Repeated lower abdominal pain even though it's not menstruation. Is it 'Pelvic inflammation'?
Jul 14, 2024
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Pelvic inflammation is a disease in which inflammation occurs in the upper genital organs such as the endometrium, endometrium, ovaries, ovaries, ovaries, and periuterine tissues. The main causes are Neisseria gonorrhoeae and Chlamydia trachomatis, which are sexually transmitted pathogens.
Professor Sang Jae-hong of obstetrics and gynecology at Soonchunhyang University Bucheon Hospital explained, "'Bacteria with bacterial vaginosis also cause acute inflammation of the upper reproductive system, and if tissue damage occurs, other strains may access the vagina, cervix, and upper reproductive system.'"
The main symptoms of pelvic inflammation are pelvic pain, fever, and pain in the uterine appendage such as the cervix, ovaries, and ovaries during examination. In addition, there may be abnormal symptoms of the urinary system, such as increased vaginal secretion, sudden increase in menstrual volume, fever and chills, and discomfort during urination. However, it is difficult to diagnose because there are cases where there are no symptoms at all.
Professor Sang Jae-hong "Lower stomach pain is often regarded as insignificant because there are many suspected causes. However, if pelvic inflammation is left unattended, it can cause damage to the oviduct that causes infertility and ectopic pregnancy, and complications such as chronic pelvic pain can occur due to chronic infections. Therefore, if you feel abnormal symptoms of urinary reproductive machinery, it is recommended to seek a diagnosis at a medical institution."
Pelvic inflammation in the pelvic cavity is checked by a doctor during diagnosis, checked for secretions such as coldness and pus in the vagina and intrauterine lumen, and culture tests are performed on the secretions to identify bacteria. Blood tests, ultrasound tests, and tests using laparoscopy are also helpful.
To treat pelvic inflammation, empirical broad-spectrum antibiotics with antibacterial power are administered to pathogens, including N. gonorrhea, Chlamydia, Gram-negative bacteria, anaerobes, and streptococci, to prevent tubal damage and chronic infections that cause infertility and ectopic pregnancy. Oral medication is as effective as inpatient treatment in mild and moderate pelvic inflammation, so outpatient treatment is performed, but inpatient treatment is required if symptoms are severe or abscesses are suspected. In addition, in the case of pelvic inflammation during pregnancy, ineffective oral antibiotic treatment, and inpatient treatment is recommended if surgical emergency diseases such as acute appendicitis cannot be excluded.
Severe pelvic inflammation can lead to ovarian abscesses, which are pus masses in the pelvic cavity. This means that the ovaries, ovaries, and intestines are tangled together due to inflammation to form a huge mass, and you must be hospitalized and treated with extensive antibiotics.
Professor Sang Jae-hong said, `In 75% of ovarian ovarian abscesses, antibiotic treatment alone improves, but if antibiotic treatment is not responsive, surgical treatment or pus removal through the skin should be performed. In addition, partners in women with pelvic inflammation should also be examined and treated for chlamydia and gonorrhea," he said.
Periodic examination is important to prevent recurrence after pelvic inflammatory treatment. Safe sex life practices, such as the use of condoms, are essential for prevention. Once infected with sexually transmitted diseases, sex should be restrained until treatment is completed.
Professor Sang Jae-hong "If you have abnormal symptoms such as lower abdominal pain, it is important to suspect the possibility of pelvic inflammation and seek immediate treatment. Early detection and proper treatment can lower the risk of serious complications," he stressed.
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