Patient's question:
How should pelvic inflammatory disease be treated? Will it affect fertility? First follow-up question: Can pelvic inflammatory disease be detected through ultrasound?Doctor's answer:
Hello: Pelvic inflammatory disease (PID) 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. It is classified into acute and chronic types. Acute PID 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 PID is often a result of inadequate or incomplete treatment of acute PID, 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 typically have mild systemic symptoms, such as low fever, lower abdominal pain, and back pain. Other symptoms may include increased menstrual flow and leukorrhea. If the ovaries are damaged, menstrual disorders may occur. If the fallopian tubes are, infertility may result. Proper hygiene during the four phases of the menstrual cycle, active treatment of vaginitis and cervical inflammation, and regular exercise to strengthen the body are recommended. If surgical indications are present, surgical treatment should be performed. Comprehensive treatment is generally preferred for chronic PID.