Patient's question:
Medical Description: I took a birth control pill around July 22nd. About a week later, I had 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. In recent days, it has been dark red and smelly, similar to a period. Today, it's brown and black. I've also been experiencing lower abdominal pain recently, but it's not severe. Occasionally, it's more psychological.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.
What Help I Need: Can my condition be treated? Is it okay to 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 of the female internal reproductive organs, even leading to abscess formation, caused by pathogens spreading through the blood vessels, lymphatic vessels of the reproductive tract, or direct extension. 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 reaches the pelvic cavity through the uterus and fallopian tubes. Because the female reproductive system has natural defense mechanisms, under normal circumstances, it can resist bacterial invasion and prevent PID. Only when the body's resistance declines or the natural defense mechanisms are compromised due to other reasons can PID occur.