What causes pelvic inflammatory disease

Patient's question:

Lately, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect my fertility, and I also feel extremely cold and afraid of the cold. What causes pelvic inflammatory disease?

Doctor's answer:

(1) All treatment regimens must be effective against Neisseria gonorrhoeae and Chlamydia trachomatis, because negative findings in endometrial and cervical screening cannot rule out upper genital tract infection.
(2) The currently recommended treatment regimen should have an antibacterial spectrum that covers anaerobic bacteria.
(3) Treatment should begin immediately, as timely and appropriate use of antibiotics is directly related to long-term prognosis.
(4) When determining the treatment regimen, factors such as efficacy, cost, patient adherence, and drug sensitivity should be comprehensively evaluated.
(5) Administration method: Intravenous and non-intravenous administration, as well as whether hospitalization is required, should be determined by the physician's judgment.

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