What is a pelvic fluid mass?

The pelvic area is relatively large, including the appendages. If adnexitis occurs, it is necessary to take medication in time. The more common method of medication is vaginal medication. It can also be treated with antibiotics. During the medication process, you must pay attention to some matters. If the inflammation is chronic, it can also be treated with traditional Chinese medicine. Let us learn about this aspect below.

What medicine is good for pelvic adnexitis

1. Vaginal medication and disinfectant are more effective.

2. Antibiotic treatment: For patients with obvious symptoms, antibiotics should be used as the first choice for treatment. Antibiotics can kill any remaining pathogenic bacteria and prevent acute attacks. Commonly used drugs are still penicillin, gentamicin, metronidazole, etc., and the usage is the same as that for acute salpingo-oophoritis and pelvic peritonitis.

3. Other drug treatments: Because the female reproductive system has a natural defense function, under normal circumstances, it can resist bacterial invasion. Only when the body's resistance decreases or the female's natural defense function is destroyed due to other reasons will adnexitis occur. Note that when cleaning the vulva every day, it is more appropriate to use a feminine care solution with a weak acid formula of Ph4. Simply rinsing with water or using alkaline shower gel will disrupt the acid-base balance of the vagina and inhibit the normal growth of lactobacilli.

4. For fallopian tube obstruction caused by chronic salpingitis, intrauterine injection can be performed. Use 160,000 units of gentamicin, 5 mg of α-chymotrypsin, and 5 mg of dexamethasone, dilute them with 20 ml of normal saline, strictly disinfect the vulva, vagina, and cervix, and then inject into the uterine cavity. Start 3 days after the menstruation ends, and inject once every 2 days until before ovulation. The treatment can be continued for 3 cycles.

Chinese Medicine

1. Damp-heat type

Treat by clearing away heat and removing dampness. The prescription uses the prescription of stopping belt to add or subtract:

Take 12 grams each of Poria cocos, Plantago seed (package), and red peony root, 10 grams each of Phellodendron chinense, Achyranthes bidentata, Cortex Moutan, and Atractylodes lancea, and 6 grams each of Alisma orientalis and Capillaris capillaris. Add or subtract: If the abdominal pain is obvious, add 10g each of Yuanhu and Chuanlianzi to promote qi and relieve pain; if the appetite is poor and the stool is loose, replace Atractylodes with stir-fried Atractylodes 10g, add 20g of raw Coix seed and 18g of Poria to strengthen the spleen and eliminate dampness.

2. Stasis and heat syndrome

The treatment is to promote blood circulation, remove blood stasis, clear away heat and detoxify. The prescription is Danggui Yuanhu Decoction with modifications:

Use 20 grams of Patrinia scabra, 15 grams each of Angelica sinensis, Corydalis yanhusuo, Rhubarb with wine, Red Peony Root, and Peach Kernel, and 12 grams of Cyperus rotundus. Decoction in water.

Additions and subtractions: If there is obvious stabbing pain in the lower abdomen, add 10 grams each of frankincense and myrrh to remove blood stasis and stop bleeding; if there is obvious bloating and pain in the lower abdomen, add 10 grams each of Toosendan fruit and Citrus aurantium to promote qi and relieve pain; if the menstrual volume is scanty, dark in color and clots, add 20 grams of Leonurus japonicus to promote blood circulation and remove blood stasis. If the amount of leucorrhea is large and yellow in color, add 15 grams of Artemisia capillaris and 12 grams of Alisma orientalis to clear away dampness and heat.

3. Cold and dampness stagnation type

The treatment is to warm the yang and dispel cold, promote blood circulation and remove dampness. The prescription is Shaofu Zhuyu Decoction with modifications:

Take 15 grams of Poria, 12 grams each of Angelica sinensis and red peony root, 10 grams each of myrrh, mugwort, Atractylodes macrocephala, Zedoaria herba, and red vine, 9 grams each of fennel, Ligusticum chuanxiong, and cinnamon twig, and 6 grams of dried ginger. Decoction in water.

Add or subtract: If the amount of leucorrhea is large, white and thin, add 10 grams each of nutmeg and ginkgo to warm the kidney and stop leucorrhea. If the lower back pain is obvious, add 20 grams of Chuanduan and 10 grams of Eucommia to strengthen the kidneys and waist.