Consulted recently, always feel very tired, lower back pain. Nipples erect and prominent.

Patient's question:

I got my period on the 24th of last month. I had intercourse on the 8th, 10th, and 12th. Lately, I've been feeling very tired and having lower back pain. My nipples are erect and prominent, and my lower abdomen is slightly swollen. What could be causing this? My periods are usually normal!

Doctor's answer:

The main symptoms are lower back pain and lower abdominal discomfort. This condition is often considered to be caused by gynecological issues, with pelvic inflammatory disease being the most likely possibility. For your situation, you can take heat-clearing and detoxifying medications or antibiotics orally, such as Niuhuang Jiedu Pian (Bezoar Pills) or cephalosporin antibiotics. The choice of medication should be determined by the doctor during your face-to-face consultation. If there is no improvement, further gynecological ultrasound examinations should be conducted to clarify the condition.

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