EtiologyTypically, the process begins with inflammation of the fallopian tubes. In this case we speak of course of acute salpingitis. Infection can penetrate into the fallopian tubes as rising (from the genital tract) and downward (through the bloodstream) by. The reason may be a variety of microbes staphylococci, streptococci, esherehii. Salpingitis is a common complication of diseases, sexually transmitted diseases (gonorrhea, chlamydia, etc.). Risk factors are also salpingitis abortion, endoscopic examination of the uterus, the installation of an intrauterine device, diagnostic curettage of the uterus. With all these manipulations is likely bacterial penetration through the damaged mucosa of the uterus. The process can be as one-sided and double-sided (with gonococcal salpingitis).
First, inflamed mucosa of the fallopian tube. Eventually, the process involved all of its wall and in the lumen of serous fluid accumulates and sometimes pus. Most often, the infection spreads from the ovary into the fallopian tube. Combined inflammation of the ovaries (oophoritis), and fallopian tubes called salpingoophoritis.
SymptomsAdnexitis begins sharply, with the rise of temperature up 39 degrees, periodic sharp pains in the lower abdomen with the transition in the lumbar region and the sacrum. Sometimes the symptoms are similar to acute appendicitis. The menstrual cycle is broken, and painful periods become longer, there may be intermenstrual bleeding. Patients complain of pain when urinating, as well as the typical watery and sometimes pus (whites). Abdominal pain also occur during sexual intercourse and remain for some time after it.
Without treatment adnexitis may become chronic. In this case, the symptoms become less severe, persistent pain, aching. With colds, acute exacerbations of chronic stress may adneksita.
Inflammation of the appendages is fraught with complications. In acute inflammation adnexitis can go to the peritoneum with peritonitis, which will require immediate surgical treatment. The long-term consequences - is, first of all, adhesions in the fallopian tubes, which in turn increases the risk of ectopic pregnancy and infertility. Sometimes infertility may be the only feature that allows suspected chronic adnexitis.