Patient's question:
Medical Description: I took a birth control pill around July 22nd. About a week later, I experienced either my period or bleeding, and I can't tell the difference. It has been intermittent ever since, with continuous bleeding. Before, the blood was bright red, brown, and black, odorless. Lately, it has been dark red and smelly, similar to a period. Today, it's brown and black. Recently, I've had lower abdominal pain, but it's not severe. Occasionally, it's psychosomatic.Past Treatment and Effect: The day before yesterday, I had an ultrasound, which showed a small amount of pelvic effusion. The doctor prescribed Kunfukang capsules.
Help Needed: Is my condition treatable? Can I take medication continuously? Is it better to have an intravenous drip? When would be a good time to follow up?
Doctor's answer:
Pelvic inflammatory disease (PID) refers to a general term for inflammation or even abscess formation of the female internal reproductive organs caused by pathogens spreading through the blood vessels, lymphatic vessels, or directly through the reproductive tract. It refers to the inflammation of the female pelvic reproductive organs, the connective tissues surrounding the uterus, and the pelvic peritoneum. The lesions are divided into endometritis, salpingitis, salpingo-oophoritis, pelvic peritonitis, and pelvic connective tissue inflammation. Based on the course of the disease and clinical manifestations, it can be classified into acute and chronic types. Chronic pelvic inflammatory disease is often a result of inadequate treatment during the acute phase, leading to prolonged duration and more stubborn conditions. Bacterial retrograde infection occurs when bacteria travel backward from the uterus and fallopian tubes to the pelvic area. The female reproductive system has natural defense mechanisms that can normally resist bacterial invasion, preventing PID. However, when the body's resistance declines or the natural defense mechanisms are compromised due to other reasons, PID may develop.