Patient's question:
Medical history and treatment outcomes: How to treat chronic pelvic inflammatory disease? A very troublesome problem: In March of this year, I felt lower abdominal pain, but didn't pay much attention at the time. I thought it was a cold because I had a slight fever. I kept delaying it until June, and it became chronic. I have been taking traditional Chinese medicine ever since, but it hasn't improved much. The doctor suggested I receive intravenous drip treatment. So in August, I received two weeks of levofloxacin and metronidazole. Gynecological examination revealed no mycoplasma or chlamydia infection, but there was cervical erosion. Since I don't have children yet, medication treatment was recommended. Now the cervical erosion is almost healed, but it seems that the adnexal inflammation hasn't shown much improvement. It still causes occasional dull pain. Currently, my leukorrhea is not excessive, but the lower abdomen...Doctor's answer:
Hello:Chronic pelvic inflammatory disease (PID) is a common and frequently occurring condition in the female reproductive system, often resulting from inadequate treatment of acute PID or poor patient constitution, leading to prolonged and unresolved symptoms.
Its clinical manifestations include lower abdominal and lumbosacral pain, sometimes accompanied by a sensation of rectal fullness. Symptoms often worsen during physical exertion, after sexual intercourse, during bowel movements, and before or after menstruation. Other symptoms may include increased vaginal discharge, excessive or irregular menstruation, and associated dysmenorrhea. It may also lead to primary or secondary infertility.
Chronic PID is commonly caused by post-abortion infection, unsafe sexual practices, and poor menstrual hygiene. Diagnosis is based on medical history, symptoms, and physical examinations. Treatment is often less effective with a single therapeutic approach, so a comprehensive treatment plan is typically used. Antibiotic therapy may be administered, sometimes in combination with dexamethasone in certain cases. Oral dexamethasone (0.75 mg) is taken three times daily, with gradual tapering when discontinuing the medication. Alternatively, a-? protease (5 mg) or hyaluronidase (1500 U) may be injected intramuscularly once every other day, with 7–10 doses constituting a course. This helps in resolving adhesions and absorbing inflammation. Additionally, topical treatments such as "Pain Relief for Pelvic Inflammation," "Women's Comfort," and the "Cleansing Solution" may be used.
"Pain Relief for Pelvic Inflammation" primarily has the effects of clearing heat, promoting diuresis, regulating qi, resolving depression, invigorating blood circulation, detoxifying, and softening hard masses. "Women's Comfort" helps clear heat and diuresis, dispel (pathogenic heat), replenish vital qi, and inhibit various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.