What is chronic salpingoophoritis in women? Diagnosis of chronic salpingoophoritis Chronic bilateral salpingoophoritis treatment.

Many women sooner or later face gynecological diseases. This is facilitated by such unfavorable factors as stressful situations, banal hypothermia, frequent casual sex, and failure to comply with hygiene standards. One of the not harmless diseases is salpingoophoritis (adnexitis).

Disease Information

Salpingoophoritis is a dangerous inflammatory process in the fallopian tubes and. It can develop in the form of unilateral and bilateral inflammation. The causative agents of the infection are well-known microorganisms: streptococci, gonococci, chlamydia, staphylococcus, tuberculosis and E. coli, various fungi and viruses. Like any other disease, adnexitis manifests itself in acute and chronic stages.

Symptoms of acute salpingoophoritis may include sharp pain in the area of ​​the abdomen where the pathological process occurs. There is an increase in temperature and intoxication of the body. There may be disturbances in the cycle, discharge in the form of mucus, pus. If acute adnexitis is not complicated by anything else, then with proper treatment all these symptoms may disappear.

To do this, you need to take a course in a hospital with antibacterial, anti-inflammatory and painkillers. After this, physical therapy is recommended.

More aggressive treatment requires salpingoophoritis in severe cases of the disease. When there are septic complications, only antibiotics can help. In case of purulent inflammation of the appendages, laparoscopy or puncture of the vaginal vaults is performed. After such manipulations, a course of antibiotics is always prescribed to avoid re-inflammation. In completely hopeless cases, the appendages are removed.

Forms of the disease

Bilateral chronic salpingoophoritis can occur in several forms.

Acute bilateral salpingoophoritis, with this course of the disease, suppuration occurs. In addition, during the diagnostic examination, the patient observed closure of the fallopian tubes. If you do not start treating the disease in time, complications may arise in the form of rupture of formations.

Chronic bilateral salpingoophoritis can also occur in the subacute phase. The patient's clinical picture is not clearly expressed. Pain syndrome occurs in the abdominal cavity and is aching or dull in nature.

The last form of the disease is chronic salpingoophoritis. As a rule, it occurs against the background of an acute course. In this case, the patient’s fallopian tube patency worsens. Note that this course of the disease affects reproductive ability.

Important! With bilateral salpingoophoritis in a chronic form, frequent and prolonged relapses of the disease are observed, and NMC also occurs. Therefore, it is necessary to consult a doctor in time to avoid further health complications.

Causes

Exacerbation of chronic bilateral salpingoophoritis may occur against the background of a stressful situation, or if the patient has infectious processes in the body.

Additional reasons:

1. Climate change.
2. Hypothermia.
3. Inflammatory diseases.

With this disease, women experience general weakness and mucopurulent discharge.

Note that chronic bilateral adnexitis occurs only after all signs of the acute course have subsided. Therefore, it is necessary to consult a doctor in time, otherwise, after 2-6 months, serious health complications will arise.

Symptoms

With chronic bilateral salpingoophoritis, severe pain occurs in the abdominal area. In addition to this symptom, there is an increase in body temperature, which can reach 38 degrees.

Additional signs:

1. The woman experiences general malaise.
2. Drowsiness.
3. Constant muscle tone in the abdominal area.
4. Purulent discharge from the genitals is observed.

When palpating the abdomen, the patient experiences severe pain. When the first signs of chronic disease are detected salpingoophoritis, you must consult a doctor immediately.

Diagnostics

Diagnostic measures include not only laboratory parameters, but also the patient’s medical history. Doctors conduct a survey, then palpation. If this data is not enough to make a diagnosis, then tests and diagnostic procedures are prescribed.

1. The woman is referred for an ultrasound or magnetic resonance imaging.
2. A blood test is necessary to find out the state of the hormonal levels.
3. In case of exacerbation of the chronic form, it is necessary to examine the mucus. The material is taken from the vagina.

If necessary, other diagnostic methods are also used: biochemical blood test, urine test.

Treatment

Complex therapy includes taking painkillers, biostimulants and NPPs (non-steroidal anti-inflammatory drugs).

If the disease is severe, then immunostimulants are prescribed. Treatment should only take place under the supervision of a doctor.

Antibacterial therapy

1. Ampicillin. You need to take 2 g 6 times a day. The course of treatment lasts for 5 days. In severe cases, extend up to 3 weeks.
2. Oxacillin. Take in the same dosage, but 4 times a day. If necessary, injections may be prescribed.
3. Amoxicillin. Prescribed in combination with clavulanic acid.

Additionally, doctors may prescribe: Ceftazidime, Cephalexin or Tetracycline.

Antibiotic therapy

1. Diflucan.
2. Claritin.
3. Biseptol.
4. Rovmitsin.
5. Rulid.

Complex treatment includes taking multivitamins. They are necessary to maintain the immune system. They may prescribe Vitrum or Multitabs.

Complex of vitamins and mineralsfor adults (14 vitamins and 17 minerals).It is used for the treatment and prevention of hypo- and avitaminosis due to inadequate and unbalanced nutrition. Increases the body's resistance.

Vitamins from group B1, B6, vitamin A, C and E are mandatory.

For example:

1. Thiamine.
2. Triovit.
3. Ascorbic acid.
4. Retinol Acetate.

In order to eliminate swelling and relieve inflammation, doctors prescribe one of the drugs. For example:

1. Trypsin.
2. Magnesium Sulfate.
3. Lidaza.

With this disease, it is necessary to speed up the process of restoration of damaged tissues, so it is necessary to take broad-spectrum drugs.

