One of the common diseases in gynecology is inflammation of the appendage. The process can be in the ovary and fallopian tube on one side or immediately on two. This disease is also called adnexitis.
If the treatment of acute inflammation was carried out inadequately or out of time, then its chronic form develops. It can make itself felt with periodic exacerbations or occur without them. However, over time, chronic inflammation of the appendages inevitably leads to irreversible changes in the organs, which interferes with their normal functioning.
Very frequent complications of this disease are infertility and pelvic pain. The inability to get pregnant can be a consequence of a dysfunction of the ovaries, which leads to a lack of full ovulation and the necessary hormones are not secreted. However, more often infertility occurs due to obstruction of the pipes due to the formation of adhesions in them and around them.
In addition, even if there are no mechanical obstacles, inflammation violates the state of the ciliary epithelium, the function of which is to push the fertilized egg into the uterus. Unlike sperm, she herself cannot move. In this case, an ectopic pregnancy often occurs. This condition is very dangerous for a woman's life and her reproductive health.
Therefore, today more and more ultrasound is done at an early stage of 5 weeks to exclude this situation. If an ectopic pregnancy is detected in a timely manner, then using laparoscopy, the tube can be saved. At a later date, its wall is so damaged that it makes no sense to leave an organ, since this can lead to a repetition of the situation.
However, today increasingly chronic inflammation of the appendages is not a consequence of the acute process, but arises as an independent disease. This is largely due to STDs, especially chlamydia, mycoplasma and ureaplasma.
These pathogens often do not give a vivid picture of the symptoms. Inflammation quickly becomes chronic without treatment and eventually spreads to the uterus and appendages. A woman learns about a disease when there are already irreversible consequences.
Therefore, it is so important to regularly visit a doctor and undergo examination. This should be done even if nothing bothers, if there are the slightest symptoms, then immediately. It is especially important to undergo an examination after dubious relationships and before pregnancy. In case of casual sex, it is imperative to use condoms.
Also, the occurrence of the disease and its exacerbations are promoted by abortion, installation of the IUD, diagnostic curettage, stress, decreased immunity, vitamin deficiency, poor nutrition. Chronic inflammation of the appendages can also complicate the course of pregnancy. Even a miscarriage is possible.
In the treatment of this disease, physiotherapy is widely used. With exacerbations, antibiotics, immunostimulants and a number of other drugs are prescribed. Treatment is similar to therapy in the acute process.
For the diagnosis of adnexitis, examination, ultrasound, as well as hysterosalpingography and laparoscopy are used. The last of them is also an effective method of therapy of the adhesive process.
Many women who have encountered this ailment are interested in how to treat inflammation of the appendages effectively. There is no universal answer to this question. In each specific situation, a qualified doctor should understand. Acute treatment regimens are more traditional.
In chronic inflammation, it is necessary to take into account its duration, the degree of complications, the state of immunity, the body's response to therapy. In addition, it should be prepared that the treatment will be long.
So, chronic inflammation of the appendages may be the result of an acute process or occur independently. Its frequent consequences are infertility, pelvic pain, and pregnancy complications. A good doctor should be involved in the treatment and diagnosis.