Patient's question:
Medical Description: I took a birth control pill around July 22nd. About a week later, I experienced either my period or bleeding, and I can't tell the difference. It has been intermittent ever since, with continuous bleeding. Before, it was bright red, brown, and black, odorless. Recently, it has been dark red and smelly, similar to a period. Today, it turned brown and black. I have also been experiencing lower abdominal pain recently, but it's not severe. Occasionally, it's psychosomatic.Medical History and Effectiveness: The day before yesterday, I had an ultrasound, which showed a small amount of pelvic effusion. The doctor prescribed Kunfukang capsules.
Help Needed: Can my condition be treated? Is it okay to take medication continuously? Is it better to have an intravenous drip? When would be a good time to follow up?
Doctor's answer:
Pelvic inflammatory disease (PID) refers to a general term for inflammation of the female internal reproductive organs, even leading to abscess formation, caused by pathogens spreading through the blood vessels, lymphatic vessels, or direct extension along the reproductive tract. It refers to the inflammation of the female pelvic reproductive organs, the connective tissues surrounding the uterus, and the pelvic peritoneum. The lesions are classified into endometritis, salpingitis, salpingo-ovarian abscess, pelvic peritonitis, and pelvic connective tissue inflammation. Based on the course of the disease and clinical manifestations, it can be divided into acute and chronic types. Chronic pelvic inflammatory disease is often a result of inadequate treatment during the acute phase, leading to prolonged duration and more stubborn conditions. Bacterial retrograde infection occurs when bacteria travel from the uterus and fallopian tubes to the pelvic area. Because the female reproductive system has natural defense mechanisms, under normal circumstances, it can resist bacterial invasion and prevent PID. However, PID occurs only when the body's resistance declines or when the natural defense mechanisms are compromised due to other reasons.