Pelvic pain

Introduction The clinical features of pelvic septicemia are "three pains, two more and one less". That is, pelvic pain, low back pain, sexual pain, menstruation, vaginal discharge, gynecological examination with fewer positive signs. Pelvic venography is often required. Laparoscopic or surgical confirmation of pelvic vein thickening, detour, varicose veins, and other organic diseases of the reproductive organs are excluded. This disease is more common in early marriage, early childbirth, prolific, post-uterine, habitual constipation and long-term standing women, especially in patients with chronic abdominal pain after female sterilization, laparoscopic examination, the intrinsic detection rate is 29.76% At present, the main cause of this disease is surgical treatment.

Cause

Pelvic sputum is caused by chronic pelvic venous stasis, often with varicose veins in the vulva, cervix and lower extremities.

an examination

Related inspection

Three-in-patient X-ray oil angiography, sputum puncture, vaginal discharge, pelvic MRI

1. Pelvic pain, the cervix is purple-blue, the uterus is large and soft, and the accessory area around the palace is soft and tender.

2. Chronic lower abdominal pain, low back pain, sexual pain, more menstruation, more vaginal discharge.

3. Easy to fatigue, fatigue, poor sleep.

4. Cervical hypertrophy, purple blue, uterus large and soft, tender, the annex area of the palace and the posterior malleolus soft as a sponge, tenderness is obvious.

Differential diagnosis

Pelvic blood stasis: pelvic blood stasis syndrome (also known as pelvic sputum) is a special disease caused by chronic pelvic venous stasis, and is also one of the main causes of chronic pelvic pain in gynecology, more common in 30-50 years old women . Chinese medicine does not have this name. According to its clinical manifestations, it can be classified into abdominal pain, dysmenorrhea, and lowering. The pathogenesis is mainly blood stasis and dysfunction.

Pelvic abscess: more pelvic abscess is not treated in time by acute pelvic connective tissue inflammation. Suppuration forms a pelvic abscess. This abscess can be confined to one or both sides of the uterus, and pus flows into the deep pelvic cavity.

Pelvic sensation: The main symptom of pelvic weight is increased vaginal discharge. The color and amount of leucorrhea vary depending on the pathogen. The vaginal discharge can be viscous or amine, sometimes with bloodshot or a small amount of blood, or with contact bleeding. It can also manifest as a sudden onset of severe pelvic pain, accompanied by a pelvic mass that suggests severe potential lesions. An incarcerated uterus can cause acute pelvic pain in early pregnancy, often accompanied by uterine posterior tilt and pelvic adhesions. Acute growth or degeneration of uterine fibroids can also cause acute pain.

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