Epidemiology
Etiology
- Pathogens
- Most common: Chlamydia trachomatis, Neisseria gonorrhoeae
Pathophysiology
Clinical features
- Lower abdominal pain (generally bilateral), which may progress to acute abdomen
- Nausea, vomiting
- Fever
- Dysuria, urinary urgency
- Menorrhagia, metrorrhagia
- Dyspareunia
- Abnormal vaginal discharge (yellow/green color)
Diagnostics
Treatment
Complications
- Long-term complications
- Pathophysiology: inflammation (e.g., salpingitis) →
- Tubal scarring
- Adhesions of the fallopian tubes and ovaries
- Hydrosalpinx: the accumulation of fluid in the fallopian tubes
- Manifestations
- Tubal infertility (related to loss of tubal ciliary function)
- Ectopic pregnancy
- Chronic pelvic pain