1. Common Causes
Chronic pelvic inflammatory disease (PID) can develop from acute PID that has not been completely cured, leading to persistent and recurrent symptoms. It may also result from long-term unclean sexual practices, improper contraception, inadequate care of the vulva, infections following childbirth or abortion, and Chlamydia trachomatis infections.
2. Key Points in Inquiry
1. Inquire about the onset: Any history of acute PID or other gynecological diseases, and whether symptoms are recurrent.
2. Inquire about symptoms: Presence of lower abdominal heaviness, pain, fever, increased vaginal discharge, lumbar-sacral pain, and whether symptoms worsen with fatigue, sexual intercourse, or around menstruation.
3. If symptoms occur during menstruation, inquire about increased menstrual flow or prolonged periods; if there is peritonitis, check for symptoms such as nausea, vomiting, abdominal distension, and diarrhea.
4. Assess for fatigue, easy exhaustion, low-grade fever, insomnia, and general discomfort. Inquire about long-term menstrual irregularities and infertility.
3. Physical Examination and Auxiliary Tests
1. Pelvic examination: The uterus is often retroverted, with limited mobility or adhesions. If there is salpingitis, thickened fallopian tubes may be palpable on one or both sides, presenting as cord-like structures with mild tenderness. If there is hydrosalpinx or ovarian cysts, cystic masses may be palpable on one or both sides of the pelvis, with limited mobility. In cases of pelvic connective tissue inflammation, there may be localized thickening and tenderness on one or both sides of the uterus, with thickening and tenderness of the uterosacral ligaments.
2. Direct smear of secretions, pathogen culture, ultrasound examination, and laparoscopy.
4. Diagnostic Points
1. A clear diagnosis can be made if there is a history of PID and significant symptoms and signs.
2. If there is no clear history of PID and no positive signs, but the patient reports many symptoms, careful judgment is needed to determine if it is chronic PID, and laboratory tests such as laparoscopy may be necessary for confirmation.
5. Exclude the Following Diseases
1. Endometriosis: Characterized by dysmenorrhea, which is secondary and progressively worsens, sometimes with typical tender nodules.
2. Ovarian cancer: Inflammatory masses are cystic, while ovarian cancer is solid; B-mode ultrasound can help differentiate.
6. Treatment Principles
Single therapy for chronic PID is often ineffective; comprehensive treatment is required. It is also important to balance work and rest, increase nutrition, exercise, and enhance the body’s resistance. For patients with acute exacerbations, masses, cysts, or recurrent infections, it is recommended to seek hospital treatment.
|
Clinical Symptoms |
Symptomatic Treatment |
|
Lumbar pain, lower abdominal heaviness |
Gui Zhi Fu Ling Capsules, Fu Yan Recovery Capsules, Hua Hong Tablets |
|
Yellow, copious vaginal discharge |
Gynecological Qian Jin Capsules, Fu Yan Kang Tablets, Gynecological Qian Jin Tablets |
|
Low-grade fever, frequent urination, painful urination, abdominal pain |
Huang Teng Su Tablets, Jin Gang Teng Capsules |
7. Related Sales
|
Category |
Symptomatic Treatment |
|
|
Main Medicine |
Clear heat and dampness, invigorate blood and resolve stasis |
Such as Gynecological Qian Jin Capsules (Tablets), Fu Yan Recovery Capsules, Fu Yan Kang Tablets, Jin Gang Teng Capsules, Gui Zhi Fu Ling Pills (Capsules) |
|
Antibacterial and anti-inflammatory |
Such as Huang Teng Su Tablets, Sparfloxacin, Azithromycin, Levofloxacin |
|
|
Adjuvant Medicine |
Auxiliary treatment, relieve symptoms |
Such as Kang Fu Anti-inflammatory Suppositories, Jie Er Yin Effervescent Tablets, Huang Ku Wash |
|
Related Medications |
Enhance physical fitness, improve resistance |
Such as Propolis, Allicin, Wheat Germ Oil, Vitamin C, B Complex |
8. Professional Tips
1. Pay attention to dietary adjustments, strengthen nutrition, avoid raw, cold, and spicy foods, and drink plenty of water.
2. Maintain personal hygiene and sexual health, avoid sexual intercourse during menstruation, keep the vulva and vagina clean, actively treat gynecological inflammatory diseases such as vaginitis and cervicitis, and prevent infections after artificial abortion and childbirth.
3. Ensure thorough treatment of acute PID to prevent it from becoming chronic. Patients with chronic PID should maintain a moderate balance of work and rest to prevent recurrence. Both acute and chronic PID can lead to infertility, which should be taken seriously.
4. Limit sexual activity to avoid exacerbating symptoms.
>> The above information is sourced from the internet, organized by the Pharmacy Education Network, and is for reference by professionals only.
Every night at 7:40 PM, we broadcast exciting learning content! 
❤❤ Click the 【Read Original button below to view more content