Patient's question:
How to solve this gynecological problem? Seeking opinions from all expertsHow to solve this gynecological problem? Seeking opinions from all experts!
Female: 24 years old, underwent a gynecological examination in January 2010, with normal results. Due to slightly increased vaginal discharge in the past two months, another health check-up was conducted on August 26, 2011. The examination results are as follows:
Examination Items:
1) Vaginal discharge RT cleanliness: IV, leucocytes:++, pus cells: -, red blood cells: -,: -, molds: positive, trichomonas: -, epithelial cells: +
2) Examination Items: BV positive
3) Ultrasound examination:
1. The uterus is in an anterior position, with clear margins, smooth capsule, regular shape, and slightly enlarged size (within normal limits). The muscular layer shows uniform echoes, the endometrial line is on the left, and shows a fan-shaped echo.
2. No significant cystic masses were detected in both adnexa.
3. An irregular fluid dark area was detected in the uterosacral fossa, measuring approximately 1.3 cm in depth, with internal penetration.
Doctor's answer:
Hello, for patients with pelvic inflammation who experience severe lower abdominal pain and show significant pelvic inflammatory signs during gynecological examinations, broad-spectrum antibiotics such as penicillins and cephalosporins, combined with metronidazole (Flagyl), can be administered via intravenous drip after the menstrual cycle ends. If there are pelvic masses or severe inflammation with frequent relapses, 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 resolution of inflammation, and may be used as appropriate. Chinese herbal medicines that promote blood circulation and clear heat-toxin can also be considered on a case-by-case basis.