Patient's question:
I am 5 months pregnant and have pelvic inflammation. I want to ask you, what causes pelvic inflammation and how can it be prevented?Doctor's answer:
Hello, pelvic inflammatory disease (PID) is an inflammation of the female internal reproductive organs and the surrounding connective tissues, as well as the pelvic peritoneum. The inflammation can be limited to one area or occur simultaneously in multiple areas. It is classified into acute and chronic types. 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 and urinary system symptoms. Chronic PID is often the 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 fever, lower abdominal pain, and back pain. Other symptoms may include increased menstrual flow and leukorrhea. If ovarian function is impaired, menstrual disorders may occur. If fallopian tube adhesion or obstruction occurs, infertility may result. It is important to maintain good hygiene during the four phases (menstruation, pregnancy, postpartum, and lactation), actively treat vaginitis and cervical inflammation, and strengthen exercise to enhance physical fitness.