Patient's question:
Detailed medical condition and purpose of consultation:Current general condition: Frequent bowel movements, sexual activity, right lower abdominal pain when buttocks are tapped.
Medical history: Always had menstrual pain (possibly genetic). Several years ago, had a few induced abortions. The first two were medication-induced, and the third pregnancy lasted nearly two months. Due to a yeast infection, a D&C was not possible, so another medication-induced abortion was performed. After confirmation from a clinic that the fetal tissue had been fully expelled, rest at home was advised. At home, dull lower abdominal pain persisted, and a few days later, sudden heavy bleeding occurred at night. Immediate return to the hospital for a D&C was performed, where some residual fetal tissue was removed. After returning home, menstruation became normal, but persistent lower abdominal pain continued. An ultrasound revealed no abnormalities, and a refusal was also recorded.
Doctor's answer:
Hello: Based on the situation you described, it appears that you currently need to continue active anti-inflammatory treatment. Regarding the absence of your menstrual period, it is unlikely that you are pregnant; it could be a symptom of menstrual irregularities caused by long-term medication use.Pelvic inflammatory disease (PID) refers to inflammation of the female internal reproductive organs and surrounding connective tissues, as well as the pelvic peritoneum. The inflammation can be localized to one area or affect multiple areas simultaneously and is classified as either acute or chronic. Acute PID is primarily caused by pathogens, and its clinical manifestations can vary depending on the severity and extent of the inflammation. Patients often experience high fever, chills, loss of appetite, and lower abdominal pain, and may also have digestive or urinary system symptoms. Chronic PID is often a result of inadequate or incomplete treatment of acute PID, poor patient constitution, and prolonged duration. It may also occur without a typical history of acute inflammation, and can manifest as acute episodes when the body's resistance is weakened. Patients typically have mild systemic symptoms, such as low-grade fever, lower abdominal pain, and back pain. Other symptoms may include increased menstrual flow, increased leukorrhea, menstrual irregularities due to impaired ovarian function, and infertility caused by tubal adhesion or obstruction.
In daily life, it is important to maintain good hygiene during the four phases of the menstrual cycle, actively treat vaginal infections and cervical inflammation, and strengthen exercise to enhance physical fitness. If surgical intervention is indicated, it should be performed. For chronic PID, a comprehensive treatment approach is recommended.