Patient's question:
I've been feeling particularly uncomfortable with my body recently, especially with intense itching down there. Sometimes my discharge has been unusually heavy, and there was also a strong odor. I went to the hospital for a check-up. The doctor told me I had pelvic inflammatory disease.Doctor's answer:
Chronic pelvic inflammatory disease (PID) that does not respond to long-term treatment can lead to inflammatory fibrosis and hyperplasia, causing adhesions between the pelvic organs, intestinal tubes, omentum, and uterus, forming inflammatory masses. These masses gradually enlarge, and surgical intervention may be required during recurrent acute episodes.If acute PID presents with an adnexal abscess, and symptoms do not improve within hours of antibiotic and other medical treatments, with persistent high fever, elevated white blood cell counts, bilateral abscesses, or abscesses that have enlarged compared to their previous size, surgical treatment may be considered.
Infertility caused by tubal adhesions due to chronic pelvic inflammation can result from inflammatory fibrosis and hyperplasia, leading to adhesions, twists, or fimbrial occlusion of the fallopian tubes. Surgical adhesiolysis or tubal ostomy may be performed to help restore fallopian tube function and improve fertility conditions.
Cervical and uterine cavity adhesions caused by inflammation can lead to cervical or uterine adhesions, resulting in reduced menstrual flow, amenorrhea, cyclical abdominal pain, and infertility. Surgical separation is required.
PID can cause an increase in leukorrhea. Women are advised to maintain external genital hygiene, promptly wash and change underwear, and keep the external genital area dry. A damp environment is a breeding ground for bacteria, so seek medical attention promptly if any discomfort occurs.