Monday, June 22, 2020

Be careful of chronic pelvic inflammatory disease leading to infertility

Pelvic inflammatory disease refers to inflammation of the inner genital organs' fallopian tubes, ovaries, and uterus and the connective tissue around it. It is divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease. The most common chronic pelvic inflammatory disease is salpingitis.

The normal conception is that after the ovulation, the umbrella end of the fallopian tube "picks up eggs", and then transports the egg through the fallopian tube to the uterus to wait for the sperm to meet the fertilization. Salpingitis causes the umbrella end at the opening of the fallopian tube to stick or even block, forming hydrops of the fallopian tube. Egg function, the mucosa of the inner wall of the fallopian tube is adhered due to inflammation, and the lumen is narrow and closed. The cilia in the lumen is responsible for oscillating the cilia tissue that transports the egg into the uterine cavity, and the movement is impeded, which hinders the transportation of the egg. Inflammation of the pelvic cavity continues to develop, the internal reproductive organs of the pelvic cavity become hard, stick together with the intestinal tube and other tissues, the fallopian tubes become rigid, and the loss of peristalsis can cause infertility. When the fallopian tube is blocked due to inflammation and edema of the mucosal wall, the egg that has not reached the uterine cavity will be fertilized in the fallopian tube with sperm from the uterine cavity, thereby forming a fallopian tube pregnancy, that is, an ectopic pregnancy.

Ovarian inflammation such as ovarian cysts and ovarian abscesses can cause irregular menstruation, irregular menstruation, and ovulation disorders. Even if ovulation occurs, the egg is in the pelvic inflammatory exudative tissue fluid. The inflammatory tissue fluid contains a large number of cytokines that harm the egg, resulting in a decline in egg quality. To increase the chance of infertility.

Uterine inflammation forms endometritis. The endometrium is a hotbed of fertilized eggs. When the endometritis is thin, the endometrium is easy to cause abortion, and the inflammatory exudate in the uterine cavity seriously affects the implantation of the fertilized egg. Cause infertility.

Pelvic inflammatory disease often recurs, persists, dysmenorrhea, chronic lower abdominal pain, sexual intercourse pain, etc. make the patient often in the treatment period, and the patient causes anxiety, irritability, depression and other negative emotions, which in turn leads to mental disorders, affects the relationship between couples, and sexual life Loss of interest also leads to infertility.

Therefore, patients with acute pelvic inflammatory disease should be actively and thoroughly treated, and antibiotics should be treated in sufficient quantities and courses to avoid prolongation and become chronic pelvic inflammatory disease. If the mass of pelvic inflammation is limited and the antibiotic treatment effect is not satisfactory, surgical treatment should be considered. Diagnosis of chronic pelvic inflammatory disease should change bad habits, avoid unclean sexual intercourse, avoid fatigue, strengthen physical exercise, increase individual resistance, cooperate with drug treatment, and reduce the chance of recurrence.

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