Salpingitis is a pleasant sensation after treatment. What kind of disease is salpingitis? Chronic salpingitis. Salpingitis - symptoms and treatment. Mechanical damage to the epithelium

Bilateral chronic salpingitis is a diagnosis that can scare any woman. What is behind this concept? What is salpingitis? How does it proceed and why does it arise? What forms are there, how to recover from it?

What is salpingitis?

The term salpingitis refers to a disease that causes inflammation of the fallopian tubes. This disease begins to develop when pathogenic microflora penetrates from the uterine cavity or other organs into the tubes. The route of entry is usually hematogenous.

The beginning of the process usually occurs with damage to the mucous membrane of the tubes. Gradually, it spreads, covering subsequent layers. And this leads to a violation of their peristalsis.

The likely consequences of such a situation may be adhesions that threaten infertility over time or an ectopic pregnancy.

Often, with this disease, the uterus and ovaries become inflamed, which makes it even more dangerous for women's health.

In the form of sources can act as fungi and gonococci, and staphylococci, streptococci, as well as chlamydia, Escherichia, intestinal bacteria and even pathogens of tuberculosis.

Due to the screeds, partial or complete obstruction of the pipes can be observed. When fluid accumulates in the fallopian tube with her, it is a hydrosalpinx. A similar situation, only with the accumulation of pus, is called pyosalpix.

The disease is divided into three types according to the nature of its course: latent, acute and chronic. The latter is the most common. It should be noted that this disease is diagnosed in only 30% of patients.

Causes of the disease

The disease can develop for a number of reasons. Although most often it is still getting into the fallopian tubes of infection. Inflammation can appear from any interventions in the genital environment (for example, a non-professional gynecological examination, damage to the cervix, a complication after an abortion, or caesarean section).

It is for this reason that it is so important that the gynecologist is a professional in his field, since women's health may depend on his actions. In some cases, the development of salpingitis can be facilitated by the establishment of an intrauterine device.

The body can perceive it as a foreign body.

In addition, in cases where a girl has an untreated gynecological disease, it can also develop. A mirror effect can also be observed when salpingitis becomes an impetus for the development of another disease.

The greatest risk group is:

• girls under 35 who have regular sex and a large number of partners;
• girls who have begun early sexual activity;
• women who practice non-traditional forms of sexual intercourse;
• women using hormonal contraceptives;
• girls who had intercourse during menstruation.

The disease can occur during pregnancy and even after menopause.

The factors that increase the chance of developing the disease are stress, unhealthy diet, weakened immunity, drug addiction and alcoholism.

You need to understand that this disease is very dangerous, the pus that accumulates during inflammation can eventually spread throughout the body, especially the organs abdominal cavity and small pelvis.

Lack of treatment can lead to serious consequences for life and health.

Symptoms of the disease

It is far from always possible to detect a disease without undergoing a special examination. There are a number of symptoms that can be associated with it. Knowing them, you can see a doctor in time.

Quite often, the disease begins at the end of menstrual cycle, as well as after changing the sexual partner. The risk is increased if the partner is suffering from a disease such as gonorrhea.

Consider the signs that are characteristic of a particular type of salpingitis.

With purulent salpingitis, the temperature often rises sharply, pains in the lower abdomen occur, and begins to shiver strongly. If such signs are observed, no matter what disease caused them, in any case, urgently call a doctor.

Symptoms include a purulent vaginal discharge. Alarming scanty or, conversely, heavy menstruation, painful or too frequent urination, pain during intercourse.

Purulent salpingitis on its initial stage easy to treat, as prescribed by a gynecologist, the patient should take antibiotics wide range... In those cases, when they do not give the desired effect, it is necessary to remove the inflamed fallopian tube.

Acute salpingitis is characterized by the accumulation of fluid in the uterine cut, which stimulates the development of inflammation. To recover from it, you should make compresses and take antibiotics, undergo physiotherapy procedures.

Gynecologists indicate that most often this form of the disease occurs against the background of an ectopic pregnancy, subserous fibroids, cysts, inflammation of the ovaries. Symptoms are as follows: a sharp rise in temperature, pain in the lower abdomen and lower back, pain during intercourse, menstruation and urination.

Bilateral salpingitis is a disease in which the risk of infertility is highest, since both tubes are affected. Then there is either right-sided or left-sided salpingitis. Even if surgery is needed to remove one tube, the other remains healthy and functions normally.

To make an accurate diagnosis, several procedures should be performed, starting from the usual gynecological examination and ending with echography, ultrasound and laparoscopy. For treatment, in addition to antibiotics, suppositories are prescribed. In a number of severe cases, the restoration of the patency of the tubes or even their removal is carried out in an operable way.

The following symptoms can be distinguished of this type diseases: bleeding and / or pain during intercourse, vomiting and nausea, decreased appetite, flatulence and frequent urination, chills and weakness, unusual vaginal discharge and pain, fever.

Chronic bilateral salpingitis is a type of disease that requires proper and timely treatment. If the treatment is timely, a woman suffering from a disease may well become pregnant, bear and give birth to a healthy child.

Chronic salpingitis treatment

It should be understood that the body of each woman is individual. Moreover, at one age or another and under the influence of various factors, he can behave completely differently. That is why it is important to correctly diagnose the disease, take into account the nuances of the patient's condition and understand how the disease proceeds and at what stage it is. Only then can the right therapy be chosen. So, at an early stage, the course of treatment is prescribed for only one week, and at later stages it can already last three weeks or more.

