Patient's question:
Detailed medical condition and consultation purpose: I often experience lower back heaviness and abdominal pain.Duration and onset of the current illness: It has been 3 days.
Medical history: The symptoms have been present for a year, especially worsening before my period. I also have severe menstrual irregularity, and it has been almost 2 months since my last period.
Doctor's answer:
Hello, when treating acute endometritis, routine bacterial culture and drug sensitivity tests are performed to select effective antibiotics. Before the test results are available or for those who cannot perform the test, broad-spectrum antibiotics such as penicillin can be used. After a negative skin test, penicillin 800,000 to 1,600,000 units should be administered intramuscularly twice daily. If the bacterial culture is aerobic bacteria, gentamicin should be injected intramuscularly, 80,000 units each time, every 8 hours. If the culture results are anaerobic bacteria, metronidazole is more appropriate, taken orally 0.4 grams each time, three times daily. If acute endometritis occurs postpartum or after an abortion, it is necessary to consider whether there are still remnants of the placenta or fetal membrane in the uterine cavity. If residual tissue remains in the uterine cavity, it should be removed after controlling the infection for 48 to 72 hours, and a thorough uterine clearance should be performed once the condition stabilizes. Postoperatively, oxytocin 10 units should be injected intramuscularly, and oral preparations such as motherwort ointment or postpartum biochemical decoction should be given to promote uterine contraction. Antibiotics should still be continued. If the patient has an intrauterine device (IUD), it should be removed as soon as possible. When suffering from submucosal uterine fibroids or polyps, surgical treatment is also required, and antibiotics alone should not be relied upon.