Recently, pelvic adhesions are considered a fairly common pathology. This is due to the fact that some diseases cannot be cured without surgical intervention, and sexual infections and hormonal disruptions increase the number of patients suffering from the disease. Most often, the problem occurs in women of reproductive age and is of great danger, as it causes infertility. Let us consider in more detail the symptoms of adhesions in the pelvis in women, diagnosis and treatment.
Definition
Adhesions are connective films, due to which internal organs coalesce. The complexity of the diagnosis lies in the asymptomatic course of the disease, and the difficulty of therapy is that the process is inherently physiological and indicates an increase in the protective functions of the body. Only when this process leads to a change in the functions of organs can we talk about pathology.
Causes
The appearance of symptoms of adhesions in the pelvis is very common and is associated with the influence of a large number of factors. The most common causes of the disease are:
- infectious lesions of the uterus and its appendages;
- prolonged inflammation in the genital organs;
- problems in the abdominal cavity;
- surgical and medical abortions;
- acute infections of tissues belonging to the uterus and its appendages;
- AIDS;
- cesarean section;
- prolonged wearing of a spiral in the body of the uterus;
- ectopic pregnancy;
- HIV infection
- ovarian injuries;
- curettage of the uterus;
- chronic stress;
- unstable sex life.
Just because there are so many reasons for the problem, it is widespread.
Signs of adhesions
In women, this disease is more common, but men are also affected by it. At the beginning of the disease, patients do not suspect its presence, since everything goes asymptomatically. As the disease progresses, slight signs of discomfort may appear. At a certain point, the ailment gives a sharp surge and translates into the acute phase. It is then that the bright symptoms of adhesions in the small pelvis develop, which manifest themselves:
- severe pain in the area of the appendages and uterus;
- repeated vomiting;
- severe nausea;
- increased heart rate and pressure;
- significant drowsiness;
- severe weakness;
- temperature increased to high values (up to 40 degrees);
- sharp metabolic problems.
Doctors regard such conditions as severe or extremely severe; they necessarily require medical and competent intervention. During this period, even with minimal pressure on the abdomen, pain in the uterus increases greatly. If all these symptoms of adhesions in the small pelvis are present, then treatment is required to be carried out quickly, since significant complications can occur.
In the case of poor-quality therapy, the ailment becomes chronic, which can be detected by the following signs:
- alternation of constipation and panos;
- regular aching pain in the lower abdomen;
- irregularities in the menstrual cycle.
If there is any suspicion of a pathology, it is necessary to consult a doctor. Since even a slight delay can become a serious threat to life.
Stages
In the first stage, adhesions formed only near the fallopian tube or ovaries and have not yet harmed the passage of the egg. On the second, a problem is present between the fallopian tube and one of the ovaries, but it already harms the movement of the egg. Next, a blockage and torsion of the pipe by adhesions are formed. The promotion of the egg is generally impossible.
Complications
If you ignore the symptoms of adhesions in the pelvis in women, then they can become the cause of serious complications. Doctors often diagnose the following effects:
- ectopic pregnancy;
- bending of the uterine body;
- sepsis;
- internal bleeding;
- rupture of the ovary and fallopian tube.
All complications are difficult to treat, rarely go completely and completely. Given all this, it is better to fight the disease as soon as possible.
Establishing diagnosis
Symptoms of adhesions in the pelvis (a thorough diagnosis is needed) can characterize many diseases, therefore, detailed studies are required. Determining the presence of pathology is quite problematic, most often the doctor can only suggest the disease based on complaints.
The presence of adhesions can easily be detected by a gynecologist, since at the time of examination of the uterus and appendages, they can be motionless or have little activity. It should be noted that the patient during the examination may feel pain. Very often, the doctor prescribes additional studies:
- MRI (magnetic resonance imaging);
- smear on the microflora of the vagina;
- Ultrasound (ultrasound);
- analysis for the presence of latent genital infections;
- laparoscopy
- hysterosalpingography.
MRI and ultrasound are the most reliable diagnostic methods. Symptoms of adhesions in the small pelvis are very vague, therefore, additional measures are required, for example, hysterosalpingography - a procedure for detecting patency of pipes. If they do not have such a function, then there is reason to believe that the body has an adhesion process, but this analysis does not give absolute certainty that the problem is located in the small pelvis.
Laparoscopy is an excellent method for identifying pathologies. With its help, a physical examination of the pelvic cavity is performed for the presence of adhesions, their degree and size.
