Patient's question:
Detailed medical condition and purpose of consultation:I have left adnexal inflammation, with abundant vaginal discharge that has a bad odor and is yellow. My menstrual cycle has been irregular for a long time, often delayed by 10 to 20 days. I have had two miscarriages. Currently, my lower abdomen frequently feels bloated. There is a dull ache along the spine, as if a gas is wandering aimlessly. These symptoms have persisted for five years, and I cannot stand or sit for long periods. Almost every day, I am troubled by this, and I also have difficulty sleeping at night. The dull ache in my waist and back makes it impossible to find a comfortable sleeping position. Almost every day, I am troubled by this, and life has become dim and bleak.
Please ask the professor: How should I treat this condition?
Doctor's answer:
We usually hear about surgical treatment as the most common method for treating pelvic inflammatory disease (PID). Surgical treatment directly targets the affected area and can directly remove the diseased tissue. However, most PID patients are young women, and surgical treatment can cause damage to the ovaries. Therefore, it is recommended that young women with PID avoid this method.2 The most conservative method for treating PID is medication. Many women, when they first notice symptoms of PID, may prefer to avoid the hospital and choose to treat themselves with medication. However, it is still advisable to consult a doctor before taking medication, as some people may experience recurring symptoms or incomplete treatment when using drugs.
3 Traditional Chinese medicine (TCM) is also a popular treatment for PID, as it is a condition caused by damp-heat. TCM can clear heat, promote diuresis, activate blood circulation, and remove blood stasis, making it highly effective for treating PID. However, TCM treatments tend to take longer to show results and require a longer course of treatment.
Recommendations:
- Wash the external genital area with lukewarm salt water in the morning and evening, and keep it dry.
- Change underwear frequently.
- Drink more water to urinate regularly.
- Avoid spicy foods.