A biostimulant with desensitizing (preventing or inhibiting allergic reactions) and analgesic (pain-relieving) activity.

For example:

1. Plazmol.
2. Phibs.
3. Polyobilin.

Local therapy helps relieve signs of severe itching.

Can be used:

1. Irrigation of the vagina with herbal tincture of chamomile or sage.
2. Carry out tamponade with Dimexide.

If the inflammatory process cannot be eliminated, apply a cold compress (ice) to the lower abdomen.

Important! Use the ice compress for no more than 15 minutes every hour.

In addition to drug therapy, doctors strongly recommend visiting sanatoriums with a medical focus.

In severe cases of the disease, desensitizing drugs are prescribed.

For example:

1. Astemizole. The drug does not have a hypnotic spectrum of action; 1 tablet is prescribed per day.
2. Pheniramine. Causes drowsiness, take 0.025 g 2 times a day.

Claritin or Loratadine can be used in remission.

Physiotherapy

Physiotherapy includes many procedures.

Note that each procedure is assigned to

depending on the severity of the disease.

In the chronic stage of salpingoophoritis the following is carried out:

1. Electrophoresis of the appendage area.
2. Magnetotherapy.
3. Ultraphonophoresis.
4. UVB of the bikini area.
5. Bioptronic reflexology.

Additional procedures include: radon gynecological irrigation, laser therapy and mud application.

If the disease cannot be treated and becomes more severe, then surgery is performed.

Complications and consequences of chronic bilateral salpingoophoritis

This disease requires urgent treatment, otherwise serious health complications may occur.

Complications:

1. Infertility.
2. Ectopic.
3. Obstruction of the fallopian tubes is often observed.
4. Peritonitis.
5. Sclerotic processes.

As you can see, the outcome of the disease is not pleasant, therefore, if you detect the first signs of salpingo-oophoritis, you must immediately consult a doctor.

Prevention

If you follow the rules listed below, you can avoid the disease.

1. A woman needs to avoid promiscuity.
2. During sexual intercourse, use protection.
3. After childbirth, complications such as rupture of the perineum or cervix may occur. Therefore, it is necessary to undergo adequate treatment to avoid salpingoophoritis.
4. Without first consulting a doctor, you should not douche with medications or herbal remedies.

In addition, it is necessary to observe the rules of personal hygiene.

Interesting information: on various forums, women told how they were treated with Chinese balls, which, according to them, saved them from all gynecological ailments. We do not argue that such herbal Chinese balls may save you from illness, but they cannot be used for any disease without consulting a doctor. Sometimes a history of self-medication leads to serious consequences, even death. Therefore, be extremely careful and entrust the treatment to specialists.

Content

Among the most common health problems in women, doctors call inflammatory processes in the pelvic organs. The success of their treatment depends on how quickly the dysfunction of the genitourinary system was identified. One of the dangerous diseases leading to difficult-to-reversible consequences, such as infertility, is salpingoophoritis. What do you need to know about this pathology to prevent its development?

What is salpingoophoritis

Inflammation of the uterine appendages (tubes and ovaries) is called salpingoophoritis or adnexitis. The causative agents of the disease are pathogenic microorganisms that penetrate the fallopian tubes, ovaries from the vagina or uterus through the ascending route, as well as through the general bloodstream. A feature of salpingoophoritis is considered to be a common pathogenesis, similar symptoms and joint development of exudate in the fallopian tubes and ovaries.

The pathology originates from the endosalpinx, passes to the muscular, serous membrane of the tube, and then spreads to the epithelium of the ovary. Due to the activity of the infection, the fimbrial region sticks together and adhesions form in the ampullary part of the appendages, which provokes the appearance of saccular compounds with a purulent (pyosalpinx) or serous (hydrosalpinx) composition. When an abscess in the appendages ruptures, the released fluid enters the abdominal cavity, causing pelvioperitonitis with the formation of abscesses in the recess between the vagina and rectum.

Causes

The main source of the disease is pathogenic microflora that enters the fallopian tubes and ovaries. Among the most common pathogens are staphylococci, streptococci, gonococci, mycobacterium tuberculosis, trichomonas, E. coli, chlamydia, ureaplasma, non-spore-forming anaerobes and other bacteria. Doctors identify several factors contributing to the development of salpingoophoritis:

• weakened immunity;
• overwork;
• chronic fatigue;
• frequent change of sexual partners;
• eating disorder;
• stress;
• hypothermia;
• infection.

The pathogen may enter the pelvic area from other organs where there is a focus of inflammation. Adnexitis often occurs as a complication after suffering a purulent sore throat, pneumonia, sinusitis and other infections against the background of weak immunity. Microbes are transmitted during sexual intercourse (often during menstruation), after an abortion or intrauterine intervention. Penetration into the tissue of the appendages is carried out through:

• blood (hematogenous route);
• lymph;
• ascending way - from the vagina into the uterine cavity through the cervical canal;
• descending route - from the cecum, sigmoid colon along the peritoneum.

Stages and types

Salpingo-oophoritis is a common inflammation that affects women of any age category, but the majority are young patients who are sexually active. According to the nature of the clinical course, three stages of adnexitis are distinguished:

1. Acute, characterized by pronounced symptoms. In the absence of timely treatment, the disease takes on a more complex form.
2. Subacute salpingoophoritis, occurring with vague symptoms. The process develops in the fallopian tubes and ovaries.
3. Chronic, lasting over 2 months, accompanied by exacerbations and remissions. A dangerous condition that provokes serious disruptions in the functioning of the female reproductive system.

