Symptoms & Signs
- Abdominal distention or swelling
- Abnormal vaginal bleeding
- Abnormal vaginal discharge
- Discomfort with bowel movement (constipation may occur)
- Fever (100 to 104 degrees Fahrenheit)
- General discomfort, uneasiness, or ill feeling (malaise)
- Lower abdominal or pelvic pain (uterine pain)
Diagnosis & Tests
The health care provider will perform a physical exam and a pelvic exam. The lower abdomen may be tender. Bowel sounds may be decreased. A pelvic exam may show the uterus and cervix is tender. There may be cervical discharge.
The following tests may be performed:
- Cultures from the cervix for chlamydia, gonorrhea, and other organisms
- Endometrial biopsy
- ESR (sedimentation rate)
- WBC (white blood count)
- Wet prep (microscopic exam of any discharge)
Review Date : 11/1/2009
Reviewed By : Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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