What should I do if I have pelvic inflammatory disease during pregnancy?

Patient's question:

Chronic pelvic inflammatory for half a year, pain on both sides of the lower abdomen, with a lump on the right side. Medication and topical treatments provide some relief, but they cannot cure it.

Doctor's answer:

1. Drug treatment
Antibiotics 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. 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 possibility of residual lesions leading to recurrence. This may involve 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 preferable.

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