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Illustration of pelvic inflammatory disease. Symptoms in PID range from none to severe. If there are symptoms, fever, cervical motion tenderness, lower abdominal pain, new or different discharge, painful intercourse, uterine tenderness, adnexal tenderness, or irregular menstruation may be noted. [2] [1] [13] [14]
In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [2] Injury incurred to fascia membranes and other connective structures can result in cystocele, rectocele or both. Treatment can involve dietary and lifestyle changes, physical therapy, or surgery. [3]
[2] [3] Urinary symptoms, such as uncontrollable loss of urine or difficulty urinating, may also be present. [3] Complete uterine prolapse in which the uterus protrudes through the vaginal hymen is known as procidentia. [6] In the absence of treatment, symptoms of procidentia may include purulent vaginal discharge, ulceration, and bleeding.
Historically, discussions surrounding feminine reproductive and sexual health have been subject to social stigma within Western society. [3] Women in Western society may avoid discussing problems relating to the female reproductive system, including problems related to female sexual health, with their healthcare providers. [3]
Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [5] Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue. [6]
Pain and infertility are common symptoms, although 20–25% of affected women are asymptomatic. [1] Presence of pain symptoms are associated with the type of endometrial lesions as 50% of women with typical lesions, 10% of women with cystic ovarian lesions, and 5% of women with deep endometriosis do not have pain. [19]
Endometritis is inflammation of the inner lining of the uterus (endometrium). [6] Symptoms may include fever, lower abdominal pain, and abnormal vaginal bleeding or discharge. [1] [4] It is the most common cause of infection after childbirth.
Pelvic abscess is a collection of pus in the pelvis, typically occurring following lower abdominal surgical procedures, or as a complication of pelvic inflammatory disease (PID), appendicitis, or lower genital tract infections. [1] Signs and symptoms include a high fever, pelvic mass, vaginal bleeding or discharge, and lower abdominal pain. [1]