How to deal with chronic pelvic inflammatory disease that doesn't heal well and also causes vulvar pain?

Patient's question:

Pelvic inflammatory disease.。Painful menstruation with a needle-like sensation. Gas.

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 administration. Broad-spectrum antibiotics should be used in combination with anaerobic antibiotics, and the course of treatment should be sufficient. Chinese medicine treatment can also be combined to achieve better efficacy.
2. Surgical treatment
Surgery is recommended for conditions such as tubal hydrops or tubal-ovarian cysts. Small infection foci that repeatedly cause inflammation are also suitable for surgical treatment. The principle of surgery is to achieve complete cure, avoiding the recurrence of residual lesions. Appendectomy or salpingectomy may be performed. For young women, ovarian function should be preserved as much as possible. Since single therapy is less effective for chronic pelvic inflammatory disease, comprehensive treatment is preferred.