How can pelvic inflammatory disease be managed?

Question

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.

Answer 1

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:

The character of the pain.
Any associated symptoms.
Whether the pain radiates to any other part of the abdomen.
Factors that aggravate the pain.
Factors that relieve the pain.
Any association with discharge.

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

The color of the discharge.
The consistency of the discharge.
The amount of discharge.
Presence of blood or pus.
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:

Ofloxacin 400 mg, twice a day for 14 days.
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.