The duration and intensity of each stage of pathology depends on the individual characteristics of the organism and the presence of factors contributing to the growth of pathogenic flora. In addition, doctors classify the disease into types, depending on the location of the infection:

• right-sided– the focus of inflammation is concentrated on the right uterine appendages;
• left-handed– occurs when the left fallopian tube and ovary are damaged;
• bilateral– observed when the appendages on both sides of the uterus are infected.

The most severe forms of the disease include chronic bilateral salpingoophoritis. Its specific symptom is considered to be enlarged fallopian tubes. The progression of this type of adnexitis greatly complicates the process of conceiving a child. Pregnancy can occur only after complete recovery, so it is recommended to immediately consult a gynecologist. Advanced cases of the disease are treated surgically.

Symptoms

Pronounced manifestations of salpingoophoritis are characteristic of the initial stage of the lesion. As the disease progresses, the symptoms become less intense and the area of ​​coverage becomes wider. Doctors call common symptoms of inflammation:

• constant fatigue;
• increased body temperature;
• muscle weakness;
• diseases of the urinary system (pyelonephritis, cystitis);
• the appearance of colitis, enteritis and other digestive problems.

Each stage of the inflammatory process has its own characteristics of symptoms, which helps the doctor make an accurate diagnosis and prescribe adequate therapy. Among the local signals indicating salpingoophoritis are:

• menstrual irregularities;
• aching pain in the lower abdomen, radiating to the lumbar and sacral spine;
• serous or purulent discharge of yellow, brown color with a pungent odor;
• enlarged lymph nodes.

Chronic salpingoophoritis

Acute adnexitis can take the form of chronic inflammation and last for several years. This form of the disease is characterized by a blurred clinical picture. The patient has a low-grade or normal temperature reaction. The pain is localized in the groin area, lower back and has the character of a dull aching sensation. There are complaints of pain during sexual intercourse, poor health, and disruption of the menstrual cycle. Problems with conception begin, ending in infertility, spontaneous miscarriage or ectopic pregnancy.

During a bimanual examination, the smooth muscle hollow organ and appendages demonstrate low mobility, palpation behind the cervix is ​​painful. A blood test shows a noticeable increase in ESR (erythrocyte sedimentation rate). When the process worsens, significant changes occur in the structure of the blood. Chronic adnexitis must be differentiated from endometriosis, tumors, ovarian cysts, pathologies of the intestines and nerve plexuses.

Spicy

The first manifestation of salpingoophoritis is severe pain in the lower abdomen, which may be accompanied by fever, chills, weakness, and indigestion. An intoxication state of moderate severity is recorded, characterized by migraine, decreased appetite, and dyspepsia. When examined using a gynecological speculum, endocervicitis (inflammation of the mucous membrane of the cervical canal), a serous-purulent secretion, is detected. Examination of the fallopian tubes is extremely painful due to their swelling.

Laboratory blood tests show a shift in the leukocyte count to the left and an increase in the ESR level. The results of the proteinogram reveal dysproteinemia with an excess of globulin fractions and an increase in C-reactive proteins. At the initial stage of salpingoophoritis, it is important to undergo a timely course of treatment in order to prevent the development of the inflammatory process and restore health.

Exacerbation of salpingoophoritis

With repeated colonization of bacteria and a weakening of the body's protective function caused by hypothermia, emotional shock, physical activity, or a cold, a relapse of adnexitis occurs. Exacerbation of chronic salpingoophoritis occurs at any time, but more often during the cold season. The symptoms of this condition are similar to the acute stage of the pathology - pain in the groin area, fever, purulent discharge from the genital tract. A woman experiences pain during sexual intercourse and a burning sensation when urinating.

During the period of exacerbation, there is a violation of the structure of the mucous membrane, muscle fibers, and proliferation of connective tissue, which leads to obstruction of the fallopian tubes. During palpation, a decrease in uterine mobility associated with the presence of adhesions is determined. The danger of the acute period lies in the formation of necrotic areas on the organs of the reproductive system.

Salpingoophoritis and pregnancy

It is extremely difficult to conceive and bear a child in the presence of adnexitis. Lack of increased attention to the problem and adequate treatment often provokes infertility. Fertilization of an egg with salpingoophoritis is possible only with unilateral damage to the fallopian tubes without compromising their patency. Experts note a high risk of developing ectopic pregnancy in women suffering from inflammation of the ovaries and appendages.

The chance of conceiving decreases as the disease progresses. Due to the low activity of the corpus luteum and the lack of ovulation, which this pathology provokes, menstrual cycle disorders occur. By delaying visiting a doctor, a woman seriously risks her health. Only the initial stages of salpingoophoritis can be treated conservatively; in advanced cases, a forced measure is used - surgical removal of the fallopian tube or ovaries, which inevitably leads to infertility.

Diagnostics

It is important to prevent the development of adnexitis and contact specialists at the first suspicion of a problem. Early diagnosis will help stop the spread of harmful microorganisms and restore the reproductive system. During the examination, the specialist must take into account information about medical history, abortions, surgical interventions on the genitourinary organs, and the presence of hormonal imbalance. To objectively assess the patient’s condition, the following measures can be taken:

• bimanual examination;
• general blood test, urine test;
• bacterioscopic study of biomaterial from the urethra, vagina, cervical canal for microflora and sensitivity to antibiotics;
• smear for oncocytology;
• tuberculin test for extensive inflammation in the pelvis;
• ultrasound examination (ultrasound) of the internal genital organs;
• laparoscopy.

