Adnexitis: Inflammation of the ovaries and uterine (fallopian) tubes is called Adnexitis or salpingo-oophoritis. This is one of the most common gynecological diseases, mostly found in women aged 20 to 30 years.
Generally, inflammation starts with the fallopian tubes. In this case, we speak of course of acute salpingitis. Infection can penetrate into the Fallopian tube as the upward (from the genital tract) and downward (through the bloodstream) by. The reason may be a variety of bacteria staphylococcus, streptococcus. Salpingitis is a frequent complication of diseases, sexually transmitted infections (gonorrhea, chlamydia, etc.). Risk factors are also salpingitis abortion, endoscopic examination of the uterus, the installation of an intrauterine device, diagnostic uterine curettage. With all of these manipulations is likely penetration of bacteria through the damaged lining of the uterus. The process may be either one-way or two-way (with gonococcal salpingitis).
First inflamed mucosa of the fallopian tube. Over time, the process involved all its wall and in the lumen of serous fluid accumulates and sometimes pus. Most often, the infection spreads from the fallopian tube to the ovary. Combined inflammation of the ovary (oophoritis) and the fallopian tube called scalping.
Symptoms :- Adnexitis begins sharply with temperature elevation up 39єS, periodic sharp pains in the lower abdomen with the transition to the lumbar and sacrum. Sometimes the symptoms resemble acute appendicitis. The menstrual cycle is broken, become painful monthly and longer possible intermenstrual bleeding. Patients complain of pain during urination and on characteristic watery, sometimes purulent discharge (leucorrhea). Abdominal pain also occurs during intercourse and stored for some time thereafter.
Without treatment, adnexitis may become chronic. In this case, the symptoms become less severe, persistent pain, aching. When colds, stress, possible exacerbation of chronic adnexitis.
Inflammation of the appendages is fraught with complications. Adnexitis in acute inflammation of the peritoneum can go on with the development of peritonitis, which requires immediate surgical treatment. Is a long-term consequence, especially adhesions in the fallopian tubes, which in turn increases the risk of ectopic pregnancy and infertility. Sometimes infertility can be the only sign of allowing suspected chronic adnexitis.
What you can do :- When the first symptoms adversity consult a doctor immediately. Self-medication can only aggravate the picture of the disease. Prevention adversity includes, above all, personal hygiene, prompt treatment of sexually transmitted infections, abortion prevention, protective mode after gynecological operations. Try to avoid hypothermia, excessive loads and strengthen the immune system.
What can a doctor :- After a gynecological examination obligatory in the study of vaginal smears on flora. In rare cases, a diagnostic laparoscopy. adnexitis Treatment is based mainly on antibiotic therapy. The most frequently prescribed antibiotics from the group of penicillins or cephalosporins. The course of treatment continues for approximately 10-14 days after the disappearance of symptoms. Depending on the severity of the condition doctor may also assign analgesics, anti-inflammatories, and after a decrease of symptoms - physiotherapy.
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