How did you get pelvic inflammatory disease?

There are many causes of pelvic inflammatory disease, and its main clinical manifestations are menstrual disorders, increased leucorrhea, low back and abdominal pain, and infertility. If chronic adnexitis has formed, a lump may be felt.

There are mainly the following reasons:

1. Poor menstrual hygiene: If you do not pay attention to menstrual hygiene, use unclean sanitary napkins and panty liners, take a bath during menstruation, have sexual intercourse during menstruation, etc., pathogens can invade and cause inflammation.

2. Postpartum or post-abortion infection: After delivery, the mother is weak, the cervix fails to close in time due to the outflow of residual blood and turbid fluid, there is a placental detachment surface in the uterine cavity, or the birth canal is damaged during delivery, or there are residual placenta and fetal membranes, or there is sexual intercourse too early after delivery, pathogens take advantage of the opportunity to invade the uterine cavity and easily cause infection; post-abortion infection can occur if vaginal bleeding lasts too long during spontaneous abortion or medical abortion, or there is tissue residue in the uterine cavity, or the aseptic operation of the artificial abortion operation is not strict, etc.

3. Direct spread of inflammation from adjacent organs: The most common cases are appendicitis and peritonitis. Since they are adjacent to the female internal reproductive organs, inflammation can spread directly and cause pelvic inflammation. In chronic cervicitis, inflammation can also spread through the lymphatic circulation and cause pelvic connective tissue inflammation.

4. Acute attacks of chronic pelvic inflammatory disease, etc.

5. Infection after intrauterine surgical operation: such as placement or removal of intrauterine contraceptive ring, curettage, tubal insufflation, hysterosalpingography, hysteroscopy, submucosal myomectomy, etc. Due to sexual life before operation or lax surgical disinfection or inappropriate selection of preoperative indications, the original chronic inflammation of the reproductive tract may be disturbed by the operation and cause acute attack and spread; some patients do not pay attention to personal hygiene after operation, or do not follow the doctor's orders after operation, which may also cause bacteria to ascend and cause pelvic inflammatory disease.