Introduction
The reason for the patient’s visit was a complaint about menstrual irregularity, frequent itching, and burning in the lower quadrant, as well as pain during urination. In particular, she is concerned about painful and irregular menstruation and discomfort during urination and sexual intercourse.
Discussion
In this case, it is evident that the woman’s problem is associated with pelvic inflammatory disease (PID). This is an infection of the upper parts of the female genital organs (uterus, fallopian tubes, and ovaries), and inflammatory diseases of the pelvic organs usually occur in sexually active women (Mayo Clinic Staff, 2022). Most often, this infection occurs in the case of the spread of sexually transmitted bacteria (Mayo Clinic Staff, 2022). Therefore, the causes of these symptoms could be bacterial sexually transmitted infections such as gonorrhea, chlamydia, trichomoniasis, and mycoplasmosis, as well as infections during twins vaginally, abortion, or other medical intervention.
Based on the woman’s words, it is assumed that the symptoms of inflammatory diseases of the pelvic organs arose at the end of menstruation. The first symptom was mild to moderate pain in the lower abdomen, which could be more severe on one side. Other symptoms include irregular vaginal bleeding. As the infection spread, the pain in the lower abdomen became more severe and could be accompanied by a not-very-high temperature, nausea, and vomiting. Later, the temperature could rise, and the discharge often became like pus. The woman additionally reported that she experienced pain during sexual intercourse and urination.
Conclusion
One should note that inflammatory diseases of the female pelvic organs can develop if an infectious agent penetrates into the genital tract sexually or due to poor personal hygiene (for example, enterococcus, chlamydia, or trichomonas). It is worth noting that usually, when a parasitic microorganism enters the genital tract, natural defense mechanisms are triggered: from local immunity to anatomical features.
Reference
Mayo Clinic Staff. (2022). Pelvic inflammatory disease (PID). Mayo Foundation for Medical Education and Research (MFMER). Web.