Patient's question:
I've been married for a year and have been paying attention to hygiene and things like that. But recently, I've been experiencing lower abdominal bloating and pain, and my menstrual cycle has become irregular. Later, I noticed that my vaginal discharge had increased and had a bad odor. So, I went to the hospital for a check-up and found out that I had acute adnexitis.Doctor's answer:
Hello!1. Surgical Treatment: After 72 hours of medication, if the patient's temperature remains persistently high or if they exhibit toxic symptoms, exploratory laparotomy should be considered. If the patient has a tubo-ovarian abscess that responds well to medication and the abscess becomes localized, surgical removal of the mass may also be performed. If the abscess ruptures, immediate exploratory laparotomy is necessary.
2. Antimicrobial Treatment: Vaginal posterior fornix aspiration fluid should be obtained for bacterial culture and sensitivity testing to guide antibiotic selection. Since adnexal inflammation is often a mixed infection, effective antibiotics should be used in combination until the culture report is available. For hospitalized patients, intravenous administration is primarily used.
3. Traditional Chinese Medicine (TCM) Treatment: Acute adnexal inflammation can be treated with Chinese herbal medicine that promotes blood circulation, resolves blood stasis, clears heat, and detoxifies. However, medication should be selected based on the patient's syndrome type.
4. General Treatment: Patients should rest in bed and typically adopt a high-head-low-foot position to facilitate the drainage and localization of secretions. Adequate fluid supplementation is necessary to correct fluid and electrolyte imbalances. Physical cooling should be administered promptly if the patient has high fever.