Patient's question:
Recently, I have been experiencing lower abdominal pain frequently, accompanied by fever. During a gynecological examination, there was significant tenderness and rebound tenderness in the adnexal area. The doctor said this is a symptom of adnexitis, indicating that I have adnexitis. Please advise on how to treat gynecological inflammation, adnexitis, and pelvic inflammatory disease.Doctor's answer:
Pelvic inflammatory disease (PID) can cause severe lower abdominal pain and significant pelvic inflammation upon gynecological examination. For such cases, broad-spectrum antibiotics such as penicillins and cephalosporins, combined with metronidazole, should be administered via intravenous drip after menstruation. If there are pelvic masses or severe inflammation with frequent relapses, surgical treatment may be appropriate.Additionally, physical therapies such as shortwave, ultrashortwave, infrared, and drug iontophoresis can improve pelvic blood circulation and aid in the resolution of inflammation, and these methods can be considered for use. Chinese herbal medicines that promote blood circulation, remove blood stasis, clear heat, and detoxify may also be used as needed.
There are many treatment methods for adnexitis, but since the patient's condition varies, the diagnostic approach may differ. Therefore, it is recommended that patients seek diagnosis and treatment as soon as symptoms appear.