What is pelvic inflammatory bleeding?

Pelvic inflammatory disease is the most common type of gynecological inflammation, which can cause great discomfort to female friends, such as abdominal pain, lower abdominal pain, abnormal leucorrhea and other symptoms. At the same time, patients with pelvic inflammatory disease may also have bleeding symptoms. So what is the cause of pelvic inflammatory bleeding? Are there any good solutions and effective methods? The following will introduce it in detail to you friends, especially female friends must read the content carefully.

Because pelvic inflammatory disease may be accompanied by inflammation of the endometrium. Inflammation of the endometrium may cause incomplete shedding of the endometrium during menstruation, which may result in prolonged menstruation. Inflammatory stimulation may also cause endometrial polyps to form in the endometrium. Endometrial polyps often manifest as irregular vaginal bleeding, especially during ovulation. Pelvic fluid accumulation, if the amount is small, should be considered a normal phenomenon and can be ignored. However, if the amount is large, these inflammatory exudates, if not actively treated, may form encapsulated fluid accumulation and cysts. If the cysts rupture, acute abdominal pain may occur, and the abdominal pain may be particularly severe.

If pelvic effusion persists for a long time, it may cause adhesion of some organs in the pelvis, and then cause repeated attacks of lower abdominal pain or low back pain.

What to do if you have pelvic inflammatory bleeding

The treatment of pelvic inflammatory bleeding mainly involves the use of some anti-inflammatory antibiotics. Before using antibiotics, bacterial culture and drug sensitivity tests of vaginal secretions should be performed, and the most appropriate drug should be selected through drug sensitivity tests. It should be noted that the dosage must be large enough and the time must be long enough. Clinically, some patients stop taking the medicine after the symptoms disappear after a few days of use. This can easily cause recurrence and even lead to the occurrence of chronic pelvic inflammatory disease, so the treatment must be thorough.

It is common to use antibiotics to treat pelvic inflammatory bleeding, which can eliminate pathogens, improve symptoms and reduce sequelae. It is best to choose antimicrobial drugs based on the pathogen and the results of drug sensitivity tests, but because drug sensitivity results take 5-7 days, doctors often choose antibiotics based on experience when starting treatment. Since acute pelvic inflammatory disease is mostly a mixed infection of aerobic and anaerobic bacteria, broad-spectrum antibiotics mainly based on bactericides are often used in combination with anti-anaerobic drugs.

If chlamydia and mycoplasma are present, azithromycin should be added. Clindamycin combined with aminoglycosides is effective against infections mainly caused by anaerobic bacteria. The drug should be administered early, in sufficient amounts, and intravenously. Medication should not be changed frequently and the course of treatment should be long enough. Such as the combination of quinolones and metronidazole; the combination of penicillin or erythromycin with aminoglycosides and metronidazole; the commonly used regimens for Gram-negative bacilli and gonococci include second-generation cephalosporins and third-generation cephalosporins.

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