The most common disease in gynecology clinics is pelvic inflammatory disease. Women often go to the hospital with lower abdominal pain, abnormal leucorrhea, lumbosacral pain or irregular vaginal bleeding, and other discomforts. The most common manifestations are recurrent pelvic inflammatory disease, chronic pelvic pain, ectopic pregnancy, infertility, etc. Once these sequelae appear, medication will have little effect. The patient is tired of going to the doctor and suffers a lot. The incidence of pelvic inflammatory disease is increasing as people’s lifestyles and living environments change and as antibiotics are used irregularly. In the clinic, patients often ask me, “Dr. Yuan, why do I have pelvic inflammatory disease? How should I treat pelvic inflammatory disease? Can pelvic inflammatory disease be completely cured? Can surgery treat my recurrent pelvic pain? What should I pay attention to in my diet if I have pelvic inflammatory disease? Can pelvic inflammatory disease be prevented? And so on. Today we will focus on these issues and give you a general overview of pelvic inflammatory disease. 1. What are the clinical manifestations of pelvic inflammatory disease? Pelvic inflammatory disease refers to inflammation of the upper female reproductive tract and its surrounding tissues, mainly endometritis, myometritis, tubal inflammation, tubo-ovarian abscess, pelvic peritonitis, etc., of which tubal inflammation is the most common. The clinical manifestations of pelvic inflammatory disease can vary widely depending on the severity and extent of the inflammation. Typical manifestations include persistent lower abdominal pain, fever, painful intercourse, increased vaginal discharge, some patients show lumbosacral pain, abnormal vaginal bleeding, etc. When the inflammation involves the bladder, discomfort such as urinary frequency and urgency and painful urination can occur, while milder cases can be asymptomatic or have mild symptoms. 2. How does pelvic inflammatory disease occur? The main reasons for the occurrence of pelvic inflammatory disease are as follows: 1) pelvic inflammatory disease occurs mostly in sexually active women, while pelvic inflammatory disease rarely occurs before menarche, after menopause or in unmarried people. It can be said that bad sexual behavior is the main cause of pelvic inflammatory disease, mainly including: ① multiple sexual partners; ② high frequency of sexual intercourse; ③ first sexual intercourse at a young age ④ menstrual intercourse, etc. The first thing you need to do is to take a look at the website. 3. What are the dangers of pelvic inflammatory disease for women? The pelvic inflammatory disease is divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease (also known as pelvic inflammatory disease sequelae) Acute pelvic inflammatory disease: If not treated in a timely manner, it can develop into a pelvic abscess, which can develop into sepsis and infectious shock if the condition continues to worsen, endangering the patient’s life in severe cases. Most patients with pelvic abscesses require surgery, which means that the affected fallopian tubes, ovaries or uterus may need to be removed, and this means that the patient’s fertility, ovarian function or quality of life will be adversely affected. Therefore, women suffering from acute pelvic inflammatory disease must go to a regular hospital (preferably a local tertiary hospital obstetrics and gynecology department) for standardized treatment in a timely manner! Avoid serious consequences! The lower abdomen is swollen, painful and sore in the lumbosacral area, often aggravated by exertion, sexual intercourse and before and after menstruation. It is often accompanied by symptoms such as increased leucorrhea, excessive menstruation or dysmenorrhea. The patient’s resistance is poor and she is more susceptible to pathogenic infections than normal women, resulting in repeated acute or subacute attacks. These sequelae have long plagued women, causing great physical and mental pain, seriously affecting women’s reproductive health and quality of life, and increasing the economic burden on families and society. The relationship between pelvic inflammatory disease and tumors: more and more studies remind people that inflammation and tumors are closely related. The fallopian tube is the channel that connects the female reproductive system to the inside and outside of the pelvis, so it is very prone to inflammation leading to tubal inflammation, tubal effusion or tubal pus. Therefore, understanding pelvic inflammatory disease, preventing pelvic inflammatory disease, and standardizing treatment of pelvic inflammatory disease is an urgent need for every woman to maintain her health! 