Therapy
Diagnosis and treatment of symptoms of adhesions in the pelvis should be done on time. Since women often suffer from the disease, their childbearing process depends on this.
There are two main treatment options:
However, all doctors recommend the prevention of the disease, since the problem is very difficult to treat. Therefore, after the inflammatory process or operation, absorbable drugs are necessarily prescribed. But if there are symptoms of pelvic adhesions after surgery, then most often a combination of the surgical and conservative methods is used.
Drug therapy
After each surgical implantation in the pelvic cavity, patients are advised to switch to dietary nutrition, since the adhesion process takes six months to form. If there are no contraindications, then the activation of the patient occurs during the first day. A person who gets up early from bed, who is engaged in small physical exercises, naturally begins to improve intestinal motility, which ultimately is the prevention of postoperative adhesions in the small pelvis. Treatment of the symptoms of the disease further provides for the presence of fractional nutrition so as not to overload the stomach and intestines with food.
It should be noted that patients are not recommended to exert themselves physically or to lift weights.
Before and after surgery, patients need adjuvant therapy. The essence of the method is to administer fluid into the pelvic cavity (special mineral oils or Dextran) to prevent organ adhesion. Quite often, patients undergo a procedure for dipping the fallopian tubes in a special absorbable film, which prevents tube infertility.
Drug therapy involves the use of the following components:
- Candles are prescribed to treat symptoms of adhesions in the pelvis and other fibrinolytic drugs (Longidases).
- Injections such as Chymotrypsin, Trypsin, and Streptokinase are also commonly used.
- Physiotherapy procedures are used, most often electrophoresis with "Lidase".
- It is recommended to take antiplatelet agents and anticoagulants (Trental, Heparin), they perfectly thin the blood and reduce the risk of adhesions.
If the symptoms of adhesions in the small pelvis were not treated on time, then the ailment becomes chronic. In this case, the patient is assigned a number of complexes to eliminate the problem:
- Physiotherapy with enzymes, physical education, hirudotherapy (leech therapy) and therapeutic massage.
- Absorbing effects are injections of sodium thiopental sodium and the introduction of intevaginal tampons with Vishnevsky ointment.
- Many patients know how adhesions in the small pelvis hurt and the symptoms that accompany the disease also do not bring positive emotions, therefore, antispasmodics, most often No-Shpa, are prescribed. And it is also recommended to use NSAIDs (non-steroidal anti-inflammatory drugs) - Ketonal, Voltaren.
- A very effective method is yoga exercises and breathing exercises. However, such a sport can only be used in the absence of contraindications. It is recommended every day for 15 minutes to engage in body flex, as this has a beneficial effect on the entire body, and especially on the pelvic area, thereby speeding up the process of resorption of adhesions and helping women suffering from infertility.
Surgical intervention
Most often, the treatment of symptoms of adhesions in the small pelvis, photos of which can be seen later, is carried out after the operation.
But this is not the only provoking factor. Quite often, a conservative technique does not give a positive result. When the pathology develops in an acute form, the patient is shown surgery. Most often, laparoscopy is performed, after which a mandatory medication is prescribed. The type of procedure is designated only by the doctor at the time of:
- laser therapy - adhesions are crushed directly by a laser;
- electrosurgery - a special electric knife is used for the operation;
- aquadissection - water is used for separation.
Treatment with folk remedies
Symptoms of pelvic adhesions are very diverse, therefore, not only conservative, but alternative methods are used for therapy. Before starting self-treatment, it is very important to consult with your doctor and get permission to use such drugs to prevent unwanted consequences:
- In rare cases, and only with a mild form, douching is allowed. To do this, you need to pour 4 cups of boiling water over a tablespoon of elderberry and chamomile flowers, as well as washed flaxseed, then wrap everything tightly with a blanket and leave it under the lid for 60 minutes to insist. Then strain everything thoroughly, and use the broth for douching 2 times in knocking in the morning and before bedtime. The course of therapy takes 30 days.
- There is another method of douching, which perfectly helps to remove the symptoms of adhesions in the pelvis. To do this, take a tablespoon of washed iris rhizomes, which must be poured with a glass of freshly boiled boiling water. Then the composition is carefully wrapped and left to steam for 2 hours. The final infusion is good to strain and conduct therapy once a day for about half a month.