Treatment

For acute and subacute forms of adnexitis, hospitalization with bed rest and constant supervision by specialists is indicated. Treatment of salpingoophoritis with antibiotics is prescribed, taking into account the type of pathogen, the presence of microbial associations, anaerobic pathogens and their sensitivity to specific drugs. In combination they use:

• desensitizing drugs - Astemizole, Betamethasone, Tavegil;
• infusion therapy;
• immunomodulators – Imudon, Galavit;
• analgesics – Paracetamol, Analgin;
• vitamins A, E, C, B1;
• means for the prevention of dysbacteriosis - Lactobacterin, Linex;
• non-steroidal anti-inflammatory drugs - Diclofenac, Naproxen, Nimesulide.

Antibacterial drug groups effective in the treatment of adnexitis include penicillins (Ampicillin, Unazin, Ampiox), tetracyclines (Doxycycline), cephalosporins (Cefazolin, Cefotaxime), aminoglycosides (Gentamicin), azolides and macrolides (Azithromycin), fluoroquinolone preparations (Ofloxacin) , nitrofurans (Furazolidone). The following medications are widely used, combined mainly with Metronidazole:

• Ampicillin– has a bactericidal effect, suppressing the synthesis of microbial cells. Active against staphylococcus, streptococcus, gram-negative anaerobes. The main component is ampicillin trihydrate. Indications for use are infections of internal organs and skin. Contraindications – individual intolerance to the drug substances, liver dysfunction. Dosage regimen – 500 mg 4 times a day. The course of treatment is 5-20 days. Pros: minimal side effects, low price.
• Cefazolin– broad-spectrum antibiotic. Fights gram-positive and gram-negative microorganisms. The active element of cefazolin, sodium salt, inhibits the cellular function of pathogens. The drug is indicated for infectious diseases of soft tissues, urinary tract, pneumonia, peritonitis. Contraindications include pregnancy, lactation, and allergies to the components of the product. Administration is carried out intravenously or intramuscularly, 1 g 2 times a day for 7-10 days. Disadvantages – does not affect protozoa, viruses, fungi.
• Azithromycin– a bacteriostatic substance that inhibits peptide translocase at the translation stage, slowing down the growth and development of microorganisms. Effective against gram-positive bacteria and anaerobes. Does not affect microbes resistant to erythromycin. An antibiotic is prescribed for infectious pathologies caused by drug-sensitive pathogens. It is forbidden to take by pregnant, lactating women, children under 12 years of age, or with impaired liver or kidney function. Dosage regimen: day 1 – 1 g once, days 2-7 – 0.5 g once a day.
• Ofloxacin– an antimicrobial element that destabilizes bacterial DNA chains. Detrimental to fast-growing atypical mycobacteria and microbes that produce β-lactamases. Relevant for the treatment of infectious and inflammatory processes of the respiratory tract, genitourinary system, skin, and bone apparatus. The substance is contraindicated in epilepsy, glucose-6-phosphate dehydrogenase deficiency, pregnancy, breastfeeding, and children under 18 years of age. The recommended dose is 200-400 mg twice a day after meals, for a course of 1-2 weeks.

In case of development of peritonitis or the appearance of ulcers in the uterine appendages, surgical intervention is used. To do this, a laparoscopic operation is performed using specialized equipment, making a 2-3 cm incision on the anterior abdominal wall with the introduction of an antiseptic (ampicillin with saline solution). Pain and swelling are relieved by applying cold to the suprapubic area. It is prohibited to use a heating pad during the postoperative period.

Treatment of chronic salpingoophoritis is performed at the acute stage. Antibiotics are prescribed according to individual indications if pathogens are detected in the tests. The recovery process is accelerated by local therapy, gynecological massage, physiotherapy, and sanatorium rehabilitation. The therapeutic regimen involves the use of the following pharmacological agents:

• medicines to improve immunity - Galavit;
• anti-inflammatory drugs - Voltaren, Diclofenac;
• biostimulants – Plazmol, Polybiolin;
• vitamin complexes;
• medications for detoxification of the body - calcium chloride, antihistamines;
• enzyme inhibitors - Lidaza, Serta.

Local treatment

Local therapy using suppositories, medicinal tampons, and douching liquids has shown high efficiency in the fight against inflammatory exudate of the female reproductive system. Local agents are applicable only in combination with basic medications, gynecological massage, and physiotherapy. The local treatment regimen for adnexitis includes:

1. Irrigation of the vagina with herbal decoction(chamomile, sage, oak bark, acacia) or a solution of Miramistin, Citeal, Romazulan, Vagotil. Mixture temperature 40 °C. The procedure is carried out before bedtime for 10 days.
2. Introduction of vaginal suppositories(Dalacin, Fluamisin, Clindamycin) or a styrile swab with 5 ml of dimexide diluted with 15 ml of boiled water.

Dalatsin suppositories are widely used in gynecologists as a local antibiotic. The active ingredient clindamycin inhibits protein synthesis in the microbial cell, leading to its death. Indications: bacterial vaginosis. The use of suppositories is not practiced in children under 18 years of age, with a history of associated colitis, or intolerance to any component of the medication. Side effects include itching, digestive upset, and candidiasis.