4.What should be done to completely cure acute pelvic inflammatory disease? 5. How should chronic pelvic inflammatory disease be treated and regulated? If pelvic inflammatory disease is not properly treated in time, it may turn into chronic pelvic inflammatory disease, which is the sequelae of pelvic inflammatory disease. The actual fact is that there is no effective treatment for chronic pelvic inflammatory disease, and the main clinical treatment for patients is comprehensive, including: (1) medication: the use of antibiotics combined with Chinese herbal therapy is the common clinical treatment for chronic pelvic inflammatory disease, and has some efficacy, but the sequelae of pelvic inflammatory disease is generally difficult to be completely cured by medication. (2) physical therapy: through the stimulation of warmth, into the pelvic tissue can promote local blood circulation, improve local tissue metabolism, in order to facilitate the absorption of inflammation and subside, including laser therapy, ultra-short wave therapy, microwave therapy, etc. (3) Surgical treatment: mainly used for the persistence of pelvic inflammatory masses, such as hydrocele and pus accumulation in the fallopian tubes, in addition, for serious pelvic and abdominal adhesions, adhesion release surgery can be performed to eliminate or relieve pelvic pain, at present, the clinical use of laparoscopic surgery for the treatment of chronic pelvic inflammatory masses or pelvic adhesions, the lower laparoscopic lesion removal is complete, most patients after surgery pelvic pain significantly relieved, surgery High satisfaction! However, because of the difficulty of the surgery, considering the efficacy and safety of the surgery, patients are best treated at the obstetrics and gynecology department of the local tertiary hospital! 6. How to prevent pelvic inflammatory disease? The following points can effectively prevent pelvic inflammatory disease in women’s lives (1) pay attention to the hygiene of sexual life, including avoiding multiple sexual partners; avoiding menstrual intercourse, bathing before sexual intercourse, moderate frequency of sexual life, avoiding unclean intercourse, away from sexually transmitted diseases. (2) Actively treat vaginitis. If there are abnormalities in the leucorrhea, such as purulent leucorrhea or leucorrhea odor, they should be treated promptly to avoid inflammation upstream infection of the pelvis, leading to pelvic inflammatory disease. (3) Pay attention to contraception. Clinically, too many young women feel that nowadays there are painless abortions and the surgery is painless, so they do not take abortion seriously, not knowing that repeated abortions, or even one abortion, may lead to pelvic inflammatory disease, uterine adhesions, ectopic pregnancy or even infertility, which they regret! (4) Pay attention to the standard operation of intrauterine surgery. If women need to perform abortion, curettage, IUD, IUD removal, tubal hysterosalpingography or hysteroscopy, they must go to a local regular hospital (preferably a tertiary hospital obstetrics and gynecology department) to avoid irregularities in the operation, which may lead to pelvic inflammatory disease. 7.What should I pay attention to in my life if I have pelvic inflammatory disease? When women have pelvic inflammatory disease, especially chronic pelvic inflammatory disease, besides going to a regular hospital for professional treatment, it is also important to pay attention to lifestyle and psychological adjustment in all aspects! This includes: taking rest, avoiding overwork and staying up late, reducing stress in all aspects of life, avoiding sex and strenuous exercise during inflammation, avoiding bad sex in general, not taking baths, avoiding swimming during menstruation, avoiding prolonged mahjong, eating a reasonable diet, and exercising properly to enhance physical fitness. In any case, pelvic inflammatory disease is a benign disease. For patients with chronic pelvic inflammatory disease, maintaining an optimistic attitude and good lifestyle habits can greatly reduce the recurrence of pelvic inflammatory disease! In short, pelvic inflammatory disease can be prevented by paying attention to a good lifestyle! If you have pelvic inflammatory disease, you should go to a regular hospital for professional treatment in time to avoid aggravation and reduce the occurrence of pelvic inflammatory disease sequelae.