How is chronic adnexitis treated?

Chronic adnexitis can be treated through drug treatment, physical therapy, surgical treatment, traditional Chinese medicine conditioning, and daily care. Chronic adnexitis is usually caused by pathogenic infection, spread of inflammation in adjacent organs, improper surgical procedures, low immunity, poor hygiene habits, etc.

1. Drug treatment

Patients with chronic adnexitis can use antibiotics such as cefixime dispersible tablets, azithromycin tablets, and levofloxacin tablets under the guidance of a doctor to control infection. If accompanied by pelvic pain, you can use ibuprofen sustained-release capsules or acetaminophen tablets to relieve symptoms. For patients with recurrent attacks, it may be necessary to extend the medication cycle or adjust the type of medication. During the period of medication, routine blood tests and pelvic ultrasound must be reviewed regularly to avoid voluntary discontinuation of medication, which may lead to prolongation of the condition.

2. Physical therapy

Ultrashort wave therapy improves pelvic blood circulation and promotes the absorption of inflammation through high-frequency electromagnetic fields. Infrared irradiation can relieve tissue edema, and it is advisable to treat it for 20 minutes a day. Traditional Chinese medicine retention enema administers heat-clearing and detoxifying medicinal liquids through the rectum, which can directly act on the lesion area. Physical therapy must be carried out in professional institutions and is prohibited during menstruation and acute attacks.

3. Surgical treatment

For patients with pyosalpinx or severe pelvic adhesions, laparoscopic salpingostomy or adhesiolysis may be required. Those with ovarian cysts can undergo cyst removal at the same time. Postoperative antibiotics must be used to prevent infection, and fallopian tube patency must be reviewed regularly to evaluate the patency. Indications for surgery need to be strictly evaluated, and conservative treatment should be given priority in nulliparous women.

4. Traditional Chinese Medicine conditioning

For the type of dampness-heat stasis, you can take Jingangteng Capsules combined with Hongteng Decoction. For the type of qi stagnation and blood stasis, Shaofu Zhuyu Granules are suitable. Moxibustion on Guanyuan, Sanyinjiao and other acupoints can warm and dredge the meridians, and the treatment is done three times a week. For external application of traditional Chinese medicine on the lower abdomen, rhubarb, Glauber's salt, etc. can be ground into powder and applied. It is prohibited for those with skin allergies. Traditional Chinese medicine treatment requires syndrome differentiation and treatment, and the course of treatment usually lasts for 2 menstrual cycles.

5. Life care

In the acute stage, bed rest is required and strenuous exercise should be avoided to aggravate pelvic congestion. Wash the perineum with warm water every day, change underwear frequently and expose it to the sun for disinfection. The diet should be light and eat more broccoli, fresh fish and other foods rich in vitamins and high-quality protein. Bathing and sexual intercourse are prohibited during menstruation. Long-term use of panty liners may increase the risk of infection. Moderate aerobic exercise such as yoga can strengthen your pelvic floor muscles.

Patients with chronic adnexitis should avoid sitting for long periods of time and get up and move every 2 hours to improve pelvic blood circulation. A regular schedule helps maintain immunity. It is recommended to go to bed before 11 o'clock every night. During the treatment period, the entire course of medication must be completed as directed by the doctor. Even if the symptoms are relieved, the medication must not be stopped without permission. If fever, severe abdominal pain or abnormal vaginal discharge occurs, follow-up consultation should be made in time to adjust the treatment plan. Stay optimistic and seek psychological counseling to relieve anxiety if necessary.