How to deal with chronic pelvic inflammatory disease that doesn't heal and keeps recurring

Patient's question:

Chronic pelvic inflammatory for half a year, pain on both sides of the lower abdomen, with a lump on the right side. Medication and topical treatments provide some relief, but they cannot cure it.

Doctor's answer:

1. Drug treatment
Antibiotics are the primary treatment for acute pelvic inflammatory disease, including various administration routes such as intravenous infusion, intramuscular injection, or oral administration. Broad-spectrum antibiotics should be used in combination with anti-anaerobic drugs, and the course of treatment should be sufficient. Additionally, traditional Chinese medicine treatment can be combined to achieve better efficacy.
2. Surgical treatment
Surgery is recommended for conditions such as hydrosalpinx or tubo-ovarian cysts. Small infection foci that repeatedly cause inflammation may also be treated surgically. The principle of surgery is to achieve complete cure, avoiding the recurrence of residual lesions. Appendectomy or salpingectomy may be performed. For young women, ovarian function should be preserved as much as possible. Since single therapy is less effective for chronic pelvic inflammatory disease, comprehensive treatment is preferred.