Inflammation of the appendages (adnexitis, salpingo-oophoritis)
Inflammation of the appendages (adnexitis) is a disease that affects the fallopian tubes and ovaries, which play a crucial role in the female reproductive system. Eggs mature in the ovaries, and the tubes help them reach the uterus, where they can be fertilized.
Normally, the appendages are absolutely sterile. The penetration of bacteria into this area inevitably causes inflammation. Even a slight delay in starting treatment can lead to serious complications, such as infertility or persistent pain.
specialists
equipment
treatment
Vidy adnaxita
|
Vid adnexite |
Description |
Symptoms |
Features of treatment |
|---|---|---|---|
|
Acute adnexitis |
It starts suddenly and has vivid symptoms. |
Severe pain, fever up to 39°C, weakness, purulent discharge. |
Immediate antibiotic treatment is required. |
|
Chronic adnexitis |
It develops against the background of an untreated acute form. |
Aching pain, worsening before menstruation, risk of infertility. |
Long-term therapy: physiotherapy, anti-inflammatory drugs. |
|
Unilateral adnexitis |
Affects one fallopian tube and ovary. |
Localized pain, discharge, fever. |
Antibiotics, anti-inflammatory drugs. |
|
Bilateral adnexitis |
Affects both sides of the pelvis. |
Diffuse pain, discomfort, complications. |
Comprehensive treatment to prevent adhesions. |
|
Specific adnexitis |
Caused by infections (gonococci, chlamydia, tuberculosis). |
Purulent discharge, latent course, pain. |
Antibiotics, anti-tuberculosis drugs. |
|
Nonspecific adnexitis |
Caused by opportunistic pathogenic flora. |
Less pronounced symptoms, aching pain. |
Broad-spectrum antibiotics, immunomodulators. |
Treatment of inflammation of the appendages
Drug therapy
The basis of treatment for appendage infection is the right drug treatment. Antibiotics are prescribed to fight the infection that caused the disease. To choose the right drug, the doctor usually conducts a bacteriological examination to determine the causative agent. If the test results are not yet ready, treatment with broad-spectrum antibiotics is started. This allows you to quickly stop the development of the infection without waiting for the results of the laboratory.
At the same time, anti-inflammatory drugs may be prescribed to relieve pain, reduce swelling and restore normal blood circulation in the tissues. If the infection has caused a general weakening of the body, therapy is supplemented with immunostimulants. They strengthen the body's defenses and speed up recovery.
If the inflammation is associated with hormonal disorders, the doctor may supplement the treatment with hormonal drugs. For example, it helps restore the menstrual cycle or reduce the risk of complications.
Physiotherapy
Physiotherapeutic methods of treatment help not only to speed up recovery, but also to prevent complications. Magnetotherapy and electrophoresis are used to improve blood circulation in the pelvis. This reduces inflammation, reduces the risk of adhesions and accelerates tissue regeneration.
Physical therapy is especially useful in chronic cases where adhesions or recurrences become the main problem. It helps to maintain the normal function of the pelvic organs and avoid surgery.
Surgical treatment
Surgery is required in cases of complicated adnexitis. For example, if a purulent abscess has formed that cannot be cured with antibiotics, or the infection has been caused by an adhesion process that disrupts the function of the ovaries and fallopian tubes.
Laparoscopy is a modern method of surgery that is used to treat complications of adnexitis. During the procedure, the surgeon removes pus through small punctures in the abdominal cavity, dissects adhesions or restores the patency of the fallopian tubes. The advantage of laparoscopy is minimal trauma and quick recovery - patients return to normal life in 1-2 weeks.
In rare cases, when the pathology has led to irreversible changes, it may be necessary to remove the damaged organ. For example, removal of the tube or ovary is performed only in situations where other treatments are not possible.
General information
Symptoms of adnexitis (salpingo-oophoritis)
Inflammation of the appendages can manifest itself both acutely and chronically, and the severity of symptoms varies greatly.
Acute inflammation begins with sharp pain in the lower abdomen. It can be stabbing, aching or cramping, more often felt on one side, although sometimes it affects the entire lower abdomen. The temperature rises to 38-39 ° C, often accompanied by chills and weakness. Many women complain of abundant or purulent vaginal discharge with an unpleasant odor. There may be problems with urination: frequent urges or pain, especially if the pathology affects neighboring tissues.
