Patient's question:
Right ovary size 3.83.3 cm2 (no mass detected in blood test), 1.3 cm dark fluid area observed behind the uterus. Often feels tired, had two miscarriages before the beginning of this year, and is 32 years old with no children, urgently wanting a baby. May I currently run slowly for 15 minutes every day (as I have always done)? Is taking vitamin E beneficial for this condition? What is the best treatment for this disease? Which injections and medications should I take? Are Guizhi Fuling capsules effective? Thank you very much!!!Patient Age:
Detailed Medical Condition and Purpose of Consultation:
First Follow-up Question: Does douching disrupt the normal vaginal flora? Even to the extent of...
Doctor's answer:
Hello: According to your condition, it is recommended to actively undergo anti-inflammatory treatment. Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and neglecting menstrual hygiene during the menstrual period. Diagnosis can be based on medical history, symptoms, and physical examinations. 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 combination 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 a 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 resolving hard masses. Women's Comfort has the effects of clearing heat and promoting diuresis, removing virtual heat, replenishing vital qi, and inhibiting the growth of various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.