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The most accurate diagnosis requires the use of laparoscopy, during which a scope is inserted near or through your belly button to examine the pelvic area. The procedure, however, is expensive and not done routinely. Diagnosis is most frequently based on clinical and laboratory findings, such as lower abdominal tenderness identified during a pelvic exam, abnormal vaginal discharge, and cervical infection with chlamydia or gonorrhea.
Because gonorrhea is often present in women without recognizable symptoms, more healthcare professionals are routinely testing young women for gonorrhea and chlamydia, particularly if they have a history of high-risk behaviors, which include having unprotected sex and multiple sex partners...
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