As noted above, antibiotics are prescribed to fight the disease, they can usually be combined with taking vitamins and immunity-strengthening drugs. Candles, emulsions are also included in the list of remedies.

When salpingitis is combined with a tuberculous process, the patient should be subjected to X-ray therapy. Here you will need compresses and heating pads, warming up and warm enemas. In the most difficult cases, as already noted, an operation is performed. It is divided into two types: conservative and radical. At the first, it is possible to save the handset and other internal organs... But the second provides complete removal fallopian tube or both tubes (with bilateral salpingitis).

The doctor may recommend enhancing the therapeutic effect by prescribing a number of folk remedies, but only if he is completely confident in the diagnosis. With such a disease, self-medication is not allowed, otherwise it can lead to its progression and disastrous consequences.

Salpingitis, salpingo-oophoritis or adnexitis is a bacteriological disease of the uterine (fallopian) tubes.

Inflammation can take place in one tube, it can also occur bilaterally.

This disease occurs quite often and has a greater number of complications in case of untimely treatment.

Salpingitis, at an early stage, causes inflammation of the mucous membranes of the fallopian tubes, and then affects deeper tissues.

The disease has several stages of development, each of which requires immediate medical attention to prevent serious consequences.

In severe cases, surgery may also be required.

Causes of occurrence

Salpingitis can occur for various reasons. Specialists identify 3 main reasons why this disease can occur in women: STIs, mechanical damage to the mucous membranes, inflammation of other pelvic organs.

• STIs are often the cause of genital diseases, salpingitis is no exception. Cytomegalovirus , , , the most common sexually transmitted infections, which lead to the occurrence of various kinds of diseases of the genital and urinary system... This is due to their latent course, in which medical care is not provided on time;
• Mechanical damage mucous membranes of the uterus and fallopian tubes, they can also be caused by:
  • abortion;
  • severe course of childbirth;
  • punctures and injections into the uterus;
  • endometritis;
  • instrumental studies of the uterine cavity;
  • installation of spirals.

Salpingitis can also occur due to inflammatory processes in neighboring organs:

• colitis;
• - inflammation of the ovary;
• pelvioperitonitis.

Provoking factors that can lead to illness

There are a number of factors that can contribute to the onset of salpingitis. These include:

• all kinds of douching that help bacteria enter the pelvic organs;
• gynecological procedures involving the use of any instruments;
• a large number of sexual partners;
• a history of sexually transmitted diseases;
• intrauterine device.

Symptoms

Salpingitis has similar symptoms with other diseases of the female reproductive system (see photo), for this reason, it is difficult to diagnose such a disease.

A distinctive feature is the presence of a very high temperature up to 40 degrees, severe chills, fever.

In this case, the following symptoms may be present:

• severe pain in the lower abdomen;
• with a tubercle bacillus, pain comes from the groin and sacral regions;
• pain when urinating and defecating;
• pain syndrome during sexual intercourse;
• symptoms of intoxication: disorders of the gastrointestinal tract.

These symptoms are typical for acute stage the course of the disease. With untimely treatment, the disease turns into chronic form... Chronic salpingitis causes symptoms such as:

In remission:

• weakness;
• low level of performance;
• a feeling of discomfort in the area of ​​the affected tube.

With exacerbation:

• pain and cramps in the lower abdomen;
• unnatural in nature and having an unpleasant odor;
• violation ;
• discomfort during intercourse.

Forms of the disease

Salpingitis is usually subdivided into the following forms:

• By localization - left-sided and right-sided.
  • Left-sided inflammation of the tubes occurs when pathological processes in the sigmoid colon, and pneumonia. In this case, the entire fallopian tube is affected. Swelling occurs and ulcers form. Then tissue atrophy occurs, an area with purulent filling and blood is formed.
  • Right-handed can occur if there is an infection that enters the tube by climbing or with appendicitis. The process is similar to left-sided salpingitis, but diagnosis is difficult, since the symptoms are similar to those of appendicitis or ovarian rupture.
• According to the stage of the course of the disease - acute and chronic.
  • Acute form manifests itself strongly pronounced signs and symptoms with a sharp deterioration in general condition and an increase in temperature to high levels.
  • Chronic stage has mild symptoms, discharge, a slight increase in temperature and constant pain syndrome... Has 2 forms: exacerbation and remission.
• By the type of inflammatory process - serous and purulent.
  • Serous process consists in the accumulation of serous fluid in the cavity of the fallopian tube and is called hydrosalpinx. It is caused by streptococci, staphylococci and tubercle bacillus. It is characterized by: general malaise, watery vaginal discharge, pain in the lower abdomen.
  • Purulent salpingitis may be caused by gonorrhea. It can also lead to abortions, intrauterine devices, miscarriages. Mainly flows in one pipe. It is characterized by severe symptoms, high temperature and strong painful sensations, purulent discharge.

With the course of the disease in this form, immediate intervention of surgeons is necessary. Otherwise, inflammation can enter the abdominal cavity and lead to peritonitis. In case of untimely medical care, a lethal outcome is possible.

Diagnostics

To diagnose salpingitis, the following research methods are used:

• collection of anamnesis - patient complaints, a history of STIs, abortions, etc.;
• examination by a gynecologist;
• Ultrasound of the small pelvis, in which thickening of the walls of the tubes, the presence of fluid, adhesions are diagnosed;
• laparoscopic examination - a special apparatus is used for this, which is inserted into the abdominal cavity;
• X-ray - a contrast agent is injected into the uterus and an X-ray examination is performed;
• bacteriological examination of a smear;
• analysis to determine the genus of the pathogen.

