Salpingitis (Adnexitis)

Oviduct and ovary one can call addenda together, the adnexitis is an inflammation of the two organs. An oviduct and oophoritis is not part of the sexually transmissible diseases, however, it can be the result of an if necessary untreated infection with gonococcen, chlamydia or trichomonads. During a colpitis different shoots which lead to an adnexitis can climb into the womb and into the oviduct. Further favoring factors are the menses, a flat intrauterine device or a miscarriage. As a rule, the disease concerns young women. The illness is also dependent on the personal hygiene and the sexual behavior of the persons affected. Risk patients are young sex partners frequently changing women without a protected sexual intercourse. A colpitis can most effectively be prevented with condoms.

Symptoms

It becomes one between an acute one and one a chronic disease stage distinguished. The patients feel strong pains in the acute stage in the hypogastrium. In addition, they have fevers, and nausea. A purulent discharge can appear, the womb is extended frequently and pressure sensitive to pain. An adnexitis can appear unilaterally or on both sides.

If the illness gets chronic, the pains appear particularly after sexual intercourse or physical effort again and again. The menstruation can get stronger and more irregular. If the disease remains untreated, it can between oviduct and ovary adhesions come. This increases the risk of a tubal pregnancy and it even can come to the sterility.

Diagnosis

The patient is questioned first, a gynecological examination is then carried out. The causative agents can be proved by the womb with the help of a smear.

Therapy

The disease is given therapy to with antibiotics first. The partner also must be co-treated at the detection of gonococcen or chlamdia. The earlier are started with with the medical treatment, the better the chances of recovery are. The medicinal medical treatment remains unsuccessful, a surgical operation becomes necessary.