Patient's question:
The last menstrual period was on June 4, 2014. As of now, it has not arrived, and pregnancy has been ruled out.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 achieve complete cure, avoiding the residual of lesions that could lead to recurrence. Options include adnexal resection or salpingectomy. For young women, ovarian function should be preserved as much as possible. Since single-modality therapy is often ineffective for chronic pelvic inflammatory disease, a comprehensive treatment approach is recommended.