Chronic pelvic inflammatory disease is a common and frequent disease in women, often caused by menstrual bathing or incontinent intercourse, infection when dealing with childbirth, miscarriage, vaginal surgery, and the spread of appendicitis. Because of its long course and recurrent attacks, it brings distress to the lives and spirits of patients and even causes infertility. So what are the clinical symptoms of chronic pelvic inflammatory disease and what diseases should be distinguished from it? Now let’s find out together! The clinical manifestations of chronic pelvic pain: 1, chronic pelvic pain: chronic inflammation formed scar adhesions and pelvic congestion, often causing lower abdominal swelling, pain and lumbosacral pain, often intensified after exertion, sexual intercourse and before and after menstruation. 2, abnormal menstruation: pelvic stasis can lead to increased menstrual flow; ovarian damage can lead to menstrual disorders, endometritis often has irregular menstruation, elderly endometritis can have purulent discharge. 3. Infertility and ectopic pregnancy: tubal adhesions and obstruction can lead to infertility or ectopic pregnancy. The incidence of infertility after acute pelvic inflammatory disease is 20%-30%. 4. Systemic symptoms: sometimes it is not obvious that there is only a low fever, easy to feel tired, because of the long duration of the disease, some patients can appear neurological symptoms, such as mental discomfort, insomnia, discomfort around the body, etc.. When the patient’s resistance is poor, it is easy to have acute or subacute attacks. 5. Signs: In case of endometritis, the uterus is enlarged with pressure pain; in case of tubal inflammation, thickened fallopian tubes in the form of cords are palpated on one or both sides of the uterus with mild pressure pain; in case of hydronephrosis or tubo-ovarian cysts, cystic masses are palpated on one or both sides of the pelvis with restricted activity; in case of pelvic nodulitis, the uterus is often retroflexed, with restricted activity and fixed fire adhesions, and the uterus is thickened on one or The uterus is thickened and painful on one or both sides. The uterosacral ligament is often thickened, hardened, and painful to the touch. The differential diagnosis of chronic pelvic inflammatory disease: 1. pelvic stasis syndrome manifests as lumbosacral pain and abdominal cramps, radiating to the lower extremities, aggravated by prolonged standing and exertion. The cervix is purple-blue on examination, but the uterus and adnexa are not different. The diagnosis can be confirmed by pelvic venography. 2. Endometriosis The main manifestation is secondary progressive dysmenorrhea with menstrual disorders or infertility. The diagnosis can be made if there are painful nodules in the posterior wall of the uterus, uterosacral ligament, and posterior sunken recess. In addition, if chronic pelvic inflammatory disease is ineffective for a long time, the possibility of endometriosis should be considered. 3. Ovarian tumors Tubal effusion or tubal ovarian cysts need to be differentiated from ovarian cysts. In addition to a history of pelvic inflammatory disease, tubal ovarian cysts have a salami-shaped mass with thin walls and surrounding adhesions, whereas ovarian cysts are usually round or oval in shape with no surrounding adhesions and move freely. Inflammatory adnexal masses with surrounding adhesions are sometimes easily confused with ovarian cancer, which is cystic in nature while ovarian cancer is solid.