Pelvic inflammatory disease and endometritis: What causes them

Patient's question:

Please let me know how pelvic inflammatory disease is caused. Why does my abdomen still hurt even after taking medication and getting injections? Also, does uterine inflammation lead to infertility? What should I do? What should I pay attention to? What can I eat and what should I avoid? I look forward to your reply! Thank you!
First follow-up question: Thank you for your help again.
I have taken medication and received injections,
and it has improved a lot, but my period came a week earlier, and it lasted eleven days. I don’t usually have such a long menstrual cycle.
Also, the amount of blood during my previous two periods was very small—only three or four.

Doctor's answer:

Hello, Acute pelvic inflammatory disease refers to inflammation that occurs in the pelvic reproductive system organs, the connective tissues around the uterus, and the pelvic peritoneum. It is characterized by high fever, lower abdominal and lumbosacral pain, and an increase in leukorrhea. The main causes of acute pelvic inflammatory disease are a decline in the body's resistance after childbirth, miscarriage, or cesarean section, poor disinfection during cervical surgery, lack of hygiene during menstruation, or sexual activity during menstruation, leading to various pyogenic infections, or inflammation of adjacent pelvic organs spreading to the fallopian tubes or ovaries.
If not cured, abdominal pain may occur. If uterine inflammation is not treated promptly, it can affect pregnancy, and should be treated actively. Maintain cleanliness in the vaginal area and avoid spicy and irritating foods.

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