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Salpingitis, Oophoritis, Adnexitis

Friday, July 27th 2012. | Disease, Hybrid Health

Salpingitis, oophoritis, adnexitis Definition

The adnexitis characterizes inflammation of attachments of the uterus, ie. the tubes and ovaries. Isolated inflammation of the fallopian tubes (salpingitis) or ovaries (ovaritis) are exceptional.

Both fallopian tubes have the form of a pipe whose one end opens into the upper part of the uterus, the other end, funnel-shaped, is located near the ovary and collects the egg.

Although adnexitis affect mostly young women, not pregnant, all ages can be affected.

Inflammation is characterized by severe pain and a long-term evolution. If the condition does not heal completely, a chronic course is possible. Infertility is a common complication of pelvic inflammatory disease often goes untreated.

Salpingitis, Oophoritis, Adnexitis Causes

  • Infection by bacteria, more rarely by viruses
  • Consequence of a sexually transmitted disease (gonorrhea)
  • Mixed infections

The risk of contamination is especially important during pregnancy and after childbirth, after surgery on the uterus (curettage, induced abortion or IUD insertion) or during menstruation.

Salpingitis

Salpingitis, Oophoritis, Adnexitis Symptoms

  • Prior vaginal infection causes smelly discharge and burning with or without itching in the vagina
  • Fever (often above 38 ° C)
  • Swollen fallopian tubes, which is manifested by pain on palpation and pain or sensations of tension in the abdomen
  • Menstrual bleeding and intense pain
  • Altered condition with reduced performance
  • Constipation, diarrhea with the presence of purulent discharge stool indicates that the infection has spread to the intestines
  • After the acute phase, pain in the abdomen or in the dorsal or lumbar pain during intercourse may occur
  • Vaginal discharge, menstrual disorders, bladder problems or constipation may persist even after the acute phase

Salpingitis, Oophoritis, Adnexitis Diagnosis

  • History with consideration of symptoms
  • Physical examination, palpation and pelvic examination
  • Laboratory tests and identification of the pathogen
  • Ultrasound
  • In doubtful cases and to exclude other diseases, the doctor may recommend the use of laparoscopy with thorough examination of the abdominal cavity

Salpingitis, Oophoritis, Adnexitis Treatment Options

Conservative treatment is sufficient in most cases and surgery is not necessary. Drug treatment is the administration of antibiotics, analgesics and anti-inflammatory substances. In the acute phase, the application of ice can reduce pain and to deflate the tissues.

Subsequently, when the acute inflammation has receded, warm compresses wet-on the lower abdomen and sitz baths are often useful. The doctor will decide if and when the use of heat therapy is indicated.

When conservative treatment is not sufficient to relieve pain, laparoscopy with exploration of the abdominal cavity is performed to clarify the need for surgery.

Salpingitis, Oophoritis, Adnexitis Possible Complications

The inflammation can spread to nearby organs and cause the clinical picture of an “acute abdomen” in case of peritonitis, intestinal obstruction or appendicitis.

The early initiation of antibiotic therapy prevents the formation of abscesses in the absence of appropriate treatment, these abscesses may get worse. In this case, surgical removal of the fallopian tubes, ovaries – depending on the extension of inflammation – and the uterus may become necessary.

In many cases, the disease takes a chronic course, which can lead to infertility in women.

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