Patient's question:
AgeDetailed medical history and consultation purpose: Lower back pain, excessive yellow discharge, menstrual cycle advancing by 4 days each time
Duration of the current illness and symptoms; The above conditions have persisted for 4 years, with recent worsening of lower back pain.
Previous diagnoses, treatments, and outcomes: The doctor diagnosed it as pelvic inflammatory disease. Tried Fuyanping and Funing, but the effects were not good. Later, bought 6 boxes of Zhuoma Dan pills from a pharmacy, but they also didn’t work.
Doctor's answer:
According to your symptoms, it should be chronic pelvic inflammatory disease. Chronic pelvic inflammatory disease is a common and frequently occurring disease in the female reproductive system, caused by inadequate treatment of acute pelvic inflammatory disease or poor patient constitution leading to prolonged and unresolved course. Its clinical manifestations include lower abdominal and lumbosacral pain, sometimes accompanied by a sense of rectal fullness. The pain often worsens after fatigue, sexual intercourse, defecation, and before or after menstruation. Symptoms may include increased leukorrhea, excessive or irregular menstruation, accompanied by dysmenorrhea, and may lead to primary or secondary infertility. Chronic pelvic inflammatory disease is often caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis is based on medical history, symptoms, and physical examination. In terms of treatment, single therapy for chronic pelvic inflammatory disease is often ineffective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are administered concurrently with dexamethasone. Oral dexamethasone 0.75mg, taken three times daily, should be gradually tapered when discontinuing the medication. Alternatively, a-? protease 5mg or hyaluronidase 1500u can be injected intramuscularly, once every other day, with 7–10 sessions constituting a course, to facilitate adhesion resolution and inflammation absorption. Additionally, topical treatments such as "Pain Clear," "Women's Comfort," and the rinse "Clean Comfort Solution" can be used. Pain Clear primarily has the functions of clearing heat, promoting diuresis, regulating qi, alleviating depression, promoting blood circulation, detoxifying, and resolving hard masses. Women's Comfort has the effects of clearing heat and diuresis, removing virtual heat, replenishing vital qi, and inhibiting various bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.