Treatment

Treatment this disease is based on an accurate diagnosis of the disease. First, the doctor must establish what kind of salpingitis it is and in what stage it proceeds, and only then treatment is prescribed.

Treatment for inflammation of the fallopian tubes has three treatments:

• medication;
• surgical;
• treatment with folk remedies.

The choice of the method is determined depending on the condition of the woman. If necessary, the patient is referred to a hospital, and in extremely severe cases, an operation is performed.

Drug treatment

It is mainly used to treat chronic salpingitis during its exacerbation.

To do this, appoint:

• antibiotics, for example Doxycycline or Ceftriaxone;
• anti-inflammatory drugs in the form of suppositories, for example, Terzhinan;
• anti-inflammatory drugs of the general spectrum of action;
• drugs that support immunity;
• , which include vitamins C, E.

Surgery

Surgical intervention is carried out only with advanced stages of the disease, with purulent formations, with infertility or tumors.

During the operation, the surgeon removes areas from purulent formations, cuts the adhesions, which ensures the permeability of the pipe. If the disease is in advanced form, then a tubectomy (removal of the fallopian tube) is performed.

After the operation, it is necessary to exclude sex life for 2 months, which will guarantee recovery.

The operation takes place in 2 forms:

• Laparotomy - consists in dissecting the abdominal cavity. Then the inflamed areas are removed, the adhesions are dissected, and the abdominal cavity is sanitized. After that, sutures are applied. This type of operation is performed if laparoscopy is not possible.
• Laparoscopy is a type of surgical intervention in which an incision is made in the abdominal cavity by no more than 10 cm. A special apparatus is inserted through it. With such an operation, the doctor performs the same manipulations as with laparotomy, but this method is considered the most effective and less traumatic for the patient.

Alternative treatments

Alternative treatments can be used to get rid of salpingitis.

You can use recipes for treatment with folk remedies, but it is very important to remember that self-medication does not always lead to the desired result, and sometimes, on the contrary, harm.

Before using this or that remedy, you should consult your doctor.

Traditional methods of treatment

• Wormwood roots will be required and yellow cherries in equal proportions. Pour 1 liter of boiling water and add a small amount of dry white wine. Put the broth on low heat and wait until the volume is reduced by 2 times. After that, the broth is cooled. Take 75 ml 2 hours after meals.
• It takes 100 g of anise fruit, which must be thoroughly chopped, 0.5 liters of honey. Consume in an amount of 1 tsp. 3 times a day.
• Chamomile flowers are taken in equal parts, elderberry and flaxseed, which must be well chopped. Bring to a boil, then let the broth brew for 15 minutes, cool. Intended for oral administration.
• Take in equal proportions chopped chamomile and linden flowers... Then pour water and bring to a boil. After that, the broth should be cooled to a warm state. It is used for douching. This broth reduces inflammation.

Cow's milk is also used to treat salpingitis. It must be boiled and used as a steam bath. In doing so, care must be taken to avoid burns.

They also use decoctions of calendula, oak bark, upland uterus, sage and linden for douching.

Plantain with aloe, cabbage with aloe, aloe with honey are used for tampons.

Nutrition

During treatment, it will not be superfluous to follow a light diet. Experts recommend eating foods that contain protein and easily digestible foods. For instance:

• boiled chicken;
• beef;
• a fish;
• vegetables and fruits;
• cottage cheese and all dairy products;
• drink plenty of water up to 2.5 liters per day.

Prophylaxis

To prevent the occurrence of salpingitis, it is necessary to follow some preventive measures:

• observance of personal hygiene;
• use condoms for sexual intercourse;
• visiting a gynecologist at least once a year;
• if any symptoms appear, immediately consult a doctor;
• treatment of infections of the reproductive system during;
• avoid damage to the mucous membranes of the pelvic organs;
• maintaining immunity;
• compliance with all recommendations of doctors during treatment female diseases genitourinary system.

Complications

If symptoms are present and treatment is not timely, salpingitis can cause complications:

• inflammation can spread to neighboring abdominal organs and organs of the genitourinary system;
• the formation of adhesions, which causes obstruction of the fallopian tubes. To eliminate this complication, carry out surgery, in difficult cases, it may be necessary to remove one or both fallopian tubes;
• an increase in the occurrence of ectopic pregnancy;
• infertility.

Forecast

If the treatment of salpingitis was started at an early stage and no serious damage to the fallopian tubes occurred, then the prognosis is favorable. If all the doctor's recommendations are followed, complete recovery occurs, and the patient's reproductive functions will not be affected.

If treatment was started late, the disease very often becomes chronic. In this case, the prognosis is not so favorable, since with this form of salpingitis it is quite difficult to cure.

Moreover, for chronic inflammation The fallopian tubes cause various dysfunctions of the reproductive system, which can lead to infertility. And also complications are possible that will require surgical intervention.

A woman is the continuer of the human race, and in the event of inflammatory processes in genitourinary system reproductive functions can be impaired.

Salpingitis is one such disease. In order not to lose the happiness of becoming a mother, it is necessary at the first symptoms to apply for medical help... And also do not forget to visit a gynecologist and treat infections of the reproductive system in time in order to prevent inflammation of the fallopian tubes.

The task of a woman is to preserve her health in order to be able to bear children. If for some reason certain ones arise, then they need to be treated. In 20% of cases, neglect of one's own sexual health leads to infertility. One of the diseases that can provoke this complication is salpingitis, all of which will be discussed in the article on the site.

What is salpingitis?

