What is the cause of and menstrual disorders?

Patient's question:

Six years ago, I underwent a cesarean section surgery. In the following years, I was diagnosed with adnexitis, vaginitis, and prolonged menstrual bleeding lasting for half a month. I had almost no vaginal discharge, with a low menstrual flow. When it first started, I experienced mild abdominal pain and a pricking sensation in the left lower abdomen. I have no history of using an intrauterine device or miscarriage. I have been treated at Shandong University Hospital and had follow-up visits.
Treatment history and effectiveness: I took oral Chinese and Western medicine and used suppositories, but there was no improvement.
The kind of help I am seeking: How can my menstrual cycle return to normal, and how can my adnexitis and vaginitis be completely cured?

Doctor's answer:

From your description, it seems that your condition is due to a bacterial infection leading to adnexitis, which in turn has triggered a recurrence of menstrual irregularities. Your situation requires active treatment of the inflammation; only when the inflammation heals on its own can the menstrual irregularities return to normal. This can achieve good results in healing your inflammation. After healing, it is important to maintain the cleanliness and dryness of the external genitalia to prevent the recurrence of the infection.

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