Patient's question:
I am a female, 29 years old, single, and have no sexual history. One month ago, while working overtime at my workplace, I suddenly caught a cold because there was no heating in the room. My leukorrhea increased significantly, resembling clear water, accompanied by lower abdominal pain. I visited the hospital for an ultrasound examination, which revealed thickened adnexa, and was diagnosed with adnexitis. I took Fuyan Xiao, Jinxiangteng, and received levofloxacin injections. Currently, I feel a bloated sensation in my lower abdomen with gas that cannot be expelled. If it gets slightly cold, I experience lower abdominal pain and have some yellowish leukorrhea, but not in large amounts.I would like to consult a doctor: I am considering taking traditional Chinese medicine, but I don’t know which herbs would be suitable. Additionally, I’ve heard that women with no sexual history almost never develop adnexitis. So, what kind of condition do I have?
Doctor's answer:
Hello: Your condition is indeed a symptom of adnexitis. Neglecting menstrual hygiene, sexual intercourse during menstruation, or unclean sexual contact can all lead to it. If infections in other parts of the body are not treated promptly, pathogens can spread through the bloodstream to cause tubo-ovarian abscess, which is more common in tuberculosis. Inflammation in the pelvic or fallopian tube area, such as appendicitis, can directly spread to cause tubo-ovarian abscess and pelvic peritonitis. The inflammation typically occurs in one nearby fallopian tube and ovary. Etc. can all lead to adnexitis.Therefore, it is essential to actively treat your condition. Adnexitis is generally treated using a combination of traditional Chinese and Western medicine. This includes Chinese medicine (primarily focused on invigorating blood and resolving stagnation) and Western medicine (mainly antibiotics). Physical therapy options such as laser, microwave, or ion penetration can also be considered. In daily life, it is important to maintain a balance between rest and activity, increase nutrition, and exercise to enhance overall immunity. Simply administering antibiotics is not effective; it should be combined with anti-inflammatory and anti-adhesion medications (e.g., intramuscular administration of trypsin, or even the use of hormones).