Patient's question:
From 2010, occasional left lower abdominal pain, dyspareunia (pain during intercourse). Gynecological examination showed tenderness upon palpation, reduced menstrual flow, and dark color.Tried traditional Chinese medicine and intravenous antibiotics for inflammation.
Doctor's answer:
1. Medication TreatmentAntibiotics are the primary treatment for acute pelvic inflammatory disease (PID), including various administration routes such as intravenous infusion, intramuscular injection, or oral medication. Broad-spectrum antibiotics should be used in combination with anti-anaerobic drugs, and the course of treatment must be sufficient. Additionally, traditional Chinese medicine (TCM) can be combined to achieve better therapeutic effects.
2. Surgical Treatment
Surgery may be performed for conditions such as hydrosalpinx or tubo-ovarian cysts. Small, recurrent infection foci that frequently trigger inflammation are also suitable for surgical intervention. The principle of surgery is to ensure complete cure, avoiding the retention of residual lesions that could lead to recurrence. Procedures such as adnexal resection or salpingectomy may be considered. For young women, efforts should be made to preserve ovarian function. Since single-modality therapy is often ineffective for chronic pelvic inflammatory disease, a comprehensive treatment approach is recommended.