Anatomically female reproductive system consists of the vagina, uterus, uterine (fallopian) tubes and ovaries. Which of these parts is affected by salpingitis? What it is? Salpingitis is an inflammation of the fallopian tubes. Rarely, it proceeds without affecting neighboring organs. So, salpingitis often proceeds together with inflammation of the ovaries, which is called salpingo-oophoritis. But within the framework of this article, we will only discuss salpingitis.

Classification

Consideration should be given to the classification of salpingitis, which has the following types:

1. By the shape of the flow:
   • Acute - penetration of infection and vivid symptoms of manifestation;
   • Subacute;
   • Chronic - sluggish and scanty symptoms.
2. By localization:
   • Unilateral - right-handed or left-handed. Development of adnexitis - inflammation of the ovary;
   • Double-sided.
3. On the inflammatory process:
   • Serous;
   • Purulent - is often the result of gonorrheal infection or chlamydia.
4. Infectious species:
   • Gonococcal;
   • Streptococcal;
   • Herpes;
   • Tuberculous, etc.
5. Salpingo-oophoritis is an inflammation of the fallopian tubes and ovaries.
6. Type:

• Exudative;
• Caveous.

1. By etiology:

• Specific;
• Non-specific.

Causes of salpingitis of the fallopian tubes

The main cause of salpingitis of the fallopian tubes is damage by microbial associations or viruses. There are three ways they enter the fallopian tubes:

1. Ascending - the passage of infection from nearby organs: uterus (endometritis, cyst), vagina (vaginitis, vulvovaginitis) or urinary ducts.
2. Contact - the transfer of infection from infected organs of other systems, for example, with appendicitis.
3. Hematogenous - the transfer of infection from any infected organ through the blood.

What are the reasons for the development of salpingitis?

• Sexually transmitted diseases: gonorrhea, chlamydia, herpes, trichomoniasis, etc.
• Abortion with curettage.
• Intrauterine devices.
• Childbirth with trauma.
• Intrauterine diagnostic measures - metrosalpingography, salpingoscopy.
• Diseases of adjacent organs: colitis, oophoritis, appendicitis, pelvioperitonitis.

Contributing factors that allow bacteria and viruses to enter the fallopian tubes are:

1. Stress;
2. Reduced immunity;
3. Lack of treatment for an infectious disease;
4. Cold;
5. Hormonal disorders;
6. Bad habits;
7. Improper nutrition.

Symptoms and Signs

Consider the symptoms and signs of inflammation of the fallopian tubes by the nature of their course and types:

1. Acute salpingitis:
   • Heat;
   • Chills;
   • Malaise;
   • Fast heartbeat;
   • Groin pain
   • Nausea and vomiting;
   • Pathological vaginal discharge: purulent, profuse, even bloody;
   • Weakness;
   • Itching, worse when urinating;
   • Diarrhea;
   • Disorder of urinary function, which is confused with cystitis.
2. Chronic salpingitis:
   • Weak, dull, aching, constant pain in the lower abdomen;
   • Slight temperature up to 37.2 ° С;
   • Small discharge;
   • Undulating symptoms that intensify and calm down. Exacerbations occur with stress and hypothermia;
   • Violation of menstruation, which causes pain (algomenorrhea) and scarcity (oligomenorrhea).
3. Purulent salpingitis:
   • Sharp and severe pain in the groin, which are local (depending on the focus of inflammation), and then given to the rectum and lower back;
   • Fever;
   • Chills;
   • Purulent vaginal discharge.

The following symptoms can be called the general symptoms of salpingitis:

1. Pain in the lower abdomen, which is first localized at the site of inflammation, and then radiating. The pain can be sharp, dull, aching, constant, severe, burning, etc.
2. High temperature, which rises especially strongly in acute and purulent types of salpingitis.
3. Vaginal discharge, which is usually mucopurulent, scanty or insignificant.
4. Violation of menstruation, which becomes painful and profuse, while irregular and sometimes short.
5. Pain during sex. They are pulling and aching in nature.
6. Female infertility, which is a complication of salpingitis.
7. Loose stools, flatulence.
8. Overwork.

Salpingitis in adults

Salpingitis mainly develops in adults, more precisely, in women. In men, it does not develop due to anatomical features, but the transmission of sexually transmitted infections can cause its own pathologies. If the partner has salpingitis, then the partner should also be checked.

Salpingitis in a child

Salpingitis is almost never observed in a child. It does not develop in boys. In girls, another pathological complication can become infectious disease in neighboring or distant organs. Mostly, inflammation of the fallopian tubes develops only in adult women. Caveous salpingitis can occur during adolescence.

Diagnostics

How is salpingitis diagnosed? It all starts with the patient's appeal to the gynecologist, who, on the basis of her complaints, conduct a gynecological examination using mirrors and a finger method to find the pathology. For an accurate diagnosis, procedures are carried out that give a complete picture of the disease:

• Ultrasound (transvaginal, transabdominal) of the small pelvis;
• X-ray contrast methods - metrosalpingography;
• Bacteriological smear analysis;
• Blood and urine analysis;
• Study of discharge from the fallopian tubes;
• Ultrasound hysterosalpingoscopy;
• Laparoscopy;
• Puncture of the posterior fornix of the vagina;
• ELISA and PCR diagnostics.

Treatment

How to treat? Treatment of salpingitis is carried out in three ways: medication, surgical and folk remedies. Let's consider them in a little more detail.

