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How can pelvic inflammatory disease be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 26-year-old woman who has been experiencing episodic pain in the lower left side of my abdomen for the past two years. The pain comes suddenly and then stops, only to return after three to four months. It began two years ago when I became pregnant and took an abortion pill. After that, I experienced intense pain for almost 10 days, and now it comes back intermittently.

Please help me understand the possible reasons behind this.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concerns and would like to help.

You mentioned experiencing lower abdominal pain, but the details of the pain were not provided. I would appreciate it if you could share more information about the following:

  1. The character of the pain.
  2. Any associated symptoms.
  3. Whether the pain radiates to any other part of the abdomen.
  4. Factors that aggravate the pain.
  5. Factors that relieve the pain.
  6. Any association with discharge.

If you have noticed any discharge, please provide details on:

  1. The color of the discharge.
  2. The consistency of the discharge.
  3. The amount of discharge.
  4. Presence of blood or pus.
  5. Any odor.

This could indicate a possible pelvic inflammatory disease (PID), which may affect the fallopian tubes called salpingitis. Based on your symptoms, I would advise you to undergo TVS (transvaginal ultrasound).

I suggest you take the following medications:

  1. Ofloxacin 400 mg, twice a day for 14 days.
  2. Metronidazole 400 mg, three times a day for 14 days.

Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

If you have any further questions, please do not hesitate to contact me.

Thank you.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At December 23, 2024
Reviewed At December 23, 2024

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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