The recommended dosage is 1 torpedo intravaginally at night. Duration of treatment: 3 days. The advantages of the drug include safety, and therefore it is used to treat pregnant and lactating patients. The main disadvantage of Dalatsin is the ability of the active substance to enhance the growth of insensitive microorganisms, yeast-like fungi. A direct analogue of the drug is Clindamycin.

Fluamisin vaginal tablets contain an antifungal and antimicrobial compound - dequalinium chloride, which is active against gram-negative and gram-positive pathogens, fungi of the genus Candida, and protozoa. Indicated for vaginitis of various etiologies. Prohibited for use before the start of sexual activity, in the presence of ulcerative lesions of the vaginal mucosa and cervical epithelium.

The therapeutic course lasts 6 days with the introduction of 1 suppository into the vagina before bedtime. Among the few side effects include itching, redness, and irritation. The positive aspects of Fluamisin are the possibility of taking it during pregnancy, lactation, good tolerability and low absorption into the systemic circulation. No deficiencies were identified.

Gynecological massage

The procedure is performed by a qualified specialist in a medical facility. After the manipulation, there is an improvement in blood and lymph circulation, metabolism, and resorption of adhesions. Gynecological massage for chronic adnexitis helps restore the mobility of the appendages and relieve their soreness. It is forbidden to use this technique during pregnancy, acute and subacute forms of inflammation, in the presence of tumors and tubovarial cysts, hydrosalpinx. Procedure for performing the massage:

1. The patient is placed on a gynecological chair or a special table.
2. The specialist carefully inserts one or two fingers into the genital tract, resting his elbow on his thigh. The leg stands on a stand.
3. With careful movements, the uterus is pulled to the front part during retroflexion or to the center of the body during lateroposition of the organ.
4. With the second hand, the massage therapist applies moderate pressure, rubbing the abdominal wall, going deeper towards the fingers located inside.
5. By connecting the fingers of both hands, the doctor slowly stretches the adhesions, aligning the uterus towards its natural physiological position.

All actions require extreme caution, without allowing a painful reaction. The first session lasts 3-5 minutes, after which it is recommended to carefully monitor the woman’s well-being for 2-3 days and monitor blood counts. If well tolerated, massage continues every other day for 5-10 minutes. The recovery course is designed for 10-15 procedures.

Physiotherapy

In addition to medication, therapeutic physical factors are widely used for salpingoophoritis. The procedures increase the effect of antibacterial agents, relieve inflammation, and promote the resorption of adhesions. For each form of adnexitis, a separate therapeutic regimen is provided:

Folk remedies

Salpingo-oophoritis is a serious disease that should be treated with full responsibility. It is very difficult and dangerous to treat it without appropriate diagnostics and a competent specialist. Recipes offered by alternative medicine can be used as an auxiliary component of the main therapy. Among the effective folk remedies for adnexitis are the following:

• Potato juice. To prepare it, you will need to grate 2-3 tubers on a fine grater and squeeze the resulting mass through cheesecloth. Mix the resulting liquid well. It is recommended to drink fresh juice on an empty stomach. You need to continue taking the medicine until the symptoms of the disease disappear.
• Herbal infusion. Combine elecampane, kermek, meadowsweet with pink radiola, marina root (100 g of each ingredient). Divide the mixture into three equal parts. Fill one pile with 50% alcohol in a volume of 500 ml, leave in a dark place for 8 days. Without straining the liquid, take 1 tablespoon twice a day, half an hour before meals. The duration of treatment is three cycles.
• Juniper tincture. The medicinal drug is prepared from pine needles in vodka in a ratio of 1/20. The daily dosage is 10 drops, diluted with 1 tablespoon of water, three times a day. Drink until the symptoms of salpingoophoritis are eliminated.

For adnexitis, morning douching with herbal decoctions of chamomile and calendula is recommended. High results are achieved by candles prepared on the basis of propolis, cocoa butter and sea buckthorn. Alcohol compresses on the appendage area help relieve pain. It is advisable to coordinate the use of non-drug medications with a gynecologist. Uncontrolled use of folk recipes can provoke complications.

Prevention

The best prevention of salpingoophoritis is the implementation of preventive measures aimed at supporting the immune system and maintaining the functionality of the female reproductive system. Experts name several important rules that are the key to health:

• high-quality contraception, reducing the risk of unwanted pregnancy;
• refusal of casual sexual contacts;
• timely treatment of infections;
• maintaining personal hygiene, wearing comfortable cotton underwear;
• elimination of dysbacteriosis;
• proper nutrition and rest;
• regular visits to the gynecologist;
• prevention of stress, hypothermia, heavy physical activity.

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Salpingo-oophoritis (from the Greek salping - tube, oophor - ovary) is caused by both sexually transmitted infections and opportunistic flora of the body. This is the most common cause of tubal infertility. A synonym for the concept is the term “adnexitis”. According to ICD-10, the disease is classified under N70.

Natural barriers against infection

Nature “took care” of women - the structure of the external and internal genital organs is carefully thought out, every fold matters. Signs of bilateral salpingoophoritis. The following barriers to adnexitis pathogens can be identified.

