Don't assume that the crisp autumn air will protect you from gynecological diseases; pelvic inflammatory disease (PID) is also a serious concern in autumn. Due to a lack of understanding about PID, some women who have never had sexual intercourse are very confused when they develop it. Gynecologists point out that besides sexual activity, PID can also be contracted through other routes.
Five ways women who are not sexually active can get pelvic inflammatory disease
(1) Menstrual bath: Some pathogens can also ascend into the internal reproductive organs.
(2) Hematogenous transmission: This is mainly seen in tuberculosis, such as pulmonary tuberculosis. The tubercle bacillus can invade the genitals through the blood, causing genital tuberculosis. This is a relatively common occurrence.
(3) Non-sexual invasion of sexually transmitted pathogens: Sexually transmitted diseases are very common nowadays and can enter the reproductive tract through non-sexual routes. The most common non-sexual routes include staying in hotels, taking a bath in a bathtub, using a toilet, and wearing a bathrobe.
(4) Direct invasion: The most common is appendicitis. Due to delayed medical treatment, bacteria can break through the serosa of the appendix and flow into the right adnexa with the pus, and even affect the left adnexa.
(5) Lymphatic transmission: In patients with enteritis, especially severe colitis, pathogens can spread from the colon to the reproductive organs via the lymphatic vessels. For example, in patients with colitis, pathogens in the intestinal lumen can enter the left ovary and fallopian tube via the lymphatic vessels.
Four routine examinations are required for pelvic inflammatory disease.
1. Ultrasound examination: Generally, ultrasound examination will not reveal any abnormalities, unless there is hydrosalpinx or tubo-ovarian cyst, in which case a mass may be detected on ultrasound.
2. Abdominal palpation: During a routine gynecological examination, the uterus is typically retroverted, with limited mobility and tenderness. If an inflammatory mass has formed, it can be palpated beside or behind the uterus; this mass is also limited in mobility and tender.
3. Examination of secretions: In acute adnexitis, the leukorrhea may be purulent or homogeneous mucous, and the adnexa are often tender and painful to the touch. Sometimes, there may be inflammatory masses of adhesion to the fallopian tubes and ovaries with unclear borders and limited mobility.
4. Urinalysis: This test determines whether there are any abnormalities in the body's hormone levels and can also identify which pathogen is causing the problem.
Seven things to remember for daily care of patients with pelvic inflammatory disease
1. Drink plenty of water: Autumn weather is dry, and pelvic inflammatory disease can easily cause fever, so be sure to drink plenty of water to lower body temperature.
2. Avoid unnecessary examinations: Try to avoid unnecessary examinations to prevent the infection from spreading and causing inflammation to spread.
3. Avoid sexual intercourse during menstruation: Sexual intercourse should be avoided during menstruation to prevent infection. Menstrual pads should be kept clean and hygienic; sterilized sanitary napkins are best used.
4. Eat more light foods: Patients with pelvic inflammatory disease should eat a light diet. For those who like spicy food in autumn, be sure to control your cravings and reduce your consumption of spicy or cold foods. At the same time, you should supplement your nutrition by eating more foods rich in vitamins.
5. Pay attention to rest: Once you have pelvic inflammatory disease, you should pay attention to bed rest, and take a semi-recumbent position to localize the lesion.
6. Maintain genital hygiene: Female patients should keep their genital area clean, change underwear frequently, and ensure underwear is dry and clean. In autumn, when the sun is often less intense, it is important to avoid wearing damp underwear, as this may worsen the condition. Towels used for wiping and washbasins should also be sterilized.
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