Why is there severe uterine pain about one week after menopause?

Patient's question:

Why is there severe uterine pain around one to two weeks after menstruation?
Symptoms during pain: leg and waist soreness, weakness, unbearable uterine pain, pain similar to that during childbirth—almost even worse, so severe that movement is impossible, accompanied by slight chills and some sweating all over.
Duration of the condition: 5 months. In the third month, there was no pain, but during the third month, I took a box of "Black Chicken White Phoenix Pills" (more than one box). However, last month I took two more boxes with no effect, and the pain returned. During the third episode of pain, I went to the hospital for an examination and an ultrasound, but no abnormalities were found.
What should I do now?

Doctor's answer:

This may be the reason for the inflammation. Potassium permanganate powder can be used as an adjuvant treatment for gynecological inflammation. For vaginitis caused by bacterial infections such as Staphylococcus, Streptococcus, Escherichia coli, and Proteus, a 0.1% to 0.2% potassium permanganate water solution can be used for sitz baths or external vaginal as an adjuvant treatment to help control the infection and promote healing. Because these pathogenic microorganisms do not grow well in an acidic environment, they are easily killed by potassium permanganate. However, if the vaginitis is caused by Candida vaginitis (also known as fungal vaginitis), using potassium permanganate powder not only fails to kill the pathogens but may even promote their reproduction, worsening the condition. Therefore, women with vaginitis who have not yet determined the cause should not use potassium permanganate powder arbitrarily. Additionally, potassium permanganate powder should not be used for long-term treatment of gynecological inflammation. Potassium permanganate powder is a chemical synthesis product and can irritate the mucous membranes. The small labia minora and the urethral orifice and vaginal orifice covered by them are all mucous membrane tissues. If they are exposed to long-term irritation, they may become edematous, especially in allergic individuals, where the edema may be more severe. Edematous mucous membranes can narrow the urethral orifice, leading to difficulty urinating and further increasing the risk of urinary tract infections. It is worth noting that when using potassium permanganate powder, the concentration of the solution must be strictly controlled. The commonly used concentration is a 0.1% to 0.2% potassium permanganate water solution for sitz baths or external vaginal. The spread and recurrence of fungal vaginitis are closely related to sexual activity, so fungal vaginitis is one of the sexually transmitted diseases. Clinically, patients often experience frequent relapses, which is due to the lack of simultaneous treatment by both partners. The female should insert a clotrimazole vaginal into the vagina before going to sleep every night, once a day, for a course of 7 to 10 days. Currently, there are many available for treating fungal vaginitis, and medication should be used under the guidance of a doctor. The male should also take antifungal medications such as itraconazole under the guidance of a doctor. The needs to be used with the correct method. It is best to use it before going to sleep at night; first, wash your hands thoroughly, then lie down with your legs bent. Remove the vaginal from its packaging and fix it to the auxiliary insertion device provided in the medication box. Use the device to slowly and as deeply as possible (but without causing any discomfort) insert the into the vagina. Push the plunger on the device to make the fall off, and then withdraw the device. Afterward, maintain a lying position for several minutes (preferably 15 minutes) before getting up. Additionally, women should pay particular attention to personal hygiene, changing and washing their underwear frequently, and hanging them in a sunny or well-ventilated area. During the illness, underwear, towels, and bathtubs should be disinfected or boiled.

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