Patient's question:
Symptoms include low-grade fever with fluctuations, lower abdominal pain with fullness and descent, lumbar and sacral soreness, shortness of breath, or lower abdominal pain with distension and coldness, relieved by warmth; lumbar and sacral soreness worsens during menstruation or after exertion; breast tenderness during menstruation, with red tongue and yellow greasy coating, wiry or slippery and rapid pulse. Gynecological examination: restricted uterine mobility, tenderness in the adnexal area, thickening, or masses.Doctor's answer:
Pelvic inflammatory disease (PID) For patients with severe lower abdominal pain and significant pelvic inflammatory findings on gynecological examination, broad-spectrum antibiotics such as penicillins and cephalosporins should be used, combined with metronidazole (Flagyl), administered intravenously after menstruation. 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 selected for application. Chinese herbal medicines that invigorate blood circulation and clear heat-toxin may also be considered as appropriate.