Patient's question:
Detailed medical condition and consultation purpose:I had an abortion in April, and after ten months, a vaginal infection was detected. It was treated with Daktarine suppositories, and symptoms disappeared after two months without follow-up. However, starting in April, I experienced menstrual pain, insomnia with frequent dreams, fatigue, lower abdominal heaviness and distension. Since November, I have had urinary frequency. Recently, a hospital examination revealed pelvic inflammation and adnexal inflammation. The doctor prescribed Western medicine Methylprednisolone and Chinese medicine Hemostatic and Phlegm Resolving Capsules. Methylprednisolone was taken for three days, and I have already resumed eating. The Chinese medicine is still being taken, but there has been no significant improvement. A pharmacist recommended Levofloxacin Hydrochloride Capsules, which I am currently taking.
Doctor's answer:
Hello: Chronic pelvic inflammatory disease is primarily caused by factors such as infection after induced abortion, unclean sexual intercourse, and poor menstrual hygiene. Diagnosis can be made based on medical history, symptoms, and physical examination. In terms of treatment, single therapy for chronic pelvic inflammatory disease is often less effective, and most cases require comprehensive treatment. Antibiotic therapy can be used, and in some cases, antibiotics are administered alongside dexamethasone. Oral dexamethasone 0.75mg is taken three times daily. When discontinuing medication, it is important to gradually reduce the dosage. Alternatively, a-? protease 5mg or hyaluronidase 1500U can be administered intramuscularly, once every other day, with 7–10 doses constituting one course, to facilitate adhesion resolution and inflammation absorption. Additionally, topical treatments such as "Pain Clear," "Women's Comfort," and the external rinse "Clean Comfort Solution" can be used. Pain Clear primarily has the functions of clearing heat, promoting diuresis, regulating qi, resolving stagnation, invigorating blood circulation, detoxifying, and softening and resolving hard masses. Women's Comfort has the effects of clearing heat, promoting diuresis, dispelling (pathogenic fire), replenishing vital qi, and inhibiting multiple bacteria. Through these comprehensive treatments, chronic pelvic inflammatory disease can be cured.