How to treat salpingitis? Medicines prescribed by the gynecologist:

• Antibiotics: ampicillin, cephalaxin, cefotaxime, erythromycin, furazolidone, tetracycline, kanamycin, metronidazole;
• Anti-inflammatory drugs: acetaminophen, phenylbutazone, ibuprofen;
• Antipyretic drugs;
• Injections;
• Antihistamines;
• Probiotics and antifungal drugs for the prevention of dysbiosis;
• Vitamins: E, C, cocarboxylase;
• Antioxidants and other medicines that normalize metabolism;
• Immunomodulators that have shown their effective effect in preventing the development of complications: polyoxidonium, groprinosin, imunofan.

As a supplement to medicines, physiotherapeutic procedures are carried out: electrophoresis with lidase, pulsed ultrasound, reflexology, balneotherapy (vaginal and bath irrigation), detoxification therapy, infusion therapy, autohemotherapy, diadynamic therapy, heat therapy.

Surgical treatment is carried out with the following indicators:

• Ineffectiveness of drug and physiotherapy treatment;
• Swelling in the uterine appendages;
• Infertility;
• The formation of abscesses;
• Adhesions that obstruct the fallopian tubes.

Diet

Diet in the treatment of salpingitis is ineffective and insignificant. However, some recommendations are still given:

• Eat more vitamins through food;
• Periodically consume low-fat dairy products, meat;
• Drink plenty of fluids;
• Eat crackers.

There is usually no strict diet here. It is advisable to exclude alcohol as one of the bad habits, depressing immunity and irritating the gastrointestinal tract.

Is it possible to be treated with folk remedies at home? Folk ways nobody cancels. However, they should not replace medical and surgical treatment, but supplement:

• Baths with juniper, sage, valerian, rosemary or milk.
• Douching from the collection of herbs.
• Healing swabs dipped in aloe, plantain or cabbage broth.
• Herbal teas from various herbal collections.

Life forecast

Salpingitis is a non-fatal disease. How long do the patients live? A full life if complications don't come.

Chronic salpingitis is unfavorable. It is he who leads to the infertility of women. Unilateral salpingitis is treatable and beneficial. Bilateral is more difficult to treat, but does not give complications if it is treated in a timely manner. A purulent appearance has a favorable outcome. In the absence of treatment, the development of peritonitis and endometritis is possible. With salpingo-oophoritis, the prognosis of life is favorable if treatment is carried out. Otherwise, infertility and ovarian hypofunction develop. Added to this are chronic persistent pain in the small pelvis and an irregular menstrual cycle.

Thus, one should observe the hygiene of the genitals, treat venereal and infectious diseases in time, and also not delay the treatment of salpingitis.

Diseases of the genital area in women are diagnosed quite often. Moreover, each of them requires compulsory treatment, because it can be accompanied by serious consequences up to the impossibility of getting pregnant. Chronic salpingitis often leads to a similar problem, so you need to figure out how to suspect and eliminate it.

What is chronic salpingitis

More than 30% of the female population of the planet under the age of 35 is faced with a problem such as chronic salpingitis. This is purely feminine gynecological disease occurs due to an infection in a woman's body, as a result of which there is inflammatory process in the fallopian tubes, causing their obstruction. It all starts with the fact that pathological changes completely cover the entire mucous membrane of one or both fallopian tubes, then their thickening and deformation occurs, which later serves as the cause of obstruction.

Chronic salpingitis means a sluggish inflammation of the fallopian tubes.

Chronic salpingitis is of two types:

1. Unilateral. Infection occurs in one tube, most often this is due to nearby organs and their inflammation, for example, inflammatory processes in the appendix. Depending on which tube is inflamed, unilateral salpingitis is divided into left- and right-sided.
2. Double-sided. The inflammatory process in this case captures both fallopian tubes.

Why is the disease dangerous for women's health - video

Causes of occurrence

The following factors are capable of provoking an inflammatory process in the fallopian tubes:

• early onset of sexual activity;
• constant change of partners and promiscuous sex life;
• regular use of hormonal contraceptive drugs;
• unprofessional intervention of doctors, for example, during abortion, cesarean section, installation of an intrauterine device.

Due to the onset of the disease, it is subdivided into specific and nonspecific salpingitis. The nonspecific form in its manifestation most often captures one pipe, that is, it is one-sided. It is caused by the following bacteria that enter the body during unprotected sex and when the walls of the uterus are damaged:

• staphylococcus aureus;
• epidermal staphylococcus;
• colibacillus;
• peptostreptococcus;
• enterococcus;
• Proteus.

Most often, specific salpingitis affects both fallopian tubes and is bilateral. It is called:

• Trichomonas;
• gonococci;
• chlamydia.

Also, herpes viruses and Candida fungi can become the cause of infection.

Symptoms of the disease

When chronic salpingitis is in remission, symptoms resemble mild malaise or poisoning. Appears:

• weakness;
• decreased performance;
• discomfort from the affected pipe.

Signs of exacerbation of chronic salpingitis

At the beginning of an exacerbation of chronic salpingitis, the following pathological signs are observed in patients:

If several of these symptoms appear, it is necessary to consult a gynecologist and pass the appropriate tests.

The acute form of the disease occurs abruptly, and the symptoms are more pronounced and accompanied by intense pain. In addition, there are such pathological signs:

• sharp jumps in body temperature above 37.5 ° C;
• constant chills and weakness;
• pain in the lower abdomen, pelvis, legs, or lower back;
• all symptoms of a disorder or poisoning: loose stools, vomiting, nausea;
• heart palpitations and nervousness;
• inflammation of the urinary tract, accompanied by frequent urge to go to the toilet, cutting painful cramps during urination.

