Patient's question:
I naturally miscarried on January 6th of this year. On February 17th (5 days after my period ended), during a follow-up check, the doctor found thickening in my right adnexa and diagnosed me with adnexitis. (I had been hospitalized for 8 days after the miscarriage, and upon discharge, I was diagnosed with complete miscarriage. I was given clindamycin for inflammation via intravenous infusion because I am G6PD deficient and allergic to penicillin, so penicillin could not be used for treatment.) The doctor instructed me to receive 3 days of clindamycin for inflammation (it was originally supposed to be 7 days, but I had to go back to work and didn't have time, so I only received it for 3 days). Additionally, they prescribed 10 days of pain-relieving and fibroid-disolving capsules (Dongfang Jinbao, produced by Jilin Jinbao Pharmaceutical Co., Ltd.). After taking them, due to lack of time and other reasons, I did not follow up.Doctor's answer:
Hello, if you have a history of recurrent miscarriage or fetal demise, it is best to identify the cause before pregnancy. On days 3-5 of your menstrual cycle, use the electrochemical luminescence method to test for endocrine function and anti-embryonic antibodies. On days 3-5 after your menstrual period ends, undergo a vaginal examination, dynamic digital hysterosalpingography, and vaginal four-dimensional color Doppler ultrasound. Generally, this can lead to a definitive diagnosis. Some patients may still require further examination with an electronic hysteroscope or laparoscope. If inflammation is not in the acute phase, medication may not be effective. Through the above tests, in addition to identifying the cause of miscarriage, it can also determine whether there is tubal blockage, hydrosalpinx, or pelvic adhesions. Chronic inflammation is prone to cause tubal blockage, hydrosalpinx, and adhesions.