Patient's question:
Assisted examination: Gynecological examinationHistory of previous diagnosis and treatment, as well as effectiveness: One month ago (October 18th), I experienced itching in the external genitalia and went to the hospital for a gynecological examination. The doctor said I had adnexitis and prescribed three boxes of oral medication, Ziqi. I didn’t take it because it was too expensive at the time—I didn’t have enough money. Instead, I used levofloxacin tablets and took two boxes, along with povidone-iodine for external washing.
I washed frequently, and the itching in the external genitalia subsided. However, if I didn’t wash, it still itched a bit. The doctor also said there was nothing wrong—both the cervix and uterus were fine, and the leukorrhea was normal. It was just that I had adnexitis.
Please ask the doctor
Doctor's answer:
Hello: If it has been confirmed that it is appendicitis, as long as active anti-inflammatory treatment is carried out, there is no need to worry. Since the fallopian tube is adjacent to the ovary, when the fallopian tube is inflamed, it is generally referred to as appendicitis along with the ovary. Therefore, tubo-ovarian inflammation is called appendicitis. Chronic appendicitis is very common, often occurring first as acute inflammation and then becoming chronic. Sometimes the acute inflammatory process is not obvious, and once discovered, it has already become chronic.Causes of appendicitis:
(1) It is often caused by infection after childbirth or miscarriage.
(2) Sometimes it is related to minor surgeries with non-sterile operations, such as the insertion of an intrauterine device, tubal irrigation, oil contrast examination, or curettage. Pathogens can enter the fallopian tube from the uterine cavity. Sometimes pathogens are already in the cervix or vagina and spread upwards during surgical procedures.
(3) If sexual activity occurs too early, too frequently, or during menstruation, it can also lead to infection and cause tubal inflammation.
Due to the above reasons, if acute tubal inflammation occurs, inflammatory secretions in the lumen often overflow through the fimbriae of the fallopian tube, affecting the ovary, and causing peri-ovarian inflammation. The fallopian tube and ovary then adhere to each other, and over time, they form chronic appendicitis. After the fallopian tube becomes inflamed, its mucous membrane or serous layer often forms multiple adhesions, closing the fallopian tube or obstructing the lumen. Since most appendicitis is bilateral, it often leads to infertility.
Generally, a combination of traditional Chinese and Western medicine is used, with traditional Chinese medicine (mainly promoting blood circulation and resolving stasis) plus Western