If there are purulent discharge from the vagina with a corresponding odor or blood, then this, most likely, is a symptom of infection of the fallopian tubes with purulent salpingitis - urgent hospitalization is required.

Diagnostic methods

Most often, several diagnostic methods are used simultaneously in order to recreate the complete picture of the appearance of salpingitis, to find out what caused it and at what stage it is at the moment. To make a diagnosis, carry out:

Treatment

With salpingitis, a woman should immediately begin medical measures, since the inflammatory process in the fallopian tubes never goes away on its own, and even more so without a trace. Pathology often leads to infertility if there is no medical intervention.

Medication

Used to treat chronicsalpingitis at the stage of exacerbation and is often carried out in a hospital. Patients are assigned to bed rest. A light diet for the period of therapy will also be appropriate, most often doctors recommend a protein-type diet and easily digestible foods:

• boiled chicken meat;
• beef;
• a fish;
• dairy products;
• vegetables;
• fruit.

A prerequisite is the use large volume water or other liquid, the optimal amount is up to 2.5 liters per day.

From medications appointed:

• antibiotics: Azithromycin, Ceftriaxone, Doxycillin, etc .;
• anti-inflammatory medicines in the form of candles: Terzhinan, Hexicon;
• anti-inflammatory drugs of general action (in tablets): Ibuprofen, Paracetamol, Butadion;
• immunomodulators: aloe extract, Gumisol, Groprinosin, Imunofan;
• vitamin complexes, including vitamins C, E, cocarboxylase.

Typically apply antibacterial drugs a broad spectrum of action, capable of adversely affecting all types of pathogenic microflora.

Means for the treatment of salpingitis in the photo

Surgical

It is used to treat advanced salpingitis, as well as the formation of pus and adhesions in the fallopian tubes. First of all, the surgeon removes all purulent neoplasms and removes adhesions, thereby restoring patency. In very advanced forms and with tubo-ovarian tumors, it is possible to remove the tubes completely. The guarantee of a successful cure after surgery is the absence of sexual intercourse for two months. Surgical treatment can be performed by laparotomy or laparoscopy.

Laparoscopy is often used to surgical treatment salpingitis

Is one of the most effective methods surgical intervention, carried out under general anesthesia... The surgeon makes a small incision, no more than 10 cm, and a mini-video camera is inserted through it to assess the internal state of the genitals and eliminate pathological changes. During the manipulation, the specialist excises the affected areas of the fallopian tubes, disconnects the adhesions, restoring patency. If pus is present, the abdominal cavity is sanitized, drainage is installed.

The advantages of this diagnostic and surgical method are as follows:

1. Enlargement of the image of the genitals displayed on the monitor.
2. Patient safety, short rehabilitation period.
3. The most accurate assessment of the patency of the fallopian tubes, the establishment of the cause of the disease and the identification of any associated pathologies.
4. Fast and effective separation of the adhesions between the pipes;
5. The ability to permanently eliminate the cause of the patient's infertility.

Laparotomy

If the pathological changes cannot be completely eliminated with the help of laparoscopy, a decision is made to conduct a laparotomy. This manipulation involves the dissection of the abdominal cavity in the area of ​​the projection of the affected tube. Next, the doctor removes pathological areas, debridement, and dissection of adhesions. At the end of the intervention, sutures are applied.

Physiotherapy

The method for the treatment of chronic salpingitis is good in that it leads to the complete resorption of adhesions and prevents them reappearance... Physiotherapy activates the natural immunity and protective function of the body.

Traditional methods

Traditional medicine in combination with traditional treatment has enough good effect... For this, a variety of healing infusions, warming baths with herbal decoctions, etc. are used.

• Baths with valerian help well in the fight against chronic salpingitis. It is necessary to collect such an amount of water that it reaches only the chest line, then add 50 ml of the herbal extract. It is recommended to take a bath for half an hour.
• A warm bath with the addition of a decoction of twigs and dried juniper fruits perfectly relieves inflammation. 50 g of berries and stems of the plant should be poured with 1 liter of boiling water, infused for 2-3 hours. Then take a warm bath and add the resulting infusion. The duration of the procedure is no more than 30 minutes.
• Douching to relieve inflammation is carried out most often with decoctions of chamomile, sage, oak bark. You need 2 tbsp. l. Pour 500 ml of boiling water over any of the listed plants, put in a water bath and hold for about half an hour. After that, the agent should be cooled to 37-38 degrees and used for douching.
• Plantain tampons are also effective. It is necessary to pour 1 tablespoon of crushed leaves of a plant with boiling water in a volume of 100 ml and boil over low heat for no more than 2-3 minutes. After that, the liquid is left to cool, then a tampon is moistened in it and inserted into the vagina for 2-3 hours.
• Viburnum broth. This remedy is indicated for internal use. You need 3 tablespoons of dry inflorescences, pour 1 liter of boiling water, put in a water bath and keep for about half an hour. After that, add a few spoons to the broth. natural honey... It is recommended to take the product three times a day, half a glass.

Folk remedies in the photo

Consequences and complications

A neglected or untreated form of this disease leads to serious health problems. These include:

• infection of organs located in the peritoneum and pelvic region;
• the formation of adhesions, which leads to surgery, and in the worst case, removal of the fallopian tubes;
• an increase in the risk of conceiving a child outside the uterus by almost 50%;
• infertility.

Is it possible to get pregnant with chronic salpingitis?

