How does pelvic inflammatory disease lead to the formation of adhesions?

Patient's question:

I would like to learn more about the relevant knowledge of pelvic inflammatory disease. How does pelvic inflammatory disease lead to its formation? What are the factors, or in what aspects should we pay more attention to prevent this inflammation? When this disease is chronic or severe, what other more serious conditions can it lead to? Thank you!

Doctor's answer:

Hello:
Acute pelvic inflammatory disease refers to the inflammation occurring 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 increased vaginal discharge. The main causes of acute pelvic inflammatory disease are a decline in the body's resistance after childbirth, miscarriage, or cesarean section, poor sterilization during cervical surgery, lack of hygiene during menstruation, or sexual activity during menstruation, leading to various pyogenic bacterial infections. It can also be caused by inflammation in nearby pelvic organs spreading to the fallopian tubes or ovaries.
Prevention
1. Pay attention to hygiene during menstruation, pregnancy, and the postpartum period to reduce the risk of bacterial infection in the reproductive organs.
2. Avoid sexual contact with men who have sexually transmitted diseases.
3. Medical workers should strictly adhere to the indications for obstetric and gynecological surgery, prepare well before surgery, and ensure sterile procedures during surgery, including induced abortion, intrauterine device insertion, and diagnostic curettage. Postoperative care should be meticulous to prevent infection and ensure the complete cure of acute pelvic inflammatory disease to prevent it from becoming chronic.

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