Patient's question:
Detailed medical condition and consultation purpose:I had an abortion in April, and after ten months, I was diagnosed with vaginitis. I was treated with Daktarin suppositories, and the symptoms disappeared after two months without follow-up. However, starting in April, I experienced menstrual pain, insomnia with frequent dreams, fatigue, lower abdominal heaviness and distension. After November, I developed urinary frequency. Recently, a hospital examination revealed pelvic inflammation and adnexal inflammation. The doctor prescribed Western medicine Methylprednisolone and Chinese medicine Hemostatic and Phlegm-Dissolving Capsules. I have taken Methylprednisolone for three days and have resumed eating, while continuing to take the Chinese medicine. However, I haven't noticed significant improvement. The pharmacist recommended Levofloxacin Hydrochloride Capsules, which I am currently taking.
Doctor's answer:
Hello: Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis can be made based on medical history, symptoms, and physical examination. In terms of treatment, single therapy for chronic pelvic inflammatory disease is often less effective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are used in conjunction with dexamethasone. Oral dexamethasone 0.75mg, taken three times daily, should be gradually reduced when discontinuing the medication. Alternatively, a-? protease 5mg or hyaluronidase 1500u can be administered intramuscularly, once every other day, with 7 to 10 doses constituting one course, to facilitate adhesion resolution and inflammation absorption. Additionally, topical treatments such as "Pain Clear," "Women's Comfort," and the external rinse "Clean Comfort Solution" can be used. Pain Clear primarily has the functions of clearing heat, promoting diuresis, regulating qi and resolving depression, invigorating blood circulation, and detoxifying, as well as softening and resolving hard masses. Women's Comfort has the effects of clearing heat and promoting diuresis, removing (pathogenic heat), replenishing vital qi, and inhibiting the growth of various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.