Patient's question:
As of now, her period has not arrived, and pregnancy has been ruled out.Doctor's answer:
Pelvic inflammatory disease (PID) For those with severe lower abdominal pain and significant pelvic inflammatory signs upon gynecological examination, broad-spectrum antibiotics such as penicillins and cephalosporins should be used, combined with metronidazole (Flagyl), administered intravenously after the menstrual period. If there are pelvic masses or severe inflammation with frequent recurrence, surgical treatment may be considered. Additionally, physical therapies such as shortwave, ultrashortwave, infrared, and drug iontophoresis can promote pelvic blood circulation, aiding in the absorption of inflammation, and may be used as appropriate. Chinese herbal medicine that promotes blood circulation and clears heat-toxins can also be considered on a case-by-case basis.