If a woman's salpingitis has covered only one uterine appendage, then the likelihood of getting pregnant on her own, without additional procedures and interventions, is very high. If a woman suffers from inflammation in two appendages, then the chance of getting pregnant on her own is 1:10. 25% of women with a chronic form of the disease receive a disappointing verdict - infertility. In this case, all intrauterine adhesions are eliminated by surgical methods (laparoscopy), and correct therapy eliminates inflammation. After several years of persistent treatment, you can even get pregnant on your own.

If the patency of the tubes cannot be restored, or they were removed, IVF (in vitro fertilization) becomes a real salvation on the way to motherhood. Thanks to this method, even in a chronic form, salpingitis will not interfere with the onset of pregnancy. In this case, childbirth is accepted only with the help of a cesarean section.

IVF can be used in the presence of chronic salpingitis

Disease prevention

Prevention measures for this disease are elementary, they include:

• compliance with hygiene standards;
• the use of barrier methods of contraception in casual sexual intercourse;
• visiting the gynecological office at least once a year;
• timely seeking medical help in the event of any violations.

Do not forget that every woman is a continuer of the human race, and casual sex, frequent change of sexual partners and lack of proper protection during intercourse can lead to deprivation of a woman of such happiness as being a mother. If it so happened that, nevertheless, an infection with an infection that causes salpingitis has occurred, it is worth going to the hospital at the first suspicious symptoms and signs of this disease, because it is better to detect the disease in a timely manner and get rid of it than to start it before the terrible consequences appear.

Salpingitis (pipe) and Oophoritis (ovary) are called the most secret female diseases, because they are hidden even from close people. Women share with each other about menstrual irregularities, even about such a difficult diagnosis as breast cancer, but rarely admit that they have inflammation of the fallopian tubes and ovaries.

This disease, caused by cocci, mycobacterium tuberculosis or other pathogenic microorganisms, can interfere with conception and the girl cannot become pregnant. There are no self-help groups. A woman thinks that physically she has become worse than others, and from this she feels unhappy and unprotected. These are not male, but exclusively female problems.

It must be admitted that salpingitis and oophoritis are an inflammatory process of the ovaries and fallopian tubes. It is impossible to divide the types of the disease into "bad" and "good", they are only divided into forms:

1. sharp;
2. subacute;
3. chronic, with a tendency to repetition and exacerbation.

Treatment of diseases can take place in different ways. For example, in order to cure an acute form, it is recommended to go to the hospital (at least 10 days). The hospital provides 24-hour bed care: cryo procedures, antibiotics, intramuscular injection pyrogenaloma, longidase, sulfonamides. Removing pain cramps during hospitalization, having achieved normal temperature, the disease allows you to go to physiotherapy.

At this stage, mud, candles, ultrasound procedures are recommended, you can drink homeopathic medicines prescribed by a doctor. Treatment on early stages will make it possible to avoid the formation of adhesions. Adhesions, in turn, can lead to obstruction of the fallopian tubes, which threatens infertility.

Salpingitis and oophoritis: what is it

The history of diseases of salpingitis, which in translation means (salpingos "tube") and oophoritis (oophoron "ovary") goes back to the Middle Ages, when the fallopian tubes were first discovered and described. These are one of the few gynecological ailments inherent in humans and animals with a similar anatomy.

In women, salpingitis and oophoritis appears after, first, various bacteria and cocci begin to enter the tubes, and a little later, into the ovaries. You need to understand that cocci, like E. coli, seep from the uterus upward path, and mycobacterium tuberculosis is carried by blood, which passes through the lungs and other organs.

In the event that it develops acute inflammation, there is a violation of the whole epithelial cover of the tubes, therefore, microorganisms uncharacteristic for them seep inside, which leads to soldering with the ovaries into one integral formation. The disease is accompanied by repetitive painful sensations in the lower abdomen, in the lumbar region, accompanied by spasms before defecation, leads to a failure of menstruation or their termination.

Often women turn to the Internet for help, read forums, watch Wikipedia, trying to determine the diagnosis. The consequences of self-medication with folk remedies, pills that helped a neighbor are catastrophic. Lack of competent prescriptions can lead to hydrosalpinx, purulent complications, and as a consequence - to the inability to get pregnant.

Salpingitis and oophoritis can turn into a chronic form of inflammation of the appendages - Adnexitis or Salpingo-oophoritis, in which their symptoms appear and the necessary treatment is carried out :.

Oophoritis and salpingitis can be acute. A woman is able to independently suspect a disease if she encounters the following symptoms:

• spontaneously arising unilateral (2-sided) pain in the lower abdomen, especially after menstruation;
• malaise, accompanied by lethargy, headache;
• subfebrile temperature is higher than 38.1 C ° and reaches 38.5 C °;
• a tense abdomen, constrained by muscle spasms.

In the clinic, when examining the vagina, enlarged appendages are clearly felt, a painful fallopian tube (or tubes) is diagnosed.

The diagnosis is determined on the basis of the anamnesis obtained (complications after abortion or difficult labor, unprotected sex, tuberculosis): the results obtained as a result of laboratory research.

In the event that the suspicion falls on a disease such as gonorrhea, then specific pre-examinations are performed (smear on flora). To identify tuberculous salpingitis, you need to examine blood cultures during menstruation or administration special drug tuberculin, there are also other methods.

Subacute

Treatment with medicines and suppositories with anti-inflammatory action (), gives positive results and transfers the disease to the subacute stage. The woman's condition stabilizes, the pain goes away, the temperature returns to normal. The blood formula will show a decrease in leukocytes, although ESR will remain at a high level - 50 mm or more per hour at a rate of 2-15 mm / h.

