Salpingoophoritis and pregnancy: what are the consequences? Salpingoophoritis - what is it? Salpingoophoritis: treatment

Recently, representatives of the weaker sex are increasingly faced with various diseases of the sexual sphere. One of the often emerging ailments is inflammation of the uterine appendages . Each lady should know about the course of salpingo-oophoritis, what it is, the symptoms and consequences of the disease. Let's try to understand these issues in detail.

Salpingoophoritis: what is it?

To begin with it is necessary to say that salpingo-oophoritis (it is also called adnexitis) means inflammation of the fallopian tubes of the ovaries. In most cases, the diseases of these organs are closely related and depend directly on each other. Physicians distinguish three forms of pathology development: acute inflammation; Subacute form of the disease; Hr. Salpingo-oophoritis.

In addition, there is a classification of the disease, which depends on the area where the inflammation occurred. Distinguish the following subspecies: chronic bilateral salpingoophoritis; Left-sided inflammation; Right-sided salpingo-oophoritis.

The causes of the inflammatory process

In most cases, the bacterium becomes the causative agent of the disease. They can be obtained both with unprotected contact with an untested partner, and through personal hygiene items by household means. The most common painful microorganisms that become pathogens are: streptococci and staphylococci, gonococci and E. coli, and a number of other bacteria.

In addition, acute salpingo-oophoritis can be caused by an infection that is present in the body. Because of the weakened immunity, bacteria freely move through the bloodstream and can stop in any convenient organ for them. To provoking diseases include sinusitis and sinusitis, tonsillitis and inflammation of the intestine. When a peritonitis occurs, it often develops an acute salpingo-oophoritis.

Symptoms of the onset of the disease

Depending on what form of the disease is present in a woman, there may be different signs of this ailment.

Acute form

In this case, a woman complains of a strong increase in body temperature (up to 39 degrees). The patient also experiences general weakness and malaise. When the infection spreads to the area of the uterine muscle, purulent discharge from the genital tract can be observed.

A woman diagnosed with "acute bilateral salpingo-oophoritis" experiences shingling pain in the lower part of the abdominal cavity, which can give in the lower back or leg. Also this form of the disease is characterized by unpleasant pressures during sexual intercourse.

If the fair sex does not turn to the doctor in time and does not receive appropriate treatment, the inflammation of the appendages will pass to the next stage in a few weeks - subacute salpingo-oophoritis.

Subacute form

At this stage, the woman continues to feel pain in the lower segment of the abdomen. The body temperature gradually decreases and reaches normal values, so the lady stops worrying. At this point, the woman begins to think that it has become much easier and she has conquered her forces with ailment. However, in fact, it's not like that at all. The organism of the representative of the weaker sex ceases to struggle with inflammation and accepts harmful bacteria as already familiar to it.

Subacute form of inflammation is present for quite some time. It quickly passes into chronic salpingo-oophoritis. What is it and what symptoms does this type of disease have?

Chronic form

At this stage, the woman feels almost no discomfort. The increased temperature associated with inflammation of the appendages is no longer observed. Minor pain can then appear, then pass alone. As a first aid, women quite often use usual painkillers, however this is not right.

The longer the treatment of a disease is postponed, the more serious its consequences may be. In the chronic stage, unilateral or bilateral salpingo-oophoritis is expressed by the following symptoms: periodic pains in the lower abdomen, intensifying during menstrual flow, sexual desire also decreases, the woman notices that the monthly ones have become abundant and come irregularly.

Exacerbation of the disease

Exacerbation of chronic salpingo-oophoritis can occur with a slight decrease in immunity or after severe supercooling. In this case, a woman can observe all the same symptoms that have an acute form of the disease, but they are combined with signs of chronic inflammation.

Risk factors

So, some facts about a disease such as salpingo-oophoritis (what it is, how infection occurs, what are the symptoms) are already known to you. Do not think that if you have an infection, there will definitely be inflammation of the appendages. Who is at risk and most susceptible to the occurrence of salpingo-oophoritis?

