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 the result of inadequate or incomplete treatment of acute pelvic inflammatory disease, due to poor patient constitution and prolonged course of the disease. It can also occur without a typical history of acute inflammation, and may present with acute episodes when the body's resistance is weak. The patient may have mild systemic symptoms, sometimes with low-grade fever, lower abdominal pain, and back pain; increased menstrual flow and leukorrhea; menstrual disorders may occur if ovarian function is impaired; and infertility may result if fallopian tube adhesions or blockages occur. 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 may occur; and infertility may result if fallopian tube adhesions or blockages occur.
Gynecological Examination for Chronic Pelvic Inflammatory Disease
The uterus is often retroverted, with restricted mobility or adhesion and tenderness. In cases of tubitis, can be palpated along the sides of the uterus, with tenderness. For tubal hydrops or tubo-ovarian cysts, cystic masses can be palpated in the pelvic cavity, with restricted 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 for Chronic Pelvic Inflammatory Disease
1. Antibiotics: While using antibiotics, α-mucoprotease 5mg or hyaluronic acid 1500 units can be administered 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 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, disperse stagnation, and relieve pain.
New Jing An Tai Method for Chronic Pelvic Inflammatory Disease
New Jing An Tai 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.