What is adnexitis?

Among the female reproductive organs, the ovaries and fallopian tubes are called appendages of the uterus. Therefore, adnexitis is what we call inflammation of the ovaries and fallopian tubes. It is generally very common among married women. Women suffering from adnexitis will have many impacts on their lives. They must be treated in time, especially paying attention to hygiene in daily life. As for what adnexitis is, let's take a look at the following introduction.

Adnexitis is a very common type of gynecological inflammation, and more and more women are suffering from this disease, especially married women with children. They are very likely to suffer from this gynecological disease. Do you know what adnexitis is? Do you know some of the symptoms of this disease?

Causes

Adnexitis is a common disease caused by pathogenic microorganisms invading the reproductive organs and causing infection of the fallopian tubes and ovaries. This disease can occur in both unmarried and married women, and is often accompanied by pelvic inflammatory disease clinically. Adnexitis can cause fallopian tube atresia, leading to infertility, and induce inflammation and other complications.

Clinical manifestations

Clinically it is divided into acute and chronic types.

1. Acute adnexitis

The main symptom is acute lower abdominal pain accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests can 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.

2. Chronic adnexitis

There are abdominal pains 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 adnexal area on both sides or one side, and the white blood cell count is elevated or normal. Some symptoms may not be very obvious sometimes, but because the fallopian tubes and ovaries are adjacent to each other, it is difficult to distinguish when inflammation occurs. In particular, chronic inflammation of the fallopian tubes can lead to fibrosis, thickening and blockage of the fallopian tubes over time, and may also cause adhesion to surrounding tissues. If both ends of the fallopian tube are blocked, hydrosalpinx may form, and the accumulated water will penetrate into the ovaries that are adhered together, forming a fallopian tube ovarian cyst. It can easily cause infertility or ectopic pregnancy.

3. Inspection

1. Examination of acute adnexitis

The leucorrhea may be purulent or homogeneous mucous, the adnexa may be tender and painful, and sometimes an inflammatory mass may be palpated due to adhesion of the fallopian tube or ovary, with unclear boundaries and restricted movement.

2. Chronic adnexitis examination

There is tenderness in the lower abdomen, and pelvic examination reveals thickening and tenderness on both sides of the uterus, and sometimes an enlarged, fixed cystic mass can be felt.

3. Ultrasound examination

No abnormal findings unless there is hydrosalpinx or tubo-ovarian cyst formation, in which case ultrasound examination may reveal a mass.

What is adnexitis? I believe everyone should have some understanding of adnexitis. There should be women around you who suffer from adnexitis. Various types of gynecological inflammations are now very common, and they will bring a lot of troubles to women’s lives. Some women do not pay attention to gynecological diseases and do not seek timely treatment, which will also cause some other complications.