In most cases, the disease affects women after childbirth or abortion (when entering the infection during the procedure), with hypothermia or the occurrence of frequent stressful situations. Also, inflammation can occur in women who suffer from constipation or inflammation of neighboring organs of the abdominal cavity.

Diagnosis of the disease

It is almost impossible to independently make such a diagnosis. In most cases, the patient is examined in several stages. Let's consider them in detail.

Poll and conversation

When referring to a doctor, almost always the patient is interviewed. The doctor finds out how long the disturbing symptoms have appeared, how much their character is expressed. Also, the specialist will definitely specify whether the woman had childbirth or abortion, how many sexual partners she had. It is necessary to know whether any genital tract infections have been detected before and whether they have been treated. The doctor records all the data in the patient's personal card, then proceeds to a manual examination.

Examination on the gynecological chair

The undoubted signs of salpingo-oophoritis are expressed by painful sensations during a manual examination. The doctor carefully probes the area of the uterus and appendages, marks their location. With the removal of organs, suspicion may occur of an adhesion process in the small pelvis, which is one of the complications of inflammation.

Laboratory research

After gynecological examination, the material is taken for analysis. In most cases, physicians examine vaginal discharge in which pathogenic microorganisms can be detected.

Blood testing is also recommended. According to the level of white blood cells and erythrocytes, the doctor determines whether there is an inflammatory process in the patient's body.

Ultrasound diagnostics

Quite often, an exacerbation of salpingo-oophoritis is diagnosed during the examination with the help of ultrasound. In some cases, the diagnosis becomes unexpected news for a woman. In this case, a specialist can see on the screen all the internal organs of the patient. With this pathology, inflamed fallopian tubes can be clearly seen. Also, during the ultrasound, the doctor notes the increased size of the ovaries and their tight capsule. In addition, displacement of the pelvic organs relative to each other can be detected. This indicates a neglected state and a chronic form of inflammation.

Laparoscopy

If the studies are insufficient, then adnexitis (salpingo-oophoritis) is diagnosed during laparoscopy. In this case, the doctor introduces into the abdomen of the patient a few small manipulators, with which he sees everything that is happening inside the abdomen, on the big screen. In the same way, simultaneous treatment can be performed if surgical intervention is required.

Treatment of inflammation of appendages

Depending on what the salpingo-oophoritis has symptoms, and the treatment should be appropriate. After a thorough examination and diagnosis, the doctor appoints the patient a set of measures to eliminate inflammation. The acute form of the disease is almost always corrected under the close supervision of specialists. For this, the woman is sent to a hospital. Chronic inflammation can be corrected at home, however in this case it is necessary to strictly follow all the recommendations of your doctor.

Conservative correction

If a woman has acute salpingo-oophoritis, the symptoms and treatment will be directly dependent. The therapy should be carried out immediately, until the main symptoms have disappeared, and the disease has not become subacute.

In most cases, acute inflammation is stopped by antibacterial drugs. Before the correction, it is necessary to conduct a study on the sensitivity to such drugs. After receiving the result of the analysis, the doctor appoints several drugs, for example, injections of "Gentamicin", tablets "Vilprofen", medication "Amoxicilin", "Naxojin" and others.

In addition, it is necessary to jointly carry out vitamin therapy, aimed at increasing the body's resistance to infection. In such cases, the following drugs are prescribed: tincture of Echinacea, vitamins of group B and C, as well as a complex of mineral supplements.

After the correction, it is recommended to use the beneficial bacteria to restore the microflora, for this purpose powders "Bifidkumbacterin" and "Lactobacterin", "Linex" tablets, capsules "Acipol", gel or suppositories "Vagilak" are used.

If there was an exacerbation, then it must be treated. Chronic salpingo-oophoritis is often aggravated after stress and hypothermia. That is why, in addition to the basic treatment, you need to take sedatives: tablets "Tenoten", drops "Nota", syrup "Novopassit", and also warmly dress in cold weather.

Surgery

If a woman has a very neglected form of the inflammatory process, then most likely she will need surgical intervention. If an adhesive process is found in the abdominal cavity , which caused salpingo-oophoritis, the symptoms and treatment will be appropriate. Also during the diagnosis can be found small outgrowths on the fallopian tubes. They look like pouches in which pus accumulates. The rupture of such a pocket can lead to peritonitis and inflammation of neighboring organs. That is why it is so important to remove such formations in time.

