Patient's question:
The doctor told me that pelvic inflammatory disease is the same as adnexitis! I have some pain in my left abdomen, and the doctor prescribed three days of injections for me. After those three days of injections, does that mean my treatment is over? If it doesn't hurt now, do I still need injections? Or should I wait until the next time it hurts to get injections?Doctor's answer:
Hello: Pelvic inflammatory disease (PID) and adnexal inflammation are entirely different concepts! 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 localized to one area or occur simultaneously in multiple areas, and it 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 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 develop 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 and leukorrhea. If ovarian function is impaired, menstrual disorders may occur. If fallopian tube adhesion or obstruction occurs, infertility may result. Proper hygiene during the four phases of the menstrual cycle, active treatment of vaginitis and cervical inflammation, and regular exercise to strengthen the body are important. If surgical indications exist, surgical treatment should be performed. Comprehensive treatment is generally recommended for chronic PID.Because the fallopian tubes are adjacent to the ovaries, when the fallopian tubes become inflamed, they are often collectively referred to as adnexa. Therefore, inflammation of the fallopian tubes and ovaries is called adnexal inflammation. Chronic adnexal inflammation is very common and is often preceded by an acute inflammatory process before becoming chronic. In some cases, the acute inflammatory process may be, and the condition is already chronic upon discovery.
Causes of adnexal inflammation:
(1) It is often caused by infections after childbirth or miscarriage.
(2) It may sometimes be associated with the performance of sterile operations