Pelvic inflammatory disease, marriage for more than half a year without pregnancy, can contrast examination be done?

Patient's question:

In 2009, I experienced lower left abdominal pain, which worsened during menstruation. When I pressed the area, it felt hard, and I easily felt tired and couldn't do heavy labor. My lower back also hurt a lot. My menstrual cycle became irregular as well. Between 2010 and 2012, there were always brownish secretions before and after my period. I felt cold and was afraid of cool temperatures. Later, I went to Hanqi West River Hospital, where they diagnosed me with adnexitis and prescribed gynecological medication. Then, I went to Tianjin General Hospital, where they also diagnosed me with adnexitis and prescribed anti-inflammatory drugs. There were both traditional Chinese medicine capsules and Western medicine, but my condition did not improve. The symptoms came and went, and by June 2012, I got married. By New Year's Day in 2012, I still had not become pregnant and was very worried, wanting to undergo imaging.

Doctor's answer:

Gynecological diseases, such as vaginitis, pelvic inflammatory disease, adnexitis, cervical inflammation, and others, because the female's uterine appendages are very close to the bladder, when gynecological inflammation is not actively treated and leads to upward infection, it can also affect the bladder, causing symptoms of urinary tract infection. It is recommended to go to the hospital for ultrasound, leukorrhea routine, and urine routine tests to identify the cause and actively treat it. It is also advisable to drink more water and avoid holding urine.

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