What to look out for when diagnosing pelvic inflammatory disease

Work pressure is getting higher and higher, time is getting tighter and tighter, the incidence of pelvic inflammatory disease is higher, and sometimes patients with pelvic inflammatory disease have more symptoms. So, what should we pay attention to when diagnosing pelvic inflammatory disease?

Patients with pelvic inflammatory disease must know that a correct diagnosis of pelvic inflammatory disease can lead to better treatment and faster treatment of the disease. The following points should be noted in the diagnosis of pelvic inflammatory disease:

1. The presence of pelvic inflammatory disease may not be confirmed solely by history, symptoms and signs. Even if it can be basically confirmed, the nature of the inflammation needs to be further clarified.

2. The secretions obtained by cervical os, posterior fornix puncture or laparoscopy should be subjected to bacterial smear and culture, including anaerobic culture examination, and drug sensitivity test to more accurately understand the pathogens and take targeted measures.

3. When asking about the medical history, pay attention to whether the patient has an intrauterine contraceptive device and whether he or she has frequent or promiscuous intercourse.

4. If possible, ultrasound examinations should be performed regularly to find out whether there is a mass in the pelvis. If there is, its nature must be determined whether it is an abscess. Pelvic abscesses are large, low in position, and can be touched. The diagnosis of fluctuating pelvic abscesses is generally not difficult. If necessary, puncture and aspiration can also be used. If pus is sucked out, the diagnosis can be confirmed. If possible, pus should be cultured as a common anaerobic culture to clarify the type of pathogen.

As for the prognosis of pelvic inflammatory disease, the patient's clinical condition should improve within 3 days after starting treatment, such as fever reduction, abdominal tenderness or rebound pain, uterine and adnexal tenderness, cervical lifting pain, etc. During this period, patients whose condition does not improve require hospitalization, further examination and surgery.