Diagnosis of gynecological symptoms after abortion in Yancheng

Diagnosis of gynecological symptoms after abortion in Yancheng ▌▌ Yancheng Xindongren Hospital, a public second-class hospital ▌▌ [:-and consultation:] Address: Yancheng Kaikai Avenue No.
Symptoms:
Bleeding: Abortion~ The bleeding after the day is like menstrual flow and is continuous.
Lower abdominal pain: Dysmenorrhea and lower abdominal distension and pain on both sides
Menstrual disorders: Menstrual flow may increase and menstruation may be irregular.
Cervical adhesion may cause amenorrhea, periodic abdominal pain, general discomfort, long-term infertility or recurrent miscarriage.
Infection may cause increased leucorrhea, sometimes bloody or bloodshot or foul-smelling.
Classification of common clinical diseases:
, acute and chronic pelvic inflammatory disease
Acute pelvic inflammatory disease mainly includes acute endometritis, acute salpingitis, acute fallopian tube and ovarian abscess, acute pelvic peritonitis, and acute pelvic connective tissue Histitis. The patient presents with an acute illness, an elevated body temperature, an accelerated heart rate, abdominal distension, tenderness, rebound tenderness, and muscle tension in the lower abdomen. Bowel sounds weaken or disappear. If the illness is severe, chills, high fever, headache, and loss of appetite may occur. Clinical manifestations may also vary depending on the severity and extent of inflammation.
Chronic pelvic inflammatory disease is more stubborn. The scar adhesions and pelvic congestion caused by chronic inflammation often cause lower abdominal distension, pain and lumbosacral soreness. Fallopian tube adhesions and obstruction can cause infertility and ectopic pregnancy. There are often increased leucorrhea, irregular menstruation, heavy menstrual flow, painful menstruation, unpleasant sexual sensation, and pelvic congestion, which can cause increased menstrual flow. Damage to ovarian function can cause menstrual disorders. Systemic symptoms are often indistinct, sometimes only low-grade fever and making one feel tired easily. Due to the long course of the disease, some patients may develop neurasthenic symptoms such as lack of energy, general discomfort, insomnia, etc. When patients have poor resistance, they are prone to acute or subacute attacks.
Endometriosis:
The patient complained that there was no pain during menstrual cramps in the past, but dysmenorrhea began to occur at a certain period. Some dysmenorrhea is severe and unbearable and requires bed rest or medication to relieve pain. Intrinsic endometriosis often causes increased menstrual flow and prolonged menstrual periods. It is often accompanied by infertility, painful sexual intercourse, loose stools, and cyclic symptoms of frequent urination and painful urination.
Cervicitis:
Increased leucorrhea, often purulent, is the most common, sometimes even the only symptom, with varying degrees of pain in the lower abdomen, lumbosacral region, and bladder irritation. This is because cervicitis often coexists with urethritis, cystitis or acute inflammation, acute endometritis, etc., which often causes other symptoms of cervicitis to be masked. Acute gonococcal cervicitis may have varying degrees of fever and leukocytosis. Urinary urgency, frequent urination, and painful urination may occur if combined with urinary tract infection. Some people have no obvious symptoms after suffering from acute cervicitis, so they are often ignored and develop into chronic cervicitis.
The main symptoms are increased leucorrhea and purulent mucus sometimes accompanied by bloodshot eyes. Cervical erosion is the most common local feature of chronic metritis.
Endometritis
Acute endometritis: Mainly manifested by acute onset of fever, lower abdominal pain, increased leucorrhea, sometimes bloody or foul-smelling uterus, sometimes slightly larger uterus with tenderness. Postpartum infection causes lochia to be earthy in color. Acute endometritis can further develop into myositis, salpingitis and pelvic inflammatory disease, aggravating the condition. The symptoms of chronic patients are basically the same and may include menorrhagia, lower abdominal pain and obvious lumbosacral distension.
There are no special clinical manifestations. Increased leucorrhea is generally thin, watery and light yellow, and sometimes bloody leucorrhea. Menstrual periods are still regular but the amount is increased. Irregular bleeding caused by anemia caused by intimal thickening and inflammation and congestion in a very small number of patients is rare. Bleeding may occasionally last for several hours or last for ~ days and then stop. Dysmenorrhea is more common in nulliparous women, but severe dysmenorrhea is rare. It may be caused by excessive thickening of the endometrium, which hinders normal tissue degeneration and necrosis and stimulates excessive spasmodic contractions of the uterus. About % of patients complain of lower abdominal distension and pain in the lumbosacral region during menstrual intervals.
.Adnexitis:
The degree of lower abdominal pain and fever varies slightly depending on the degree of inflammation. Some patients may have chills, headache, and loss of appetite before high fever. Increased leucorrhea is caused by the discharge of salpingitis secretions through the uterine cavity. Some cases have symptoms of intestinal and bladder irritation.
Lower abdominal pain and low-grade fever may have subacute attacks and temporary relief, as well as lumbosacral acidity, falling sensation, and sexual intercourse pain, which may recur and worsen after exertion, sexual intercourse, or menstruation. Elderly people with the disease may suffer from neurosis such as lack of energy, fatigue, general discomfort, insomnia, etc.