infertility. Surgical adhesiolysis or tubal ostomy may be performed to help restore fallopian tube function and improve fertility conditions.
Inflammation can cause cervical or uterine cavity adhesions, leading to reduced menstrual flow, amenorrhea, cyclic abdominal pain, and infertility. Surgical separation is required.
PID can cause an increase in leukorrhea. Women are advised to maintain external genital hygiene, clean and change underwear promptly, and keep the external genital area dry. A damp environment is a breeding ground for pathogens, so seek medical attention promptly if any discomfort occurs.