How is appendicitis treated?

Patient's question:

Aid examination: Gynecological examination
History of previous diagnosis and treatment, as well as effectiveness: One month ago (October 18th), I had vulvar itching and went to the hospital for a gynecological examination. The doctor said I had adnexitis and prescribed three boxes of oral medication, Zicam. I didn’t use it because it was too expensive and didn’t have enough money at the time. Instead, I took Levofloxacin tablets and used two boxes, along with povidone-iodine for external washing.
I washed frequently, and the itching went away. If I didn’t wash, it still itched a bit. Also, the doctor 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 becomes inflamed, the fallopian tube and ovary are generally referred to as appendages. Therefore, tubo-ovarian inflammation is called appendicitis. Chronic appendicitis is very common, often it is first an acute inflammatory process before becoming chronic, and sometimes the acute inflammatory process is not obvious, and it is already chronic upon discovery.
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, fallopian tube irrigation, oil contrast examination, or curettage. Pathogens can enter the fallopian tube from the uterine cavity. Sometimes pathogens have already been in the cervix or vagina and spread upward during surgical procedures.
(3) If sexual activity occurs too early, too frequently, or during menstruation, it can also lead to infection and cause fallopian tube inflammation.
Due to the above reasons, if acute fallopian tube 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, chronic appendicitis forms. After the fallopian tube becomes inflamed, its mucous or serous layer often develops multiple adhesions, blocking the fallopian tube opening or causing the lumen to become blocked. Since most appendicitis is bilateral, it often leads to infertility.
Generally, a combination of traditional Chinese and Western medicine is used, with Chinese medicine (primarily activating blood and resolving stagnation) plus Western