Patient's question:
The symptoms mainly manifest during the menstrual period. On the first day of the period, there is a dull pain in the lower abdomen and lower back pain, accompanied by mild diarrhea.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 is recommended for conditions such as hydrosalpinx or tubo-ovarian cysts with masses. 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 possibility of residual lesions recurring. Procedures such as adnexal resection or salpingectomy may be performed. 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 preferable.