Patient's question:
What are the main symptoms of appendicitis? ChongqingDoctor's answer:
(1) Dysmenorrhea: Adnexitis can lead to congestive dysmenorrhea due to pelvic congestion, often causing abdominal pain one week before menstruation, which worsens as the menstrual period approaches and continues until menstruation begins.(2) Menstrual Irregularities: The most common symptoms are frequent menstruation and excessive menstrual flow, which may result from pelvic congestion and ovarian dysfunction. Chronic inflammation can cause uterine fibrosis, incomplete uterine involution, or adhesions, leading to abnormal uterine positioning and excessive menstrual flow.
(3) Abdominal Pain: Pain of varying degrees is common, often subtle discomfort, such as lower back and sacral soreness, fullness, and a sense of heaviness or dragging. The pain may intensify due to fatigue. Due to pelvic adhesions, symptoms like bladder or rectal fullness pain during filling or emptying, or other bladder/rectal irritation symptoms (e.g., frequent urination, tenesmus) may occur.
(4) Infertility: Tubal damage and adhesions can block the fallopian tubes, leading to infertility, with secondary infertility being more common. Even if pregnancy occurs, the risk of ectopic pregnancy is higher.
(5) Other Clinical Symptoms of Chronic Adnexitis: Such as increased leukorrhea, dyspareunia, gastrointestinal disorders, fatigue, reduced tolerance to labor, and neurological or psychiatric symptoms, including depression.
Experts at Chongqing Modern Women's Hospital: Treating adnexitis with only antibiotics is ineffective. Long-term supportive therapy, including nutritional support and immune system improvement, is necessary. Medication will not provide immediate relief, and symptoms will gradually subside. Traditional Chinese medicine is primarily used. When taking medication, it is essential to persist for at least one month. Never stop medication once symptoms improve, as they will likely recur shortly thereafter.