In most cases, laparoscopy is performed for surgical treatment. Sometimes it can be diagnostic, but later go into the treatment procedure. The patient is put into a state of anesthesia and with the help of manipulators they remove the growths, dissect the adhesions, return the organs to their habitual location. Also, if necessary, check the patency of the fallopian tubes and their plastic.

Additional therapies

If a woman has a chronic salpingo-oophoritis, the symptoms and treatment of which we have already considered, therapy can be performed in an alternative way. Quite often representatives of the fair sex with this diagnosis are prescribed mud baths or tampons. Very well eliminate the inflammatory process of the rhodonic bath. Also, physiotherapy, ultrasound and magnetic waves can be prescribed. Thanks to such measures the adhesive process in the abdominal cavity stops its development or does not arise at all. It should be noted that the outcome of treatment is affected by the stage of the disease.

Salpingo-oophoritis and pregnancy (consequences)

One of the main consequences of this disease is the inability to conceive a child independently. In the fallopian tubes, small hairs (fimbriae) are present throughout. It is they who, after ovulation and fertilization, help to move the egg to the uterus. After the transferred inflammation these "fingers" stick together and cease to function.

An adhesion process can also occur, which affects the uterine tubes and prevents the female cell from moving freely along them. One of the most common complications of this is ectopic pregnancy. Male cells are so small that they can easily penetrate these membranes, but a fertilized egg can not go down into the uterus and is attached to the wall of the fallopian tube.

Also, the absence of pregnancy with such a disease may be due to the fact that the ovaries are badly affected. In some cases, the growth of the follicles slows down, and the egg completely ceases to leave them. If ovulation has taken place, then the yellow body formed on the place of the follicle, works very poorly and releases a little hormone, which is so necessary for the development of pregnancy.

How to become pregnant with salpinoophoritis?

Many women ask: "If the diagnosis is" salpingo-oophoritis chronic, "can I get pregnant?" It is worth saying that before planning a child, it is necessary to conduct a thorough treatment and examination. First, you need to find out what caused the inflammatory process, and to eliminate the pathogenic bacteria. After this, it is necessary to improve immunity and restore the microflora.

If there is an adhesion process, you need to know about the condition of the fallopian tubes. For this, hysterosalpingography (metrosalpingography) is carried out. Under the control of the ultrasound machine or using an X-ray machine, the doctor enters a catheter into the woman's uterus, through which the contrast fluid flows. In a normal state, it must exit into the abdominal cavity. This will be seen on the monitor of an ultrasound machine or on an x-ray. If the fallopian tubes are impassable, surgical intervention is necessary to restore their work.

It is worth saying that even after such treatment the chances that pregnancy will occur are very small. In some cases couples after several years of unsuccessful attempts resort to artificial insemination. In this case, conception occurs outside the woman's body. Subsequently, the representative of the weaker sex in the womb embryo is planted, ready for attachment. But even in this case, one can not give a guarantee that pregnancy will develop.

If the firbria is damaged in the fallopian tubes, then, most likely, the surgical intervention will not bring you any effect. It is simply impossible to restore these microscopic fingers. Maybe in a few years medicine will step forward, and specialists will find a way to restore the stuck pimples in the fallopian tubes. However, at the moment there is no such way. That is why it is so important to monitor the health of your reproductive system.

Conclusion

It is worth noting that the timely begun treatment of the uterine appendages has a rather favorable prognosis. Most women who turned to a specialist for help on time successfully become pregnant and give birth to children. That is why it is so important at the first manifestations of the disease to trust experienced doctors.

The first symptoms of acute salpingo-oophoritis are quite similar to those of ectopic pregnancy, apoplexy of the cyst or ovary, as well as inflammation of the appendix and peritonitis. Perhaps you have not a commonplace inflammation, but rather a serious pathology that can lead to death. Do not delay the visit to the doctor. Ask for help on time and be healthy!