• Labia. Normally, they “close” the entrance to the vagina, thus creating a mechanical obstacle to the path of microbes. It is much easier for pathogenic microorganisms to penetrate into the genitals during sexual infantilism (lack of development), after birth injuries, with decreased tone of the pelvic floor muscles and prolapse of the body and cervix, since the integrity of this barrier is broken.
• Vaginal mucosa. From the moment of puberty, the vaginal mucosa acquires pronounced folding. Lactic acid bacteria (Dederlein bacilli) accumulate in the recesses, creating an acidic environment and preventing the growth and reproduction of pathogenic and opportunistic microbes.
• cervical mucus. The secretion of the cervix, which fills the cervical canal. Contains a large amount of active substances (for example, lysozyme), which have a detrimental effect on microbes. Additionally, the mucus has a thick consistency, which creates a “cork effect.”
• Cervix . Normally, the cervical canal is practically closed and only slightly opens for the release of menstrual flow. After difficult childbirth and cervical ruptures, numerous curettages, abortions, this mechanism is often disrupted.

Not only immunity plays a role in preventing inflammation of the appendages. The protective complex, which manifests itself in the special structure and functioning of the genital organs, prevents the penetration of infection. Injuries, hormonal disorders against the background of decreased immunity and stress lead to chronic inflammation and resulting complications.

What is salpingoophoritis

Inflammation can occur due to the presence of sexually transmitted infections or due to the activation of opportunistic flora. The most common sexually transmitted infections (STIs) are:

• ureaplasma;
• Trichomonas;
• gonococci;
• human papilloma and herpes simplex viruses (HPV and HSV);
• tuberculosis bacillus.

Moreover, several pathogens are usually detected at once, which complicates treatment and increases the likelihood of complications. In this case, it is customary to talk about a mixed infection.

In addition to specific microbes, the active inflammatory process can be provoked by opportunistic microbes. Under normal conditions, their quantity in organs and biological fluids is controlled and kept at a minimum level. When immunity decreases (for example, after illness, hypothermia), the growth and reproduction of conditional pathogens get out of control. As a result, inflammation develops (or worsens). Therefore, it is important for women with chronic adnexitis to prevent the disease regularly and protect themselves from exposure to adverse factors. Most often, nonspecific inflammation is caused by the following pathogens:

• coli;
• Staphylococcus aureus;
• streptococci;
• enterococci;
• fungal microorganisms.

Salpingo-oophoritis is the lot of young and most often sexually active girls. It develops less often in those who are not sexually active. In this case, the main reason is immunodeficiency. The disease does not occur in postmenopausal women. Pain in the lower abdomen, similar to inflammatory pain, should be alarming. In this case, it is necessary to exclude malignant neoplasms, as well as adhesions and problems with other organs (intestines, bladder, spine).

Risk group

Inflammation of the uterine appendages is more often diagnosed in the following groups of women:

• if there are immunodeficiency conditions (HIV, hepatitis);
• with frequent changes of sexual partners;
• if there is a spiral in the uterine cavity;
• with frequent hypothermia;
• after birth injuries;
• after curettage, abortion;
• if there are hormonal disorders;
• if you have diabetes.

In addition, adnexitis can be secondary - if the inflammation “spreads” from adjacent organs, most often from the intestines. Chr salpingoophoritis can accompany the following diseases:

• acute appendicitis;
• colitis.

How it develops

Pathogenic microorganisms enter the uterine appendages through the ascending route (from the vagina and uterine cavity). Infection through the blood and lymph flow is less common. Initially, only the tubes (salpingitis) or the ovaries (oophoritis) are affected by inflammation - depending on the original source. Subsequently, the infection spreads - salpingo-oophoritis occurs, which involves the pelvic peritoneum (covering the genital organs in the abdominal cavity), which causes increased pain.

Classification of pathology

Depending on the clinical picture, there are types of inflammation of the appendages, the data for which are presented in the table.

Table - Classification of salpingoophritis (adnexitis)

Oophoritis and salpingitis are rarely separated, since the ovaries and tubes are involved in the inflammatory process together, so these processes do not have a separate classification by stage.

Symptoms

Symptoms of salpingitis and oophoritis depend on the clinical course; they can be bright and almost imperceptible, “habitual”.

Acute form

Symptoms increase over several days. Typically, women associate inflammation with the onset of menstruation, sexual intercourse, abortion, and hypothermia. The most common complaints that arise are:

• acute pain – pain in the lower abdomen, large on the right or left, pain can radiate to the lower back, anus, sometimes the pain is localized in the navel area;
• temperature rise – Fever occurs up to 39 °C and above, relieved by taking antipyretic tablets;
• symptoms of intoxication - weakness, lethargy, headache appear, blood pressure may decrease;
• nausea, vomiting – due to irritation of nerve endings and intoxication, nausea occurs, vomiting is possible, which does not bring relief;
• vaginal discharge– in the presence of genital infections, purulent, with an unpleasant odor, discharge is noticeable during salpingo-oophoritis.

Chronic form

It is characterized by the presence of periods of exacerbation (subacute course) and remission. But chronic infection affects the functioning of the ovaries and, accordingly, the reproductive function of a woman. During an exacerbation, the clinical picture is as follows:

• nagging pain - localized in the lower abdomen, radiating to the lower back, sacrum;
• temperature – normal or subfebrile;
• vaginal discharge– may or may not be a concern, sometimes thrush develops as an indicator of immunodeficiency.

