Expressed degree
The third degree is a long-term chronic process with pronounced adhesive changes, obstruction or partial patency of the fallopian tubes, chronic pain syndrome and often infertility. The program is expanded as much as possible: in addition to antibacterial and anti-inflammatory therapy, absorbable drugs, enzyme agents, a course of physiotherapy and intrauterine procedures are actively used. It is important to understand a realistic prognosis: already formed dense adhesions do not completely dissolve conservatively, and if infertility persists, laparoscopy or an IVF program is discussed. The course remains necessary - it relieves inflammation and prepares the tissue for further treatment.
Why is the treatment a course?
Chronic inflammatory diseases of the pelvic organs and infertility are not treated with a single prescription. Consistent effects are required over several days: suppressing infection, relieving inflammation, improving blood circulation in tissues and resolving adhesive changes.
The course format allows you to carry out all components of treatment under the supervision of a physician, assessing tolerability and adjusting the program along the way.
What's included in the course
- antibacterial and anti-inflammatory therapy based on culture results
- intravenous and intramuscular administration of drugs
- local procedures - sanitation, instillations
- physiotherapy to improve blood circulation and resolve adhesions
- control examinations and ultrasound in dynamics
What does the duration depend on?
The duration of the course is determined by the severity of the process: for newly diagnosed inflammation, five days are enough; for long-term inflammation with the formation of adhesions, ten or more are required. The degree is determined by examination, ultrasound and laboratory tests before treatment.