How to diagnose and treat pelvic inflammatory disease better

Patient's question:

Medical Description: Why does urination feel sharp after sexual intercourse? Sometimes there's a bit of pain inside the lower abdomen. What's going on? I've been to several hospitals, but the condition hasn't improved. The doctor initially said it was pelvic inflammatory disease, but now it's endometritis. I don't understand why it hasn't healed yet, even though I've been prescribed many medications and have been taking them. Currently, I'm taking Gynecological Qianjin Tablets.
History of Treatment and Effect: The condition hasn't improved, and I still have some lower abdominal pain.
Desired Help: Cleanliness. Currently, it's rated as "2 more," and there's pain during menstruation. After sexual intercourse, it still feels sharp.

Doctor's answer:

Hello, pelvic inflammatory disease generally refers to inflammation that occurs in the uterus, fallopian tubes, ovaries, surrounding connective tissues, and pelvic peritoneum, including acute and chronic pelvic inflammatory disease, pelvic peritonitis, adnexitis, endometritis, and pelvic connective tissue inflammation, among others. For acute inflammation, the best approach is to select medications based on bacterial culture and drug sensitivity tests, typically requiring 7-14 days of treatment. Chronic inflammation can be treated with oral medications such as Jinji Granules or Fuyan Kangfu Tablets, usually requiring 2-3 treatment courses. Combining therapy with physical treatment can yield better results. Pelvic effusion will naturally absorb after the inflammation is cured. While undergoing medication, patients should also pay attention to self-regulation, engage in appropriate exercise to strengthen their physical condition, maintain rest, avoid staying up late, and refrain from smoking, alcohol, and spicy foods.

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