Three (2.36%) had Reiter's syndrome, 2 (1.57%) conjugal melasma and 1 (0.79%) each had primary and secondary infertility. Melasma was found in only 4 (3.15%) cases during pregnancy and in one with history suggestive of antepartum PID. [ijdvl.com]

Reiter's syndrome (reactive arthritis). In pregnancy: PID is associated with an increase in preterm delivery, and maternal and fetal morbidity. Neonatal: perinatal transmission of C. trachomatis or N. gonorrhoeae can cause ophthalmia neonatorum. [patient.info]

Other associated findings include 7 : soft tissue stranding and infiltration of pelvic floor fascial planes thickening of uterosacral ligaments Ultrasound Ultrasound often only demonstrates ascitic fluid in the peritoneal cavity or non-specific thickening [radiopaedia.org]

The four overarching themes were: (1) the patients' characteristics, including pregnancy aspiration and the fear of serious gynecological disease; (2) the patient-practitioner relationship, including the acupuncturist's attitude towards the patients and [ncbi.nlm.nih.gov]

If an abscess is present, pus can be aspirated with a syringe and needle. If the abscess is removed, a section of the abscess wall should be sent for culture. [glowm.com]

Support Yang Eliminate Stasis Stop pain Herb Formulas Points Clinical Manifestations Distending pain in the lower abdomen, with guarding May be distending pain in the chest and breasts Epigastric distention Anorexia Restlessness Irascibility Frequent sighing [americandragon.com]

BACKGROUND AND OBJECTIVES: Both irritable bowel syndrome and some gynaecological diseases can give rise to lower abdominal pain, which may result in diagnostic confusion. [ncbi.nlm.nih.gov]

[…] eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude [americandragon.com]

Those symptoms may include fever, foul-smelling vaginal discharge, pain or burning during intercourse or urination, irregular menstrual periods and abdominal pain and cramps. [ic.steadyhealth.com]

Both international and national guidelines encourage doctors to treat for PID when a woman presents with lower abdominal pain and all other causes have been excluded. [theconversation.com]

Tags: abdominal pain chronic recurrent abdominal pain dysuria Ovarian Torsion sexual transmitted disease Sean M. Fox I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. [pedemmorsels.com]

[…] medicinal douches or enemas, medicinal poultices or physical therapy to enhance therapeutic effects Treatment Principle Herb Formulas Points Clinical Manifestations Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations [americandragon.com]

The diagnosis for PID is made basing on a physical exam, comprising of abdomen palpitation and internal or pelvic exam, during which the doctor will look for abnormal vaginal discharge, abscesses near or on ovaries or tubes, as well as pain or tenderness [ic.steadyhealth.com]

Aching weakness in the waist and knees Dizziness Tinnitus Aversion to Cold Cold limbs Polyuria Nocturia Loose stools T: Pale C: White and smooth P: Deep and feeble Treatment Principle Warm the Kidneys Support Yang Eliminate Stasis Stop pain Herb Formulas [americandragon.com]

vision Heart palpitations Insomnia Dry constipation A sallow complexion T: Pale C: Scanty P: Thready and forceless Treatment Principle Generate Blood Nourish the Nutritive Level Eliminate Stasis Stop pain Herb Formulas Points Clinical Manifestations [americandragon.com]

eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal [americandragon.com]

[…] and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat [americandragon.com]

[…] pain Anxiety Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing [americandragon.com]

Douching increases the risk for PID because it destroys the protective normal flora of the vagina, and it could flush bacteria up into the uterus. Risk of reoccurrence of PID is possible with the use of latex condoms. [medical-dictionary.thefreedictionary.com]

Secondary outcomes include the recurrence rate and side effects, such as pneumothorax, bleeding, serious discomfort, subcutaneous nodules, and infection. [ncbi.nlm.nih.gov]

Chloasma, oral contraceptives, and plasma b-melanocytic-stimulating-hormone. J Inves Dermatol 1977;68:169-70. [ PUBMED ] 7. Sawhney MPS. Chronic actinic dermopathy - A clinical study in Ladakh. Indian J Dermatol Venereol Leprol 2002;68:38-9. 8. [ijdvl.com]

This study highlights that melasma in women is possibly due to photosensitivity in patients with chronic PID in a majority of cases. [ijdvl.com]

Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis [americandragon.com]

