Will the waist hurt if it is chronic pelvic inflammatory disease?

Patient's question:

Doctor, I will have a backache once every 1-2 months or even longer, and it usually occurs when I'm lying down. The pain is between my waist and pelvic area, as if it's being torn apart, but it goes away after 1 or 2 minutes. Everything is fine. I've been to the hospital for tests on my cervical mucus and colposcopy, and the doctor said my cervix and mucus are normal. I don't know what's causing my backache? Do I need other tests to find out? I've had nine abortions before. Could this be the reason for the lingering issue? What are the symptoms of chronic pelvic inflammatory disease? Looking forward to your reply.

Doctor's answer:

Hello: Based on the situation you described, it is recommended that you actively go to the hospital for a lumbar spine examination and a gynecological ultrasound. The symptoms of chronic pelvic inflammatory disease mainly include: 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 several areas. 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. 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 usually have no obvious systemic symptoms, but may experience low fever, lower abdominal pain, and back pain. Menstrual disorders and increased leukorrhea may occur. If ovarian function is impaired, menstrual irregularities may result. Tubal adhesion and obstruction can lead to infertility. It is important to maintain good hygiene during the four phases (menstruation, pregnancy, childbirth, and lactation), actively treat vaginitis and cervical inflammation, and strengthen exercise to enhance physical fitness. If surgical indications exist, surgical treatment should be performed. Comprehensive treatment is preferred for chronic pelvic inflammatory disease.

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