The main signs of acute salpingo-oophoritis:
- Pain in the lower abdomen (sharp or aching)
- High temperature (up to 39 °C)
- Excessive vaginal discharge, sometimes with an admixture of pus
- Weakness, general malaise, chills
- Urinary problems (pain, urgency)
- Painful sexual intercourse
- Menstrual irregularities (painful or irregular periods)
With chronic inflammation, the symptoms become less acute, but persist. Pain in the lower abdomen can be mild, but long-lasting, often worse before menstruation or after physical exertion. The cycle is disrupted: menstruation can be scanty, irregular or painful. One of the most serious consequences is infertility caused by adhesions that block the passage of the egg through the fallopian tubes.
The main signs of chronic adnexitis are:
- Constant mild pain in the lower abdomen
- Irregular menstrual cycle
- Difficulty conceiving
- Discomfort during exertion or before menstruation
Sometimes the symptoms of salpingo-oophoritis can be confused with signs of other diseases, such as appendicitis or ovarian cysts. Therefore, the correct diagnosis can only be made by a doctor.
Answers to popular questions
Here are collected questions that are often asked by people who are faced with inflammation of the appendages.
Can inflammation of the appendages be caused by hypothermia?
Hypothermia itself is not the cause of pathology of the appendages, but it weakens the immune system, which can allow the infection to become active. For example, if you already have opportunistic pathogens, they can cause the disease.
Why is adnexitis often confused with appendicitis?
The symptoms of these diseases are similar: acute pain in the right lower abdomen, nausea, weakness. Only a doctor can distinguish them with the help of ultrasound and blood tests. Therefore, it is important not to self-medicate for abdominal pain.
Can appendages hurt after physical exertion?
Pain in the appendages after an intense workout may indicate chronic inflammation or adhesions. If this recurs, it is worth seeing a gynecologist to rule out hidden problems.
Does inflammation of the appendages affect the psycho-emotional state?
Yes, chronic inflammation can cause irritability, anxiety, and even depression due to constant discomfort and hormonal disorders. Treatment not only eliminates physical symptoms, but also improves overall well-being.
Can inflammation of the appendages be transmitted to a partner?
If the inflammation is caused by a sexually transmitted infection (such as chlamydia or gonococci), then the partner may also be infected. In this case, both need treatment, even if the partner is asymptomatic.
Can adnexitis develop in the absence of sexual activity?
Yes, inflammation can be caused by other factors: pelvic surgery, intestinal or urinary tract infections, and decreased immunity.
Our doctors
This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.
This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.
The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.
Make an appointment at a convenient time on the nearest date
Price
Other services
Hormone therapy
Radio wave gynecology with the Surgitron device
Laser therapy using the Photona device
Sling operations Ectopic pregnancy Delayed menstruation Removal of the uterus (hysterectomy) Thrush (vaginal candidiasis) Prolapse of the uterus and vagina Uterine polyp (endometrial polyp) Cervical dysplasia Adenomyosis Treatment of sexual infections Vaginitis (Colpitis) Erythroplakia of the cervix Endometritis Bacterial vaginosis Symphysitis (symphysiopathy)Erosion and ectopia of the cervix
Vulvovaginitis Premenopause Uterine artery embolization for uterine fibroids Cervicitis Gynecologist consultationDysmenorrhea (painful periods)
AmenorrheaRemoval of the ovaries (oophorectomy)
Postmenopausal Sphinctermetry Treatment and intimate rejuvenation with the Fotona laserAdenomyosis (Endometriosis of the uterus)
Vulvitis Vaginal surgeries Labiaplasty (labiaplasty) Bartholinitis Surgery to remove an ovarian cyst Prolapse (prolapse) of the uterus and vagina Hormone replacement therapy (HRT) First menstruation
Appointment to the doctor
What is inflammation of the appendages?
Inflammation of the appendages is an infection that affects the fallopian tubes and ovaries. Usually, the culprits are bacteria, including those that are sexually transmitted, or conditionally safe microorganisms that are activated when immunity is reduced.
Salpingo-oophoritis is most common in women of childbearing age.