The four overarching themes were: (1) the patients' characteristics, including pregnancy aspiration and the fear of serious gynecological disease; (2) the patient-practitioner relationship, including the acupuncturist's attitude towards the patients and [ncbi.nlm.nih.gov]

We found being diagnosed with PID was a distressing experience for most women, with fears focused mostly on future fertility. Infertility worries influenced the way women viewed themselves. [theconversation.com]

Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia [americandragon.com]

Long-term pelvic pain Some women with PID develop long-term (chronic) pain around their pelvis and lower abdomen, which can be difficult to live with and lead to further problems, such as depression and difficulty sleeping (insomnia). [nhs.uk]

[…] instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence [americandragon.com]

[…] with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo [americandragon.com]

METHODS: A literature search will be conducted electronically with date up to October 2018 in MEDLINE, Cochrane Library, EBASE, and CNKI databases, using combination subject terms of chronic pelvic pain (or chronic pelvic inflammation, and chronic pelvic [ncbi.nlm.nih.gov]

And early presentation for the diagnosis and treatment of pelvic pain should be a key message of all sexual health promotion programs. [theconversation.com]

Haggerty CL, Schulz R, Ness RB (2003) Lower Quality of Life Among Women With Chronic Pelvic Pain After Pelvic Inflammatory Disease. Obstet Gynecol 102:934–939 Google Scholar 6. [link.springer.com]

The most common physical exam findings are bilateral adnexal tenderness and purulent cervical discharge. Cervical motion, uterine, and lower abdominal tenderness may also be present. [saem.org]

Tenderness The following add support for the diagnosis: Fever ( 101 F / 38.3 C) Mucopurulent cervical discharge or friability Wet prep with abundant WBC We always consider: Chlamydia trachomatis Neisseria gonorrhea Rates of these two being the primary [pedemmorsels.com]

Sensitivity of clinical diagnosis PID was improved when the patient had adnexal tenderness on exam.) Westrom, L, Joesoef, R, Reynolds, G, Hagdu, A, Thompson, SE. “Pelvic inflammatory disease and fertility. [clinicaladvisor.com]

Pelvic inflammatory disease should be suspected in at risk patients who present with pelvic or lower abdominal pain with no identified etiology, and who have cervical motion, uterine, or adnexal tenderness. [aafp.org]

Occasionally, dyspareunia or dysuria occurs. Many women with inflammation that is severe enough to cause scarring have minimal or no symptoms. [merckmanuals.com]

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. Right upper quadrant pain from perihepatitis in Fitz-Hugh-Curtis syndrome is possible. [radiopaedia.org]

The woman usually presents with symptoms of pelvic pain, heavy and painful menstrual periods, pain with intercourse (dyspareunia) and/or infertility that triggers an evaluation that reveals extensive pelvic scar tissue. [haveababy.com]

[…] unexplained and untreated abdominal pain are significantly more likely to have tubal infertility than women without such history; therefore caution should be used in dismissing mild symptoms (mild non-specific abdominal pain, vaginal discharge, bleeding or dyspareunia [pedsinreview.aappublications.org]

Other causes of dyspareunia - eg, endometriosis. Investigations Pregnancy test (pregnant women with PID should be admitted; ectopic pregnancy may be confused with PID). [patient.info]

Long-term pelvic pain Some women with PID develop long-term (chronic) pain around their pelvis and lower abdomen, which can be difficult to live with and lead to further problems, such as depression and difficulty sleeping (insomnia). [nhs.uk]

Repeated episodes of PID can result in scarring of the Fallopian tubes, which can lead to infertility, ectopic (tubal) pregnancy, or chronic (long-term) pelvic pain. Among women who have had PID, 1 in 8 have difficulties getting pregnant. [my.clevelandclinic.org]

This damage can lead to serious health problems such as infertility (unable to have children) or chronic pelvic pain. Some women may even experience ectopic pregnancies (pregnancies outside of the womb). [bphc.org]

pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red [americandragon.com]

Erythrocyte sedimentation rate (ESR) — The rate at which red blood cells settle out in a tube of unclotted blood, expressed in millimeters per hour; elevated sedimentation rates indicate the presence of inflammation. [medical-dictionary.thefreedictionary.com]

Insistence on rigid diagnostic criteria such as fever, abdominal tenderness, leukocytosis, and an elevated sedimentation rate can uncover only the most overt cases of PID while excluding most cases. [glowm.com]