Patient's question:
Recently, I've been experiencing lower abdominal pain, discomfort in the lower abdomen, increased vaginal discharge, yellow vaginal discharge, and a foul odor. My menstrual cycle is also irregular.Doctor's answer:
Hello! Ovarian nonspecific inflammation includes acute and chronic orchitis, with the former being much rarer than the latter. Ovaritis is often included within pelvic inflammatory disease (PID), so clinically, the following signs and symptoms are commonly observed:For acute cases, there may be fever, abdominal pain (dull pain without radiation to other areas), lower back and sacral pain, and a sensation of rectal fullness or pressure.
For chronic cases, symptoms are typically encompassed within chronic PID, such as lower back and sacral discomfort or aching pain, rectal fullness or pressure, poor appetite, general fatigue and weakness, poor mental state, menstrual changes (most commonly increased menstrual flow), and even lower abdominal masses.
Gynecological examination:
- In acute cases, there may be lower abdominal tenderness and guarding, rebound tenderness, cervical motion tenderness, a full posterior fornix, and sometimes palpable, poorly defined, soft masses in the adnexal region.
- In chronic cases, there may be lower abdominal tenderness, adnexal thickening, or even masses.
Additionally, infertility is another significant manifestation. Pelvic inflammation can lead to increased inflammatory secretions in the reproductive tract, impairing sperm survival and motility; tubal obstruction and hydrops may prevent sperm and eggs from meeting; ovarian adhesions or encapsulation can disrupt ovulation or prevent the fallopian tubes from retrieving eggs; and ovarian dysfunction may result in ovulatory failure and menstrual irregularities.