Patient's question:
Hello:1、What medications are effective for mycoplasma-induced adnexitis? Is adnexitis the same as pelvic inflammatory disease?
What medications are effective for mycoplasma-induced rectitis?
2、I had an IUD inserted for contraception, but after insertion, my menstrual cycle has been prolonged, lasting about 20 days. Additionally, I have abnormal discharge with a bad odor. What medications can help treat this?
Doctor's answer:
Hello:1. Mycoplasma-induced adnexitis also requires active anti-inflammatory treatment. It is recommended to actively go to the hospital for drug sensitivity tests to determine the specific treatment medications. However, pelvic inflammatory disease (PID) and adnexitis are two different concepts! Since the fallopian tubes are adjacent to the ovaries, when inflammation occurs in the fallopian tubes, both are generally referred to as adnexa. Therefore, tubo-ovarian inflammation is called adnexitis. Chronic adnexitis is very common, often resulting from an initial acute inflammatory process that then becomes chronic. In some cases, the acute inflammatory process may not be apparent, and chronicity is already present upon discovery.
Pelvic inflammatory disease (PID) is inflammation of the female internal reproductive organs and the surrounding connective tissues, as well as the pelvic peritoneum. The inflammation can be localized to one area or occur simultaneously in multiple areas, and it can be classified as either acute or chronic. Acute PID is primarily caused by pathogens, and its clinical manifestations can vary depending on the severity and extent of the inflammation. Patients often experience high fever, chills, anorexia, and lower abdominal pain, and may also have digestive or urinary system symptoms. Chronic PID is often the result of inadequate or incomplete treatment of acute PID, poor patient constitution, and prolonged duration. It may also develop without a typical acute inflammatory history, and acute episodes may occur when the body's resistance is weakened. Patients typically have no obvious systemic symptoms, but may experience low-grade fever, lower abdominal pain, and back pain. Other symptoms may include increased menstrual flow and leukorrhea. If ovarian function is impaired, menstrual disorders may occur. If fallopian tube adhesions or blockages are present, infertility may result. Proper hygiene during the four phases of the menstrual cycle, active treatment of vaginitis and cervical inflammation, and regular exercise to strengthen the body are important. If surgical indications exist, surgical treatment should be performed. Chronic PID should be treated with a comprehensive approach.