Determining the Problem

Diagnosing Chronic Pelvic Inflammatory disease

Diagnosing chronic pelvic inflammatory disease is not difficult...

The main symptoms include: pain in the lumbosacralis or lower abdomen, and increased pain before a period.

These symptoms can be aggravated by standing for long time periods and by sexual intercourse.

The more serious cases will affect the patient’s work, cause a discharge, difficult menstruation, hard to reach orgasm, blocked ovarian ducts, and eventual infertility.

Patients usually have a compromised immunity system, mental stress and general exhaustion.

Diagnosing Acute Pelvic Inflammatory disease

Clinical symptoms can include chills, fever, abdominal pain, elevated heartbeat rate, and vaginal discharge as a result of infection.

More serious symptoms are : a high fever, headache, sweating, lack of appetite, pain and tenderness in the lower abdomen, soreness round the waist, and a smelly, yellow discharge.

Once an abscess forms from the infection in the lower abdomen at the front, the patient will find it hard to urinate, or, may urinate frequently, and experience pain during urination.
If the tumor is at the back, they will experience diarrhoea and difficulty when defecating.

Acute pelvic inflammatory disease must be treated promptly and completely.

Tests for isolating the pathogens include: taking vaginal swabs, obtaining celiac fluid by a posterior fornix puncture for culturing.

The accuracy of ultrasound examination for identifying tumors or abscess caused by adhesions in the ovarian ducts or intestinal duct, is 85%.

Mild or medium pelvic inflammatory disease will not show up in an ultrasound examination.

Examination of the female’s sexual partner is very helpful in the diagnosis of female's pelvic inflammatory disease. It is very important to treat both partners when one of them is suffering from pelvic inflammatory disease, in order to avoid re-infection.

Common Pelvic Diseases/Problems

Problem physical features include:

• the uterus is inclined towards the back and it has become inflexible
• Ovarian ducts become swollen and tender
• Cystic tumor
• Thickened, tender, uterine canal

Pelvic inflammatory disease is common in ovarian ducts and pelvic connective tissue. The followings are the common types of pelvic inflammatory diseases.

• Salpingitis: This is the most common disease of pelvic diseases. The mucous and tissue of the fallopian tubes are damaged by inflammation. The fallopian tubes becomes thicker and fibrosis occurs. Around the ovaries, the fallopian tubes and surrounding organs, hard, fixed tumors appear.
• Chronic pelvic connective tissue inflammation: It is very common for inflammation to spread to the connective tissue of the uterus duct and uterosacral ligament. The local tissue become thicker and harder, and the uterus is fixed and inclined towards the scarred side.
• Salpingian edema and tubo-ovarian abscess: If ovarian ducts are inflamed their entrances will be closed. The serums penetrate into the ovarian ducts, stay there and form salpingian edema. If  pyosalpinx occurs, salpingian edema will form also after the pus been absorbed. If it affects the ovaries at the same time, tubo-ovarian abscesses will form.