- What is adnexitis?
- Types of adnexitis
- Symptoms of acute adnexitis
- Symptoms of subacute adnexitis
- Symptoms of chronic adnexitis
- Diagnosis of adnexitis
- Adnexitis treatment
One in three women, according to statistics, complains of abdominal pain due to inflammation of the uterus. This is the most common gynecological disease is called adnexitis or salpingoophoritis.
«The girls and women of childbearing age are exposed to it the most- says Larisa Ivanovna Zadvornykh, the gynecologist of the highest qualification category of the Clinic Medical Practice Dr.Danatsko. – Если If chronic bilateral adnexitis is not treated on time, the every fifth patient becomes barren.»
What is adnexitis?
Infection, penetrating through the vagina to the fallopian tubes, and located near the pelvic organs, causes inflammation of the appendages. The culprits are bacteria (gardnella, chlamydia, gonococcus, Haemophilus influenzae). More than one third of patients are pathogens of some kinds of bacteria simultaneously.
Types of adnexitis
Experts identify subacute adnexitis, as well as acute and chronic. It may be unilateral and bilateral. Manifestations depend on the stage of the disease. For all stages is typical discharge, sometimes purulent, leucorrhea, menstrual irregularities. Frequent urination and pain during intercourse.
Symptoms of acute adnexitis
They may be confused with the common cold, because the diagnosis is much more difficult. It all starts with high temperatures — up to 38-39 degrees, chills, pain on the left or right of the lower abdomen. May be vomiting and nausea. The weaker the immune system, the sharper manifestations.
Symptoms of subacute adnexitis
They are the same as in the acute stage, but the pain can be not severe and quickly stoped. The danger is that the patient prefers to «endure» and not go to the doctor. In fact, it can be developed into a two-way, a right-hand or left-sided adnexitis. Untreated, it develops into a chronic stage.
Symptoms of chronic adnexitis
Sometimes they do not appear at all, the woman does not even know about the disease. If the pain is still there, it may be be in the rectum, back, left or right thigh. The menstrual cycle is extended to 40 days instead of the standard 28-and. Chronic adnexitis may provoke weaker menstrual bleeding mid-cycle (women complain that they have «smeared» menstruations between periods).
What is the danger?
Signs of the adnexitis are often mistaken for an ectopic pregnancy or appendicitis. Periodic temperature rises and the general weakness the woman takes for the cold symptoms, and pain is confused with exacerbations of other diseases (pyelonephritis, sciatica). And the woman does not go to the doctor.
Adnexitis, treatment of which conducted untimely or was completely abandoned, 2 times increases the risk of ectopic pregnancy. That is why the immediate professional diagnosis is required.
- Pregnancy test (to exclude an ectopic pregnancy)
- Blood and urine tests.
- Bimanual palpation on the gynecological chair (to determine the status of the cervix, ovaries and appendages).
- Laboratory examination of smears, discharge from the cervix (PCR, bacterial inoculation, microscopy).
- Diagnostic laparoscopy.
- Transvaginal ultrasound.
- CT scan
As treatment can be greatly complicated by inflammation of the appendages and pain, the antibiotics give the effect only in 40% of cases. The modern physiotherapy methods that actively practiced in our clinic Medical Practice Dr.Danatsko are required.
It has an anti-inflammatory, analgesic effect. It is recommended 6-15 minutes each day for the adnexitis treatment. Suffice it to 15 sessions.
The impact of low frequency magnetic field improves blood circulation, stimulates healing and regeneration of tissue, dilates blood vessels and cures inflammation. If the chronic adnexitis diagnosed, the treatment of this powerful equipment takes 25 minutes daily for 15-25 procedures.
5-12 sessions of 4-15 minutes are prescribed every day or every other day. It stimulates the immune system, stops inflammation in the pelvic organs, the pain go away.
The clinical course of adnexitis is an extremely complex process, and the consequences are unpredictable. Therefore the self treatment is unacceptable. The course of treatment should be continued even 10-14 days after the termination of symptoms. In some cases it is required the diagnosis under the guidance of an experienced gynecologist.