Patient's question:
Hello, I underwent a gynecological examination due to left-sided abdominal pain. The examination revealed some inflammation and mild vaginitis. At the time, the doctor pressed on the right side and there was tenderness, but after the examination, I felt pain in the right adnexa, which has worsened. Is there a problem? Is the pain caused by the pressure or due to inflammation? Thank you.Doctor's answer:
If the vagina has a localized infection with bacteria, it generally does not cause abdominal pain. However, there may be an increase in the amount of vaginal discharge. The inflammation of the cervix can be diagnosed by a gynecologist through the examination of the vagina. However, pelvic inflammatory disease (PID) requires an ultrasound for confirmation. It is recommended that during the examination, clinical symptoms should be considered for targeted testing. If there is an increase in vaginal discharge, a sample of the discharge should be taken for laboratory testing. If accompanied by abdominal pain, an ultrasound or color Doppler ultrasound can be used to determine whether there is inflammatory effusion in the pelvis, confirming whether there is pelvic inflammation.