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, now 32 years old and childless, urgently wants a child. Can I currently run slowly for 15 minutes every day (as I have always done)? Is taking vitamin E beneficial for my 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, active anti-inflammatory treatment should be initiated. 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 combined with dexamethasone. Oral dexamethasone 0.75mg, taken three times daily, should be gradually tapered 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, resolving depression, invigorating blood circulation, detoxifying, and softening and resolving hard masses. Women's Comfort has the effects of clearing heat and promoting diuresis, removing (excess fire), replenishing vital qi, and inhibiting multiple bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.