What are the clinical manifestations of pelvic inflammatory disease?

The clinical manifestations of pelvic inflammatory disease are very inconsistent. Many patients may be asymptomatic, while some patients have severe symptoms. Understanding the clinical manifestations of pelvic inflammatory disease is very helpful for our early treatment. So what are the clinical manifestations of pelvic inflammatory disease? Next, we ask experts to introduce the clinical manifestations of pelvic inflammatory disease.

The clinical manifestations of pelvic inflammatory disease include the following:

1. Menstrual disorders may cause menorrhagia in the early stage due to endometrial congestion and ulceration. Most patients have been ill for a long time when they seek medical treatment, and the endometrium has been damaged to varying degrees, which manifests as scanty menstruation or amenorrhea.

2. Lower abdominal pain Due to pelvic inflammation and adhesions, there may be varying degrees of lower abdominal pain, which worsens during menstruation.

3. If the systemic symptoms are in the active stage, there may be general symptoms of tuberculosis, such as fever, night sweats, fatigue, loss of appetite, weight loss, etc. Sometimes only fever occurs during menstruation.

4. Infertility is caused by the destruction and adhesion of the fallopian tube mucosa, which often blocks the lumen; or due to adhesions around the fallopian tube, the lumen sometimes remains partially unobstructed. However, the mucosal cilia are destroyed, the fallopian tube is stiff, the peristalsis is restricted, and the transport function is lost, and conception is impossible, so most patients are infertile. Genital tuberculosis is often one of the main causes of primary infertility.

5. Systemic and gynecological examinations vary greatly due to the degree and scope of the lesions. Many patients are diagnosed with endometrial tuberculosis only after undergoing diagnostic curettage for infertility, without obvious physical signs or other subjective symptoms. If a more serious patient has peritoneal tuberculosis, the abdomen will feel flexible or have signs of ascites during examination. When encapsulated effusion is formed, a cystic mass can be felt with unclear boundaries and inactivity. The surface has hollow percussion sounds due to intestinal adhesions. The uterus is generally poorly developed, and its movement is often restricted by adhesions around it. If the appendages are affected, masses of varying sizes and irregular shapes can be felt on both sides of the uterus. They are hard, uneven in surface, and appear as nodules or papillae, or calcified nodules can be felt.

In summary, the clinical manifestations of pelvic inflammatory disease are described above, and I hope it will be helpful to everyone. If you have symptoms of pelvic inflammatory disease, please go to the hospital in time to avoid delaying the disease and causing serious consequences. If you still have questions about pelvic inflammatory disease, please consult our online experts for answers.

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