What is the reason for the perineum always being red and swollen before menstruation?

Patient's question:

In this period, due to gynecological diseases, the hospital gave me some liquid to wash. After washing, I didn't have my period. When I took some medicine, my period returned. However, before each menstrual period, the perineum is always red and swollen. What should I do? Please help me, I've been looking for an answer for a long time.
First follow-up question: The hospital said it was pelvic inflammatory disease, so they gave me those liquids to wash. After that, I didn't have my period. I went to the hospital again and took some medicine, and then my period returned. But now, before each menstrual period, the perineum is always red and swollen.

Doctor's answer:

Your condition would be best treated actively for pelvic inflammatory disease, but topical medications for pelvic inflammatory disease are ineffective! Pelvic inflammatory disease is an 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 occur simultaneously in multiple areas, and it can be classified as either acute or chronic. Acute pelvic inflammatory disease 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 symptoms related to the digestive and urinary systems. Chronic pelvic inflammatory disease is often a result of inadequate or incomplete treatment of acute pelvic inflammatory disease, poor patient constitution, and prolonged duration of the illness; 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. Menstruation may become heavier, and leukorrhea (vaginal discharge) may increase. If ovarian function is impaired, menstrual disorders may occur. If fallopian tube adhesion or blockage occurs, infertility may result. It is important to maintain good hygiene during the four phases (menstruation, postpartum, abortion, and post-abortion), actively treat vaginitis and cervical inflammation, and strengthen exercise to enhance physical fitness. If surgical indications exist, surgical treatment should be performed. For chronic pelvic inflammatory disease, a comprehensive treatment approach is recommended.

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