Chronic inflammation of the appendages: causes, complications and treatment

One of the most common diseases in gynecology is inflammation of the epididymis. The process can be in the ovary and fallopian tube on one side or at once from two. This disease is called adnexitis.

If the treatment of acute inflammation has been inadequate or untimely, then its chronic form develops. It can make itself felt by periodic exacerbations or proceed 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. Impossibility to become pregnant can be a consequence of abnormal ovarian function, which leads to a lack of full ovulation and the necessary hormones are not allocated. However, infertility usually occurs because of the obstruction of the pipes due to the formation of adhesions in them and around them.

In addition, even if there are no mechanical obstructions, the inflammation disrupts the ciliary epithelium, the function of which is to push the fertilized egg into the uterus. Unlike spermatozoa itself, it can not 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 the ectopic pregnancy is detected in time, then with the help of laparoscopy, the tube can be stored. At later times, its wall is so damaged that it is useless to leave the organ, as this can lead to a repetition of the situation.

However, today more and more often chronic inflammation of the appendages is not the result of an acute process, but arises as an independent disease. This is largely promoted by STDs, in particular 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 will find out about the disease when there are already irreversible consequences.

Therefore, it is so important to visit a doctor regularly and undergo a survey. This should be done even if nothing is bothering, if there are the slightest symptoms, then immediately. It is especially important to undergo examination after questionable connections and before pregnancy. At casual sex it is obligatory to use condoms.

Also, the emergence of the disease and its aggravation is facilitated by abortion, the installation of the IUD, diagnostic curettage, stress, decreased immunity, beriberi, malnutrition. 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 acute process.

For the diagnosis of adnexitis use examination, ultrasound, as well as hysterosalpingography and laparoscopy. The latter is also an effective method of therapy for adhesive process.

Many women who are faced with 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 physician should understand. Schemes of acute treatment 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 lengthy.

So, chronic inflammation of the appendages can be a consequence of an acute process or arise independently. Its frequent consequences are infertility, pelvic pain and complications in pregnancy. Treatment and diagnosis should be done by a good doctor.