Brief Answer:
Possible causes of pelvic infection
Detailed Answer:
HiXXXX.
I have seen your CT report .The reason for pelvic infection can be any organisms ascending from the genital tract and affecting all structures,starting from uterine lining(endometrium), tubes, ovaries and
peritoneum.It is hard to pin point a single thing, but in about 50-60% cases, the reason is sexually transmitted infection caused by
Neisseria gonorrhoeae and Chlamydia . The route may be any( via blood,lymphatic,break in local defence,previous histiry of PID, as in your case,post partum infection and so on.
The thing is how to get hold of it and treat it and try to prevent recurrence.
The only definitive criteria is to get blood tests done for STIs, gram stainig and histopathological evidence of
endometritis, which can only be done by
endometrial biopsy , as advised to you and also PCR of endometrial curettings to rule out
genital tuberculosis. Don't worry, taking this biopsy is a very simple procedure and nothing felt afterwards.
Other tests I have already explained you. ESR,CRP CBC,RBS ,Urine routine ex. can be done.CT scan has already been done and any pathology in other abdominal organs ruled out, including gut.
Cyst in ovary of this size and
follicular cyst is not at all causing this problem.It is not that cyst in rt. ovary earlier is now on left.It is normal process going on. Any follicle size increasing in size is called ca cyst. There is no endometroma,as seen in your CT report.
Another test is then
laparoscopy.
Thanks.I hope I have answered your queries and if satisfied you can close the discussion.