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. After taking some medicine, my period returned. However, before each period, the perineum is always red and swollen. What should I do? Help me, I've been looking for a solution for a long time. First question supplement: 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 period, it's always red and swollen.

Doctor's answer:

Your condition is 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 the surrounding connective tissues, as well as the pelvic peritoneum. The inflammation can be limited 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 digestive and urinary system symptoms. 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 no obvious systemic symptoms, but may experience low fever, lower abdominal pain, and back pain. Menstruation may increase, and leukorrhea may also increase. If ovarian function is impaired, menstrual disorders may occur. Tubal adhesion and blockage can lead to infertility. It is important to maintain good hygiene during the four phases of the menstrual cycle, 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, comprehensive treatment is preferred.

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