Patient's question:
Previously, I took Western medicine, and it was initially effective. However, two days before my period, I started experiencing severe pain in my lower left abdomen. The pain worsened when walking but subsided when sitting.Doctor's answer:
1. Drug 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) therapy can be combined to achieve better efficacy.
2. Surgical Treatment
Surgery is recommended for conditions such as tubal hydrops or tubo-ovarian cysts, as well as for small infection foci that repeatedly trigger inflammation. The principle of surgery is complete cure to prevent residual lesions from recurring. This may involve adnexal resection 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 preferable.