What is the best treatment for chronic pelvic inflammatory disease?

What is the best treatment for chronic pelvic inflammatory disease? Pelvic inflammatory disease is divided into acute and chronic clinically. It is a common gynecological disease. Many women in life are troubled by this disease. Chronic pelvic inflammatory disease is more harmful to patients. Let's take a look at what is the best treatment for chronic pelvic inflammatory disease?

1. General treatment: eliminate mental worries, enhance confidence in treatment, increase nutrition and exercise, pay attention to the combination of work and rest, and improve the body's resistance.

2. Treatment with traditional Chinese medicine: Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness, promote blood circulation and remove blood stasis. The prescription uses: Salvia miltiorrhiza 18g, Red Peony Root 15g, Costus Root 12g, Peach Kernel 9g, Honeysuckle 30g, Taraxacum 30g, Poria 12g, Moutan Bark 9g, Rehmannia Glutinosa 9g, and when the pain is severe, add Corydalis 9g. Some patients are of cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel cold, promote qi and activate blood circulation. Guizhi Fuling Decoction is often used with modifications. For those with deficiency, add Codonopsis pilosula 15g, Atractylodes macrocephala 9g, and Astragalus 15g.

3. Physical therapy: benign warm stimulation can promote local blood circulation in the pelvis, improve the nutritional status of tissues, enhance metabolism, and facilitate the absorption and disappearance of inflammation. Commonly used methods include short-wave and ultra-short-wave ion penetration (various drugs such as penicillin and streptomycin can be added) and wax therapy.

4. Other drug treatments: When using anti-inflammatory drugs, 5 mg of α-chymotrypsin or 1500 U of hyaluronidase can also be used for intramuscular injection, once every other day for 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. When some patients have local or systemic allergic reactions, the drug should be discontinued. In some cases, antibiotics are used at the same time as dexamethasone, orally taking 0.75 mg of dexamethasone 3 times a day. When stopping the drug, pay attention to gradually reduce the dosage.

5. Surgical treatment: If there is a mass, such as hydrosalpinx or tubo-ovarian cyst, surgical treatment can be performed. If there are small infection foci that repeatedly cause inflammation, surgical treatment is also appropriate. The principle of surgery is to completely cure the disease and avoid the chance of recurrence of residual lesions. Unilateral oophorectomy or hysterectomy, plus bilateral oophorectomy, should be performed. For young women, the ovarian function should be preserved as much as possible. For chronic pelvic inflammatory disease, the effect of single therapy is poor, and comprehensive treatment is appropriate.

In addition, patients with chronic pelvic inflammatory disease should strengthen care, pay attention to the hygiene of the vulva, strictly prohibit bathing and sexual intercourse, change clothes frequently, have regular physical examinations, pay attention to nutrition, and exercise to strengthen their physical fitness. It is necessary to pay attention to the treatment of the disease, but not to be too nervous. When the condition improves, you must not relax and follow the doctor's plan for treatment.