In addition, a woman often does not associate a number of symptoms with chronic adnexitis, but they are its consequence:

• menstrual irregularities– most often the duration of the cycle increases, delays occur, and spotting may be more abundant;
• decreased libido is a consequence of an imbalance of sex hormones;
• infertility - occurs against the background of anovulatory cycles, autoimmune damage to the ovaries as a consequence of chronic inflammation and obstruction of the fallopian tubes;
• pain during sexual intercourse– appear in the presence of adhesions and pathological formations in the pelvis.

Complications

Salpingo-oophorectomy is dangerous due to complications. Some of them require emergency surgery. The following consequences of acute and chronic adnexitis are possible.

• Adhesive process. This is one of the signs of chronic adnexitis, which can be determined during a gynecological examination. In the area of ​​the appendages, heaviness and limited mobility of the uterus and ovaries are revealed. The adhesive process leads to periodic pain in the lower abdomen, and can also provoke constipation and stagnation of venous blood in the pelvis.
• Tubal infertility. Active inflammation leads to clogging of the lumen of the fallopian tubes and the formation of adhesions in them. As a result, a woman cannot become pregnant or her risk of an ectopic pregnancy sharply increases.
• Autoimmune processes. Signs of oophoritis (inflammation of ovarian tissue) are early menopause, cycle disorders and anovulation. Normally, the ovarian tissue is intact; as a result of an infectious process, the “barrier” function of the membrane is disrupted, as a result of which the immune system attacks cells that were previously inaccessible to it.
• Cyst formation. Menstrual irregularities and the concentration of pro-inflammatory enzymes in the ovarian area lead to the formation of cysts, most often of a functional nature. To prevent such complications, courses of hormonal therapy using conventional contraceptives are prescribed.
• Liquid accumulation in pipes. The fallopian tubes, “sealed” on both sides, accumulate fluid as a result of active inflammation. Hydrosalpings forms.
• Ovarian abscesses and peritonitis. Acute inflammation can result in the formation of a tubo-ovarian formation. Most often it includes an abscess of the ovary (or both), fallopian tubes filled with pus (pyosalpings). This is an acute surgical condition (pelvioperitonitis) requiring immediate surgery. Despite the often young age of girls with such complications, in order to save their lives it is necessary to remove the ovaries, fallopian tubes, and sometimes the body of the uterus.

Diagnostics

The diagnosis is established based on a routine gynecological examination of the woman. The following is noted:

• pain on palpation of the appendage area;
• movements behind the cervix bring a woman a sharp role.

In the presence of hydro- or pyosalpings, pathological formations in the pelvis are determined.

If symptoms of an “acute abdomen” and active inflammation in the pelvis (pelvioperitonitis) are detected, urgent hospitalization and surgical treatment are necessary. The pain is acute, high temperature, the abdomen is swollen, and symptoms of peritoneal irritation are noted on palpation. This is a condition that threatens a woman's life.

Additional diagnostics include the following.

• Ultrasound of the pelvis. It is most informative to perform a study in case of acute adnexitis or exacerbation of chronic adnexitis. In this case, inflammatory fluid is noticeable in the pelvis, symptoms of perioophoritis (changes around the ovary, its increase in size). The accumulation of exudate or pus in the pipes is well determined. Often, according to the ultrasound, signs of inflammation of one of the ovaries are visible, but the final diagnosis (unilateral or bilateral process) is established by the gynecologist after examination. In case of chronic adnexitis, ultrasound may show the norm; signs of adhesions and hydrosalpings are often detected.
• STI screening. It should be carried out in all newly diagnosed cases of adnexitis. However, cultures and PCR studies are often performed retrospectively after a course of antibacterial treatment.
• Laparoscopy. Performed for diagnosis and at the same time surgical treatment. In acute adnexitis, laparoscopy can be used to remove the appendages if necessary; in chronic adnexitis, adhesions are most often dissected, the patency of the fallopian tubes is determined, or their plasty is performed.

It is always necessary to differentiate acute and chronic salpingoophoritis from the diseases presented in the table.

Table - Differential diagnosis for suspected adnexitis

In case of severe abdominal pain and suspicion of acute adnexitis, consultation with a surgeon is additionally necessary. Often the diseases overlap, and the final diagnosis can only be established during surgery.

Does it happen during pregnancy?

Women with chronic salpingo-oophoritis, when habitual pain in the lower abdomen appears during pregnancy, “writes it off” to another acute attack. This is a priori incorrect. Throughout the entire period of gestation and while maintaining active lactation, inflammatory phenomena in the pelvic area that are not associated with childbirth fade away. This is due to a special hormonal background. Pain in the lower abdomen, similar to those that occurred during exacerbation of adnexitis, may indicate the following:

• threat of pregnancy;
• onset of labor, including premature labor;
• intestinal colic;
• tension of adhesions during active growth of the uterus.

If the discomfort is minor, you can lay a candle with papaverine or drink No-shpu. If pain is accompanied by discharge (profuse mucous, bloody, “watery”), you should immediately seek medical help.

Conservative treatment

Treatment of salpingitis and oophoritis is prescribed in the acute period to relieve symptoms and prevent complications, and regimens are also prescribed to reduce the likelihood of relapses.

During the acute period

The drugs presented in the table are used for treatment. The most important are antibiotics. They should be selected taking into account the suspected pathogen, preferably after microbiological cultures for sensitivity. To “cover” the entire spectrum of pathogens, several drugs are most often prescribed, especially for acute and complicated adnexitis. In most cases, oral medication is used; in severe cases, intramuscular or intravenous injections are used.

