How long does it take to treat pelvic inflammatory disease?

Pelvic inflammatory disease still requires long-term treatment. Only in this way can the disease be cured fundamentally. If you do not persist, your condition will become increasingly worse, and eventually lead to very serious consequences. For some patients who have no effect on conservative treatment, surgical treatment must be adopted, otherwise the disease will become out of control.

1) Ineffective drug treatment: If the body temperature of a fallopian tube, ovarian abscess or pelvic abscess does not drop after 48 to 72 hours of drug treatment, or the patient's poisoning symptoms worsen or the mass increases, surgery should be performed promptly to avoid abscess rupture.

2) Abscess persists: The condition improves after drug treatment and the inflammation is controlled for several days (2 to 3 weeks). If the mass still does not disappear but has become localized, it should be surgically removed to avoid another acute attack in the future.

3) Abscess rupture: Sudden worsening of abdominal pain, chills, high fever, nausea, vomiting, abdominal distension, and resistance to pressure on the abdomen or signs of toxic shock should be suspected. If the abscess ruptures and is not diagnosed and treated in time, the mortality rate is high. Therefore, if abscess rupture is suspected, laparotomy should be performed immediately while also initiating antibiotic treatment.

Surgery can be performed through the abdomen or laparoscopy depending on the situation. The scope of surgery should be comprehensively considered based on the extent of the lesion, the patient's age, and general condition. The principle is to remove the lesion. Young women should try their best to preserve ovarian function, with conservative surgery as the main approach; for older women, those with bilateral adnexal involvement or repeated adnexal abscesses, total hysterectomy and bilateral salpingo-oophorectomy can be performed; the scope of surgery for extremely debilitated and critically ill patients must be determined based on specific circumstances.

If the pelvic abscess is located low and protrudes into the posterior fornix of the vagina, it can be drained through the vagina and antibiotics can be injected at the same time. In recent years, foreign countries have reported that for fallopian tube and ovarian abscesses that are not responsive to antibiotic treatment for 72 hours, percutaneous drainage technology can be used under ultrasound guidance or CT to achieve better treatment results. 3. Traditional Chinese medicine treatment mainly includes drugs for promoting blood circulation, removing blood stasis, clearing away heat and detoxifying, such as Yinqiao Jiedu Decoction, Angong Niuhuang Pills or Zixuedan, etc.

Treatment of Sexual Partners

Examine and treat sex partners of women with pelvic inflammatory disease within 60 days before symptoms began. If the last sexual intercourse occurred more than 6 months ago, the last sexual partner should be examined and treated. Women should avoid unprotected sexual intercourse during treatment for pelvic inflammatory disease.