Patient's question:
Pelvic inflammatory disease for three or four months, it flared up again a few days ago. I was given ceftriaxone and metronidazole for five days. Starting from the fourth day of the infusion, my symptoms worsened, with severe headaches, nausea, and chills. Today is the fifth day, and while my stomach isn't too painful, my headaches are extremely severe, and I'm still a bit chilly.Doctor's answer:
1. Drug treatmentAntibiotics are the primary treatment for acute pelvic inflammatory disease, 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 treatment can be combined to achieve better efficacy.
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 chance of recurrence by removing residual lesions, such as through adnexal resection or salpingectomy. For young women, ovarian function should be preserved as much as possible. Since single therapy is often ineffective for chronic pelvic inflammatory disease, a comprehensive treatment approach is preferred.