Adnexitis - an inflammation of the fallopian tubes and ovaries or the uterus. It is important to diagnose the disease as early as possible - before it has time to do serious damage to internal organs. Adnexitis is a common cause of lower abdominal pain and fever, especially in young women. If the inflammatory process lead to obstruction of the fallopian tubes or ovaries malfunction, adnexitis may lead to infertility.

Inflammation begins due to microorganisms which normally penetrate into the fallopian tubes and ovaries from the vagina and uterus. Most often, these organisms are transmitted to the woman through unprotected sexual contact with an infected person. However, in some cases, adnexitis is a consequence of infection that occurred after childbirth, miscarriage, abortion, the introduction of an intrauterine device IUD: a reliable and efficient means   or gynecological surgery when the reproductive system is particularly vulnerable to infections.

In most cases, adnexitis agents are microorganisms such as gonococci (this bacteria causing gonorrhea), Chlamydia, Mycoplasma, Staphylococcus and Streptococcus.

Adnexitis and pelvic inflammatory disease

The terms "adnexitis" and "pelvic inflammatory disease" is often confused with one another - as, indeed, confused and symptoms of these diseases. In different countries, the definition of these disorders may also differ, but we are under pelvic inflammatory disease realize lasting inflammatory process which affects most of the female reproductive organs. Adnexitis affects only the fallopian tubes and ovaries.

Symptoms adneksita

The primary symptom of acute adnexitis a strong pain in the lower abdomen. At the beginning of an attack pain can be felt throughout the abdominal cavity, but in a few hours it shifts down, and sometimes - right or left, if the appendages are inflamed with only one hand.

Other possible symptoms of acute adnexitis:

• Fever;
• Sweating;
• Shivers;
• Malaise;
• In some cases - unusual vaginal discharge.

In chronic adnexitis patients usually complain of pain in the abdomen and lower back; many of them violated the menstrual cycle.

Diagnostics

Adneksita symptoms are similar to symptoms of many other disorders, such as appendicitis, ectopic pregnancy Ectopic pregnancy - to keep the baby can not be? , Kidney infections, ovarian cysts or endometriosis. Patients, who appeared above symptoms should consult a gynecologist for a few days. If you suspect a sharp adnexitis desirable to do this for a couple of hours.

During diagnostics adneksita necessarily performed a pelvic examination. The doctor also makes an analysis of the stroke, to determine what microbes caused the inflammation. A blood test helps detect some signs of infection such as elevated white blood cell count.

Treatment

Patients with acute adnexitis often require hospitalization. They are administered antibiotics, and, in most cases, intake of painkillers. In the absence of complications, e.g., abscesses in the uterus, surgical intervention is required. Most patients have to stay in hospital for longer than one week. Resuming sexual activity is possible only after the gynecologist come to the conclusion that it is safe.

In chronic adnexitis appointed as antibiotics and, if necessary, analgesics, but hospitalized patients with this diagnosis is not required. In some cases, however, necessary to conduct surgery to remove damaged tissue disease. It should be noted that until recently, chronic adnexitis was very common disease - it is believed that the reason for this was the high incidence of tuberculosis. Now tuberculosis successfully treated and prevented, and chronic adnexitis becoming increasingly rare.

If adnexitis was caused by gonorrhea or chlamydia, the husband or the woman's partner should also be treated.

Adnexitis and fertility

If adneksit promptly and properly treated, it may not affect fertility. However, in some cases the result of inflammation becomes obstruction of one or both fallopian tubes; adnexitis immediately after treatment can not be determined, it happened or not. Typically, the conclusion as adnexitis affect fertility, done after a woman trying to get pregnant How to Get Pregnant: Recommendations to help . If in a few months to conceive a child can not be prescribed to patients hysterosalpingography - a procedure during which it is possible to identify the obstruction of the fallopian tubes, which is one of the common causes of female infertility.

Take care of yourself

If you have had acute or chronic adnexitis, you need to take steps to avoid infection in the future. For this:

• Avoid sexual contact with strangers;
• If such sexual contacts do occur, be sure to use barrier contraception - the most reliable of them are, of course, condoms;
• Do not use IUDs prevent pregnancy;
• When a severe pain in the abdomen as soon as possible go to a gynecologist.

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