- Chamomile is another great remedy for adhesion therapy. To prepare the broth, you need 2 large tablespoons of inflorescences, which are sent to the jar and filled with 250 ml of water after boiling. Further, the prepared drug is infused for 30 minutes. Then the gauze is folded in 4 layers and chamomile is passed through it. The amount of liquid is halved, and douching is carried out for 2 months in the morning and in the evening.
- For ingestion, it is recommended to use a plantain broth. You need to pick up a teaspoon with a hill of seeds and combine them with a glass of cool water. Next, the dishes with the drug are sent to the fire and boiled for 10 minutes. After the broth has cooled, it is well filtered, drunk 3 times a day literally 1 tbsp. l The duration of such therapy is 30 days.
- Milk thistle is an excellent treatment for the liver, but it also copes wonderfully with adhesions that are in the pelvis. When the plant is consumed, resorption of adhesions is provoked. In order to prepare a medicine from milk thistle, you need to take a tablespoon of washed seeds and pour 250 ml of boiling water into them. Then the mass goes to the stove and simmers for 15 minutes over low heat. After cooling, everything is filtered and consumed 3 times a day for 1/3 cup. The duration of such treatment is 30 days.
- Cinquefoil is also recommended for ridding adhesions. For medicine, you need to dial a tablespoon of the maximum crushed leaves of the plant and pour all 300 ml of vodka, and then leave to infuse for 20 days. Then the medicine is filtered and consumed in 1 tbsp. l morning and evening 45 days.
- For therapy, a tasty remedy is also used, for which 100 grams of seeds from wild carrots are ground to a state of flour, and then mixed with 50 grams of powdered sugar. To remove adhesions, you need to eat a teaspoon of the drug 3 times a day. The duration of such procedures takes 6 weeks.
- Yarkut field is another plant that can help in the treatment of adhesions. Requires to take 2 tbsp. l crushed dry grass and pour all 2 cups of very hot water. Next, you need to cover the dishes with the drug with a lid, insulate with a blanket, insist for 60 minutes. After filtering, it is taken 3 times a day for 1/3 cup for 2 months.
- Propolis with honey are excellent remedies to cope with this problem. It is required to take a teaspoon of the listed ingredients and mix thoroughly with each other. The prepared product is generously lubricated with a tampon and inserted for the whole night. Such therapy is performed every two days, the duration of the course is 7 procedures, which will take 14 days.
- A folk remedy made from natural honey and various plant components can help even with the largest adhesions of the fallopian tubes. It is necessary to take in equal proportions seeds of plantain, dried raspberries, wormwood and rose hips. All components of the composition are ground in a coffee grinder to a powder state. Further, everything connects with honey until a dense mass is obtained. Balls of 10 grams each are made from it. Prepared product is used 3 times a day for 3 pieces before meals. The duration of such therapy takes 30 days.
- St. John's wort helps to get rid of adhesions in the female reproductive system. You need to take a tablespoon of grated grass and pour water that has just boiled. Dishes with medicine are sent to the fire and steamed under the lid for 15 minutes. All is well cooled, so that later it is easy to strain, drink ¼ cup 3 times. The time for therapy is 1 month.
Prevention
To prevent the appearance of symptoms of adhesions in the pelvis, doctors recommend the following measures:
- use of reliable contraceptives;
- refuse to use intrauterine devices;
- timely treat all inflammatory processes and infectious diseases that occur in the reproductive organs;
- it is preferable, if there are no contraindications, to conduct childbirth in a natural way;
- regular sex life.
All these preventive measures will minimize the likelihood of pathology.
Reviews
Treatment of symptoms of adhesions in the pelvis is quite common, as the number of chronic diseases of the internal organs that do not undergo timely treatment has increased significantly. According to doctors, it is precisely because of this that adhesions very often turn into a chronic form, which complicates their therapy.
As the doctors say, all chronic problems in the pelvis are primarily common polysystemic diseases. In the focus of inflammation, leukotoxins are formed, as well as histamine-like substances. As a result, organs for their protection form substances such as adhesions. Now you can see the important role played by timely therapy and prevention.
According to patients and their reviews, the symptoms of pelvic adhesions cause a lot of discomfort, so if you contact a doctor in a timely manner, you can get rid of them very simply. Upon transition to the chronic form, surgery was noted as the best therapy, since conservative treatment does not always give a full recovery. According to doctors and patients, traditional medicine is used as an auxiliary, such a tandem always brings positive results.