Ovarian inflammation is called oophoritis. This disease is mainly a consequence of salpingitis, and it itself is rare. The disease can lead to infertility and a number of other unpleasant consequences if it is not diagnosed and treated in a timely manner.
There is a bilateral oophoritis, as well as one-sided. In addition, distinguish between chronic, acute and subacute forms of the disease. It can be caused by STDs, streptococci, mycobacterium tuberculosis, staphylococci and other microorganisms.
In the acute process of manifestation, the following:
- pain in the lower back and lower abdomen;
- impaired ovarian function;
- appendages are swollen, painful and palpable;
Chronic oophoritis, symptoms:
- cycle disorders (dysfunctional bleeding);
- appendages are painful and enlarged;
- sexual dysfunction (lack of attraction, soreness during intimacy, lack of orgasm);
Usually the infection enters the appendages in an ascending way, that is, through the uterus. Therefore, the disease is often provoked by:
A chronic oophoritis is diagnosed using a gynecological examination, medical history, patient complaints, analyzes and ultrasound. The doctor takes smears for bacteriological culture, flora and DNA diagnostics to determine the pathogen and its sensitivity to drugs. In addition, in blood and urine tests, an increased number of leukocytes is noted.
For diagnosis, hysterosalpingoscopy is also used, which allows you to detect changes in the pipes. The most informative method is laparoscopy. It helps to examine the ovaries, tubes, and uterus.
If pathologies are detected, they can be removed immediately, for example, to cut adhesions. Changes in the pelvis depend on the duration of the process and the frequency of exacerbations. With chronic oophoritis, adhesions, formations in the ovaries and tubes, their infection and obstruction are visible on laparoscopy.
If oophoritis of chronic tuberculous etiology is suspected, then diagnostic curettage, Mantoux, Koch tests are used. Sowing of secretions during menstruation is also used.
In acute inflammation, treatment is carried out in a hospital. Prescribe antibiotics, painkillers, calcium chloride, sulfonamides, ice on the lower abdomen, rest. In addition, they recommend vitamins, fortifying drugs and medicines for the prevention of adhesions. In the subacute stage, physiotherapeutic procedures are used very carefully.
Moreover, if treatment is started late or it is inadequate, chronic oophoritis may occur, which will manifest itself in the form of periodic exacerbations. They are usually associated with overwork, hypothermia, colds, stress.
The chronic process is treated with balneotherapy and physiotherapy during remission. Depending on the specific situation, the decision is made by the doctor about the need for antibiotics and painkillers during an exacerbation. If the appendages are greatly enlarged and conservative methods do not help, then surgery is used. With gonorrheal and tuberculous oophoritis, specific treatment is prescribed.
It is strictly forbidden to engage in self-medication. If you find signs of the disease, you should immediately consult a gynecologist, in addition, visit him once a year, even if there is nothing to worry about. Hygiene and safe sex will help to avoid troubles.
Thus, chronic oophoritis is a disease that occurs with untimely or inadequate treatment of an acute process. If a woman does not consult a doctor, infertility and other health problems may occur. Removal of appendages is not excluded.