Vaginal mucosa congestion and edema, strawberry cervix

Trichomonas found in vaginal secretions

Avoid sexual intercourse 24 to 48 hours before removal. Use medication. Do not use lubricant for the speculum. Keep warm after removal and send for examination in time.

Metronidazole can be used during pregnancy and tinidazole should be avoided

Vulvar erythema with scratches, vaginal mucosa redness and swelling, and white membrane attached

Initial treatment-7~14d

Consolidation treatment - 6 months

Vaginal mucosa normal

Homogeneous thin white vaginal discharge

Vaginal secretions pH>4.5

Amine odor test positive

Positive clue cells >20%

Systemic medication - metronidazole, tinidazole, clindamycin

Topical – Breastfeeding Clindamycin Ointment

Vaginal mucosal atrophy, congestion, edema, erosion

Sexually transmitted disease pathogens - Neisseria gonorrhoeae Chlamydia trachomatis

Endogenous Pathogens - Bacterial Vaginosis Pathogens Mycoplasma

Increased vaginal discharge, thick and purulent

Discharge irritates vulva itching and burning sensation

Bleeding between periods and bleeding after intercourse may occur

Combined with urinary tract infection, frequent urination, urgent urination and painful urination

Cervical congestion and edema, purulent discharge

One characteristic sign + one evidence of leukocytosis

Characteristic signs

White blood cell test

Neisseria gonorrhoeae

Chlamydia trachomatis

Timely, sufficient, standardized and thorough treatment of sexual partners at the same time

Empirical antibiotic treatment - suitable for patients with high-risk factors (<25 years old, multiple sexual partners, unprotected intercourse)

targeted antibiotic treatment

Chronic cervical mucositis - limited to cervical mucosa and submucosal tissue, increased cervical mucus, purulent discharge

Cervical polyps - cervical canal gland stromal hyperplasia protruding from the external cervical os, rarely malignant transformation

Cervical hypertrophy-glandular stromal hyperplasia Cervical hypertrophy and toughness

Cervical gland cyst is a physiological change

chronic cervical mucositis

Cervical hypertrophy - generally no treatment required

Cervical polyps - surgical removal and sent to pathology

Infection after intrauterine surgical procedures Sexual activity - more common in women who are sexually active Age - most common between 15 and 25 years old Lower genital tract infection-cervicitis vaginosis Poor sexual hygiene - vaginal douching during menstrual intercourse Severe spread to adjacent organs - appendicitis

Ascending spread of the reproductive tract - gonococcus and chlamydia are more common during non-pregnancy and non-puerperium period

Lymphatic system spread-anaerobic bacteria Escherichia coli Puerperal infection Post-abortion infection Post-IUD infection

Hematogenous spread-tuberculosis infection

Direct spread - appendicitis

Acute endometritis and uterine myositis - massive leukocyte infiltration under microscope

Acute salpingitis, fallopian tube pyometra, fallopian tube ovarian abscess

Acute pelvic peritonitis - the abscess can accumulate in the depression and can rupture into the rectum to relieve symptoms. It can rupture into the abdominal cavity and cause peritonitis.

Acute pelvic connective tissue inflammation-local thickening, soft texture, unclear boundary

Sepsis and Sepsis-Confirmed by Blood Culture

Perihepatitis-inflammation of the liver capsule without substantial damage

Lower abdominal pain and increased vaginal discharge

Fever, chills, headache, lack of appetite

Increased menstrual flow, prolonged menstrual period

Urinary system infection - frequent urination, urgent urination and painful urination

Abscess formation-mass Bladder irritation Rectal irritation

Gynecological examination-cervical tenderness, uterine body tenderness, adnexal area tenderness, vaginal purulent discharge, cervical congestion and edema

Medical history (abortion, ring, unclean sex) Symptoms (fever, lower abdominal pain, excessive discharge) Signs (positioning and pathological type) Auxiliary examination (CRP ESR B-ultrasound, hysteroscopy)

Basic criteria - uterine tenderness/adnexal tenderness/cervical tenderness

Additional diagnostic criteria

Specific standards

Antibiotics and surgical treatment if necessary

outpatient treatment

hospitalization

Infertility Tubal pregnancy Chronic pelvic pain Recurrent inflammation

physical signs

Infertility-Assisted Reproductive Technology

Chronic pelvic pain - no effective treatment Symptomatic treatment Traditional Chinese medicine physiotherapy

Recurrent attacks - surgery based on antibiotics

Hydrosalpinx - surgical treatment

Pay attention to sexual hygiene

Prompt treatment of lower reproductive tract infections

public health education

Strictly grasp surgical indications and perform aseptic procedures

Prompt treatment of pelvic inflammatory disease