Patient's question:
The doctor diagnosed me with mild cervical erosion and chronic pelvic inflammatory disease. I'm very scared. Can this disease be completely cured? Is it prone to recurrence?Doctor's answer:
Gong Mi should have a routine cancer prevention check TCT. If there are no issues, treatment may not be necessary. For chronic pelvic inflammatory disease (PID), the definition of chronic pelvic inflammatory disease is often a result of inadequate or incomplete treatment of acute pelvic inflammatory disease, with poor patient constitution and prolonged course; it can also occur without a typical history of acute inflammation, presenting with acute episodes when the body's resistance is weak. The patient may have mild systemic symptoms, such as low-grade fever, lower abdominal pain, and back pain; increased menstrual flow and leukorrhea; menstrual disorders if ovarian function is impaired; and infertility if fallopian tube adhesion or obstruction occurs. If surgical indications exist, surgical treatment should be performed. Comprehensive treatment is preferred for chronic pelvic inflammatory disease.Clinical Manifestations of Chronic Pelvic Inflammatory Disease
Clinical manifestations include: lower abdominal pain and back pain; increased menstrual flow and leukorrhea; menstrual disorders; and infertility if fallopian tube adhesion or obstruction occurs.
Gynecological Examination of Chronic Pelvic Inflammatory Disease
The uterus is often retroverted, with limited mobility or adhesion and tenderness. In cases of tubitis, can be palpated along the uterine body with tenderness. For tubal hydrops or tubo-ovarian cysts, cystic masses can be palpated in the pelvis, with limited mobility and tenderness. In cases of pelvic connective tissue inflammation, the uterus may show patchy thickening on one or both sides, with tenderness. The uterosacral ligaments may be thickened, hardened, and tender.
Diagnosis of Chronic Pelvic Inflammatory Disease
With the above history and signs, combined with the following auxiliary examinations, a diagnosis can be made:
1. Ultrasound: Widened and thickened bilateral adnexa, or inflammatory masses.
2. Hysterosalpingography with iodized oil: Shows partial or complete obstruction of the fallopian tubes.
Routine Treatment of Chronic Pelvic Inflammatory Disease
1. Antibiotics with α-mucoprotease (5mg) or hyaluronic acid (1500 units) to prevent adhesion of pelvic organs. Antibiotics can also be used concurrently with prednisone.
2. Physical therapy: Such as shortwave, ultrashortwave, infrared, and drug ion penetration to promote pelvic blood circulation and facilitate absorption of inflammation.
3. Traditional Chinese Medicine (TCM) Treatment
(1) Damp-heat stagnation: Treatment method: Clear heat, resolve dampness, and disperse stagnation.
(2) Cold-damp stagnation: Treatment method: Warm the meridians, dispel cold, resolve dampness, and eliminate phlegm.
(3) Qi stagnation and blood stasis: Treatment method: Soothe the liver, regulate qi, and resolve stagnation and pain.
Antai Therapy for Chronic Pelvic Inflammatory Disease
Xinjing Antai Maternity Hospital offers minimally invasive gynecological techniques featuring laparoscopy and hysteroscopy to perform pelvic adhesion release, fallopian tube dilation, fallopian tube stenting, and fallopian tube orifice reconstruction, fundamentally addressing patients' pain and treating infertility.