How to treat menstrual disorders and pelvic inflammatory disease

Patient's question:

Ultrasound report shows a small amount of fluid in the pelvis and menstruation hasn't come for over a month. What medication should be used?

Doctor's answer:

Pelvic inflammatory disease (PID) is a gynecological condition that causes severe lower abdominal pain and significant pelvic inflammation upon examination. For patients with PID experiencing intense lower abdominal pain and evident pelvic inflammation during gynecological examinations, broad-spectrum antibiotics such as penicillins and cephalosporins, combined with metronidazole (metronidazole), should be administered via intravenous drip after the menstrual cycle ends. If the pelvic area has masses or the inflammation is severe and recurrent, surgical treatment may be a viable option.
Additionally, physical therapies such as shortwave, ultrashortwave, infrared, and drug iontophoresis can improve pelvic blood circulation and aid in the absorption of inflammation, and these methods can be selectively used. Chinese herbal medicines that promote blood circulation and clear heat-toxin can also be considered.
Gynecological diseases are conditions that are prone to recurrence. During treatment, women should pay close attention to self-care, particularly in terms of nursing care.

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