Many women often experience lower abdominal distension and pain. The pain is more severe when they sit. This is because the pelvic cavity is compressed when sitting, and blood stasis accumulates on both sides of the pelvic cavity, which will cause lower abdominal distension and pain. It cannot be ruled out that it may be related to adnexitis, fallopian tube and ovarian inflammation. It cannot be ruled out that it may be related to uterine problems. As long as there is an infection in the abdominal cavity, many organs will be affected. Adnexitis refers to inflammation of the fallopian tubes and ovaries. However, fallopian tube and oophoritis are often accompanied by parametrial connective tissue inflammation and pelvic peritonitis, and it is difficult to distinguish them during diagnosis. Pelvic peritonitis and parametrial connective tissue inflammation are also classified as adnexitis. Among pelvic organ inflammations, salpingitis is the most common. Due to the proximity of anatomical sites, salpingitis, oophoritis, and pelvic peritonitis often coexist and affect each other. Lower abdominal pain may be caused by adnexitis General adnexitis is divided into acute adnexitis and chronic adnexitis according to the different conditions of the disease. The symptoms of acute adnexitis are mainly acute lower abdominal pain accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests may show an increase in white blood cell count and a significantly increased neutrophil ratio. Symptoms of adnexitis: If acute adnexitis is not treated promptly or thoroughly, it may turn into chronic adnexitis. Chronic adnexitis causes abdominal pain of varying degrees. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesion of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbar pain, which may be mild or severe, accompanied by increased vaginal discharge, low back pain, menstrual disorders, etc., and often worsen during menstruation or after fatigue. During gynecological examination, there is tenderness, thickening, or a tender mass in the bilateral or unilateral adnexal area, and the white blood cell count is elevated or normal. Chronic salpingitis and pelvic peritonitis are mainly caused by incomplete treatment or lack of attention to treatment of acute salpingo-oophoritis and pelvic peritonitis. When chronic inflammation recurs over time, the pelvic cavity will become congested, the connective tissue will become fibrotic, and the pelvic organs will adhere to each other. Women with adnexitis often experience lower abdominal distension and pain, which is often aggravated during menstruation or after fatigue. They also experience varying degrees of increased vaginal discharge, increased menstrual volume, lumbar and sacral pain, and a small number of patients may experience pain during sexual intercourse. During the gynecological examination, the uterus was found to be retroflexed and had poor mobility. Thickened fallopian tubes could be felt in the uterine appendages, accompanied by tenderness. Therefore, women who have long-term abdominal pain symptoms are likely to suffer from adnexitis and should go to a professional hospital for examination and diagnosis in time to avoid delaying the best treatment time, causing complications and affecting treatment. |
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