Patient's question:
Chronic pelvic inflammatory for half a year, pain on both sides of the lower abdomen, with a mass on the right side. Medication and topical treatments provide some relief, but it cannot be cured.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 treatment duration must be sufficient. Additionally, traditional Chinese medicine (TCM) can be combined to achieve better therapeutic effects.
2. Surgical Treatment
Surgery may be performed if there are masses 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 residual of lesions that could lead to recurrence. This may involve (adnexectomy) or (salpingectomy). 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.