A vaginal examination shows a decrease in uterine edema. In the stage of remission, ultrasound is performed to diagnose pathological changes in the reproductive system: metro endometritis, cysts.

2-sided salpingitis arises from the fact that the mucous membrane is affected, which progressively, layer by layer, captures the fallopian tubes, violates their peristalsis.

All this threatens with complications and can lead to the fact that a woman cannot become pregnant or lead to an ectopic pregnancy. Often there is an accumulation of serous fluid in the lumen of the fallopian tube or accumulation of pus, leading to serious complications. The disease is more often chronic in nature, it covers not only the tubes, but also the ovaries. Adhesions are formed, which leads to a painful condition and the inability to become pregnant. There are certain signs of inflammation of the appendages in a woman:.

The ovaries are a paired organ, they belong to the female reproductive system, are responsible for a number of functions:

1. menstrual;
2. childbearing;
3. sexual;
4. secretory.

With inflammation of the ovaries, all these physiological presses are disrupted. Oophoritis in gynecology is common, today this disease is noted even in adolescent girls 14-18 years old. Oophoritis is not an independent disease, it is accompanied by salpingitis, the causative agents of which are infections against the background of coc. If you start to treat oophoritis in a timely manner, you can avoid diseases such as adenomyosis, colpitis. The consequences can be so dire that pregnancy will not be possible even with IVF.

The causes of the disease are commonplace:

• weak immunity and untreated infections;
• endocrine system diseases;
• smoking;
• stress;
• unprotected sex.

Most recall that pains appear constantly, for this at home, to relieve syndromes, women use herbs, for example: Kalanchoe, upland uterus, fortunately, the price for them in pharmacies is low. Sometimes they choose drug treatment(they drink Unidox Solutab on drink), and sometimes the symptoms disappear.

In fact, self-medication is ineffective and dangerous, the disease does not disappear, its signs indirectly remind of themselves all the time: either by unnatural secretions, or by itching and thrush. Diseases transferred on the legs lead to a general deterioration in the health of a woman, including left-sided or right-sided (and more often - 2 tbsp.) Salpingitis and oophoritis.

Symptoms of salpingitis and oophoritis

The symptoms of these two diseases are similar, the diagnosis should be made by the doctor after the comprehensive survey... Oophoritis is always associated with the ovaries. In order to understand that a disease has arisen, you need to know the symptoms of a common and chronic bilateral disease:

1. violation of menstruation;
2. pulling pains appear in the lower abdomen;
3. infertility.

Chronic bilateral oophoritis is a long period of illness of both ovaries, in which their functions are greatly affected.

Women are shown an annual visit to a gynecologist, where the doctor conducts an examination, analyzes complaints, prescribes tests (smears, blood for hidden viruses), MRI, GHA, ultrasound. In the latter case, echo signs allow you to obtain accurate data on the endometrium, confirming or excluding endometritis. Now there is an opportunity for varying degrees neglect of salpingitis and oophoritis to do laparoscopy.

Laparascopy is a method in surgery, with the help of which an operation is performed through small holes, the video clearly shows how this happens.

Treatment of salpingitis and oophoritis

Having learned about the diagnosis, women are most often interested in such moments:

• how much the disease is treated;
• is it contagious;
• be sure to go to the clinic or it is enough to carry out physiotherapy.

It is impossible to unequivocally answer these questions. It all depends on the etiology (autoimmune or infectious) and the stage, age of the woman (menstruating or postmenopausal). You need to know if the treatment was carried out before and if the procedures did not give a positive result, what are the reasons.

Pills

Tablets are usually prescribed in combination with suppositories, it can be either antibiotics or anti-inflammatory or antimicrobial. Both chemical and vegetable. The usual course is 5 to 7 days. A list of tablets and suppositories can be found in the table.

Candles

After the appearance of these ailments in women, they always provoke vaginal inflammation, which is removed by vaginal means - suppositories. It is not recommended to choose medicines on your own, because the treatment with suppositories should be aimed exactly at your disease.

Candles are classified into:

1. antimicrobial;
2. antifungal;
3. immunomodulatory;
4. combined type.

Choosing the wrong drug, you will not achieve improvement, but only aggravate the condition. The doctor usually selects drugs from the list based on the test results.

Traditional methods

Women are wondering if they can use folk remedies from salpingitis and oophoritis? It is impossible to completely recover with herbs alone, but this is an excellent supportive therapy.

Decoctions of chamomile, Kalanchoe, borax uterus have a local anti-inflammatory effect. Depending on the method of preparation, the herbs can be drunk, used for douching, or taken in baths (juniper infusion).

If you monitor your health, you can basically avoid many diseases, you need to adhere to the basic rules:

• have one sexual partner or use a condom;
• correctly and on time to carry out treatment after childbirth if there is a rupture of the perineum and cervix;
• do not self-medicate, do not process the vagina without the advice of a doctor;
• prevent abortion;
• observe hygiene.

Expert opinion. Doctor - gynecologist, has been practicing in Volgograd for over 17 years: V.P. Grineva.
According to statistics in Russia, every third couple faces difficulties in conception. And the problem is not only in the illiteracy of children who start early sexual activity, but also in the usual neglect of their health. Despite the availability of gynecological services, many women go to the doctor when the disease threatens with complications. In order not to regret missed opportunities, it is necessary to take care of health from youth, remember about contraception, give up bad habits, and not self-medicate. Early diagnosis allows you to get rid of salpingitis and oophoritis, while maintaining the main female function - reproductive.