Hello, the physical examination generally includes routine hematuria, liver function and chest X-ray, but does not include gynecological examination. Now I have backache and increased secretion, so I can go to gynecological examination, and I have adnexitis or vaginal inflammation. Appendicitis or pelvic inflammatory disease can cause discomfort such as lower abdomen, backache, etc. If you need treatment, don't use excessive waist at ordinary times to avoid unclean life and pay attention to personal hygiene habits.