Patient's question:
Recently, my leukorrhea has been abnormal, with an excessive amount and a bad odor, severely affecting my work and life. During sexual intercourse, it also causes pain. When I went to the hospital for a check-up, the doctor said I had a gynecological disease, specifically acute adnexitis. Could you please tell me how to treat this condition?Doctor's answer:
Clinically, the following methods are commonly used to treat acute adnexal inflammation:1. Anti-inflammatory treatment: Since acute adnexal inflammation is primarily caused by bacterial infection, chlamydial infection, or mixed infection, the most important aspect of treating acute adnexal inflammation is to use antibiotics promptly and in sufficient quantities in the early stages of the disease. Due to the difficulty in determining the specific cause of the infection, the antibiotics chosen during this period should preferably be broad-spectrum antibiotics (e.g., penicillin, streptomycin, sulfonamides, etc.). It is also essential to complete a full course of treatment (the treatment duration for this condition is typically 7 days) followed by a period of consolidation therapy.
2. Surgical treatment: If symptoms do not improve after 72 hours of anti-inflammatory treatment for acute adnexal inflammation, surgical intervention should be considered. Chronic adnexal inflammation may also require surgical treatment if it is accompanied by persistent tubal hydrops or ovarian cysts that do not respond to treatment. Chronic adnexal inflammation is often a result of inadequate treatment for acute adnexal inflammation or a weakened constitution in the patient that prevents the acute condition from resolving. In some cases, chronic adnexal inflammation may develop in patients without a history of acute adnexal inflammation due to direct infection of the fallopian tubes and ovaries by pathogens.