When inflammation occurs in the female internal genitalia, its surrounding connective tissue, and the pelvic peritoneum, it is called pelvic inflammatory disease. These include tubal inflammation, ovarian inflammation (collectively called adnexitis), myometritis, endometritis, pelvic peritonitis, pelvic nodulitis, and tubo-ovarian inflammation, among others. Most pelvic inflammatory diseases occur in sexually active women who have menstruation. Pelvic inflammatory disease rarely occurs before menarche, after menopause or in unmarried women, and if it does, it is often the spread of inflammation in adjacent organs. The inflammation may be limited to one site or may involve several sites at the same time, the most common being tubal and tubo-ovarian inflammation, while simple endometritis or ovarian inflammation is less common. There are two types of pelvic inflammatory disease: acute and chronic. The development of acute pelvic inflammatory disease can cause diffuse peritonitis, sepsis, infectious shock, and in severe cases can be life-threatening. If the acute phase is not completely cured, it turns into chronic pelvic inflammatory disease, which is often persistent and can recur, seriously affecting not only women’s health, life and work. The main factor that triggers pelvic inflammatory disease is the invasion of the internal genitalia by pathogenic bacteria. The main factor that causes pelvic inflammatory disease is the invasion of the genitalia by the causative agent. In severe cases, there may be high fever, headache, chills, loss of appetite, large amount of yellow leucorrhea with odor, abdominal distension, pressure pain, lumbar pain, etc. In case of peritonitis, nausea, abdominal distension, vomiting, diarrhea, etc. In case of abscess formation, there may be lower abdominal mass and local pressure irritation symptoms, and the mass may be located in the front with difficulty in urination, frequent urination, painful urination, etc.; the mass may be located in the back with diarrhea, feeling of urgency and difficulty in defecation. Diagnostic points: Acute pelvic inflammatory disease often has three main symptoms: chills, fever, abdominal pain or lumbago. If there is abscess formation, there may be a lower abdominal mass, often accompanied by urinary frequency, urinary urgency, and diarrhea. The vagina may be engorged with blood and have a large amount of purulent discharge. Chronic pelvic inflammatory disease has systemic symptoms such as low fever and fatigue, and some patients have neurological symptoms such as insomnia, mental discomfort, and peripheral discomfort due to the long duration of the disease. Lower abdominal swelling, pain and lumbosacral soreness, often intensified after exertion, sexual intercourse, before and after menstruation. Chronic inflammation can lead to pelvic stasis, excessive menstruation, menstrual disorders when ovarian function is impaired, and infertility when the fallopian tubes are obstructed by adhesions. Diagnostic points: Fever in chronic pelvic inflammatory disease is not very regular, sometimes only low fever. However, the symptoms of fatigue, lower abdominal swelling and lumbago are more obvious and tend to worsen around menstruation, after sexual intercourse and exertion. If the tubal adhesions are obstructed, infertility may result, and there may be menstrual disorders or excessive menstruation. The first of these is the fact that the company’s business is not a business. Because surgical operations are not completely aseptic, they have to pass through the vagina and the cervix, which are all germy. We must do some necessary routine checkups before the surgery, such as white belt routine, blood and urine routine, etc., in order to avoid the patient to perform the surgery in an inflammatory state and increase the chance of infection. Of course the infection is also related to the resistance of the individual, weak resistance can easily lead to pelvic inflammatory disease. 2, lower genital tract infection: mainly gonorrhea, chlamydia infection, because these germs easily along the cervical canal upstream into the pelvic cavity, and these pathogens are prone to cause extensive adhesions in the pelvic cavity. 3, sexual activity and poor sexual hygiene: menstrual sex, multiple sexual partners, unclean sex, the use of unclean pads, etc. Prevention: 1. After understanding the high-risk factors, we should try to strictly sterilize and operate aseptically during abortion and other procedures, and give the necessary antibiotics to fight infection after surgery, but not too much, and generally do not need intravenous fluids to fight infection. 2, post-operative follow-up visits, to understand whether there are post-operative complications, to give the necessary timely treatment, to avoid the occurrence of pelvic inflammatory disease. 3. Vaginitis and cervicitis should be treated promptly to avoid bacterial upstream infection. If acute pelvic inflammatory disease occurs, it should be treated promptly, with adequate dosage of antibiotics and thorough treatment, otherwise, it will be difficult to treat if it turns into chronic pelvic inflammatory disease. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who have been in the business for a long time. The following are some of the questions that patients often encounter in the clinic: 1. Often patients with ultrasound sheets suggesting pelvic effusion say that a hospital has diagnosed her with pelvic inflammatory disease, but she does not have any uncomfortable symptoms and asks if treatment is needed. We say that pelvic fluid depends on when, if just after ovulation a little pelvic fluid is a very normal situation, there is a small amount of pelvic fluid without inflammatory manifestations do not care, because normal people have some ascites, to ensure that the pelvic and abdominal cavity organs of some functions. 2, lower abdominal pain is all pelvic inflammatory? Many diseases can cause lower abdominal pain, such as ectopic pregnancy, appendicitis, miscarriage, intestinal obstruction, constipation, cystitis, endometriosis, pelvic stasis, pelvic infection, etc. All of them have different degrees of abdominal pain, so it is important to make the necessary examination to make a correct judgment. If ectopic pregnancy is treated as pelvic inflammatory disease, it can delay the condition and even cause death. The pelvic infection can manifest as chills and fever, loss of appetite, back pain, increased leucorrhea, and varies depending on the severity and extent of the inflammation, such as mass formation can compress the bladder and rectum, causing a series of accompanying symptoms such as anal swelling and frequent urination, often aggravated after exertion, sexual intercourse, before and after menstruation. If you go to the hospital for examination, you may find painful cervical lifting, uterine pressure, and adnexal masses. If you are not treated in a timely manner or if the treatment is not complete, it will turn into chronic pelvic inflammatory disease and it will not heal. 3. Is chronic pelvic inflammatory disease likely to cause infertility? Some patients who have been infertile for many years have been found to have chronic pelvic inflammatory disease after gynecological and ultrasound examinations, and laparoscopic examinations have revealed serious adhesions in the pelvic uterus and fallopian tubes, blockage of the fallopian tubes or fluid accumulation in the umbilical ends of the fallopian tubes, so of course it is impossible to conceive. General treatment: In the acute stage of pelvic inflammatory disease, rest in a semi-recumbent position to facilitate the limitation of inflammation. Increase nutrition, hydrate and correct dehydration and electrolyte disorders. If necessary, give several small blood transfusions to increase resistance. Avoid unnecessary gynecological examinations to avoid spreading the infection. Use physical cooling in case of high fever and give analgesics in case of heavy abdominal pain. Antibiotic treatment: It is best to select drugs according to bacterial culture and drug sensitivity test. Generally, clinical treatment should start with penicillin, gentamicin and methotrexate. If gonorrhea or chlamydia is suspected, or if the symptoms are severe, broad-spectrum antibiotics should be chosen. Attention should also be paid to the presence of anaerobic bacterial infections. Traditional Chinese medicine treats the symptoms of pelvic inflammatory disease with a variety of physical therapies to treat both the symptoms and the root cause. Oral administration of Chinese herbal medicine is combined with enemas, hot ironing of the abdomen, micro-glass physiotherapy, etc., which are highly effective.