Patient's question:
Detailed medical condition and consultation purpose: Last year, I was diagnosed with endometriosis and chronic pelvic inflammatory disease (PID) at Peking Union Medical College Hospital. The doctor said that based on my symptoms, these were the possible conditions, but he couldn't confirm them definitively. My symptoms aren't too severe. The main symptom is a feeling of lower back pain that worsens during movement (by "movement," I mean doing household chores within my physical limits). Another symptom is pain during sexual activity. Gynecological infections often occur, and if they are not treated promptly, they can develop into a fungal infection. After the hospital diagnosed the condition, they didn't prescribe any medication. The doctor said that there is no particularly effective treatment for this disease.Doctor's answer:
Hello, Treatment of Chronic Pelvic Inflammation: In the treatment of chronic pelvic inflammation, single therapy is often less effective, and most cases adopt a comprehensive approach. Antibiotic therapy can be used, and in some cases, antibiotics are used in conjunction with dexamethasone. Dexamethasone 0.75mg is taken orally three times a day. When discontinuing medication, it is important to gradually reduce the dose. Alternatively, a-? protease 5mg or hyaluronidase 1500u can be administered intramuscularly, once every other day, with 7-10 treatments constituting one course, to facilitate adhesion resolution and inflammation absorption. Additionally, topical treatments such as "Pain Relief for Pelvic Inflammation," "Women's Comfort," and the external rinse "Clean and Comfort Solution" can be used. "Pain Relief for Pelvic Inflammation" primarily has the functions of clearing heat, promoting diuresis, regulating qi and resolving depression, invigorating blood circulation and detoxifying, as well as softening and resolving hard masses. "Women's Comfort" has the effects of clearing heat and promoting diuresis, removing excess heat, replenishing vital qi, and inhibiting the growth of various bacteria. Through these comprehensive treatments, chronic pelvic inflammation can be cured.Treatment of Endometriosis: The main treatment methods are surgery and medication, which are considered based on factors such as the patient's age, the severity of the condition, and fertility requirements. Treatment should be tailored to the individual.
I. Surgical Treatment: This was the earliest method used for treating endometriosis and remains one of the primary approaches to this day. Surgical treatment is mainly suitable for patients with severe conditions or those experiencing severe pain that is not effectively managed by medication.
(1) Conservative Surgery: Only the endometriotic lesions are removed while preserving the ovaries and uterus. This is suitable for young patients who wish to preserve their fertility, with approximately 50%-60% achieving pregnancy post-surgery. However, the recurrence rate of pain is relatively high.
(2) Semi-radical Surgery: While removing the endometriotic lesions, the uterus is also removed, but at least part of the ovaries must be preserved. This is suitable for patients who have already borne children and are of a certain age.