Table - Drug therapy regimens for salpingoophoritis

In addition to the main treatment complex, the following procedures are prescribed:

• local sanitation - most often combined suppositories are used, for example, “Terzhinan”, “Ginocaps”, “Poliginax”;
• physiotherapy - after relief of the main symptoms at the end of the course of treatment, electrophoresis with magnesium, magnetic therapy, UHF, ultrasound are prescribed;
• autohemotherapy – To strengthen the immune system and increase the body's resistance, venous blood is collected according to the scheme and immediately injected intramuscularly.

In remission

During remission for chronic adnexitis, oral contraceptives are prescribed. Specifically, the drugs are selected taking into account the woman’s phenotype, age, and concomitant diseases. Hormonal pills help “put” the ovaries to sleep, “extinguish” the inflammatory process and reduce the number of exacerbations.

Additionally, enzyme preparations may be prescribed to prevent adhesions. For example, “Longidaza”, “Wobenzym”.

Why is it escalating?

Adnexitis is dangerous because once it occurs, it tends to constantly worsen. The reasons for this phenomenon are hidden in the following:

• non-compliance with doctor's orders– many women take medications only as long as the pain bothers them, “driving” the infection into a corner rather than being cured;
• the presence of provoking factors - constant hypothermia, stress or promiscuity will each time lead to the activation of opportunistic flora;
• treatment without sensitivity - prescribing antibiotics without taking into account the culture of the flora, non-compliance with the schemes lead to the emergence of microbes resistant to any treatment;
• immunodeficiency – Persons with chronic illnesses, for example, HIV, leukemia, tuberculosis, are prone to infectious diseases.

Only a specialist can prescribe competent and effective treatment. In case of salpingo-oophoritis, you should strictly follow all instructions, recommendations and not self-medicate. This is a direct path to chronicity of the process and the development of serious consequences.

Surgical treatment

The need to perform the operation arises in the following situations:

• pelvioperitonitis;
• ovarian abscess;
• hydro- or pyosalpings.

In these cases, the source of infection is removed. Most often these are the fallopian tubes. Regarding the ovaries, all gynecologists adhere to the most gentle principles, since castration at a young age is doomed to infertility and lifelong hormone replacement therapy. But in advanced cases, the ovaries are completely filled with pus and there is no healthy tissue in them, so they are removed. In some cases (usually due to serious immunodeficiencies such as HIV), it is necessary to have the uterus removed.

In the case of chronic adnexitis, surgical treatment is indicated only for adhesions, if the girl has tubal infertility. The adhesions are dissected laparoscopically, some of the tubes can be removed, and plastic surgery is performed. This slightly increases the chances of spontaneous pregnancy.

ethnoscience

Folk remedies are widely used, but not always effective. It is unlikely that it will be possible to suppress active inflammation using herbs at home. These methods are good for preventing exacerbations, for getting rid of discomfort due to the adhesive process. Popular and effective recipes are as follows.

In addition to herbs, it is effective to use hirudotherapy (using leeches), acupuncture, and gynecological massage in the treatment of chronic adnexitis. These methods are especially effective for chronic pelvic pain due to inflammation; reviews from women confirm this.

Despite the prevalence of adnexitis and the presence of a whole arsenal of means and methods for its treatment, more and more girls are suffering from this disease, and tubal factor infertility is being recorded more and more often. Therefore, it is important to seek medical help in a timely manner and carry out thorough treatment of salpingitis in compliance with all doctor’s prescriptions.

Bilateral adnexitis is a severe form of adnexitis, in which foci of inflammation affect the fallopian tubes and ovaries on both sides. The disease has painful symptoms and long-term treatment. To better understand the pathology, it is necessary to understand what adnexitis is and what complications it entails.

Adnexitis (salpingoophoritis)

(salpingoophoritis) is an inflammatory process of the ovaries and fallopian tubes. Most often it affects women of fertile age from 15 to 40 years. This disease is a leader among pathologies of the female genital area. If there is no qualified treatment, it poses the greatest danger. In its advanced form it can lead to infertility.

Inflammation of the uterine appendages (ovaries and tubes) can be classified according to several factors.

1. Depending on the causative agent of the infection. Inflammation can be caused by intracellular microorganisms (chlamydia, ureplasma, mycoplasma), tubercle bacilli, intestinal infection, streptococcus, fungi, etc.
2. Depending on the course of the disease. There are acute bilateral adnexitis, subacute and chronic.
3. Depending on the location of the inflammation. There are unilateral inflammation of the appendages and bilateral salpingitis.

Causes of bilateral adnexitis

1. Infection through unprotected sexual intercourse, as well as through household methods when using towels or in common areas (saunas, swimming pools).
2. Uterine spiral. It can cause inflammation only when it is installed or removed.
3. Hypothermia. Activates the growth of pathogenic microflora, which “lived” in the body in a latent form.
4. Decreased immunity. It works the same way as hypothermia.
5. Surgical interventions, for example, removal of an ovarian cyst. They increase the risk of bilateral adnexitis due to possible tissue infection.
6. Previously suffered inflammatory diseases, as well as their improper treatment.

All of the above factors can not only provoke the development of the disease, but also cause an exacerbation of chronic bilateral adnexitis.

Symptoms of bilateral adnexitis

Symptoms for bilateral adnexitis will differ depending on the form in which it occurs.

Diagnostics

To determine whether the patient really has bilateral salpingoophoritis, the doctor collects a complete medical history. To do this, he finds out whether the woman is sexually active, what methods of contraception are used, whether there have been pregnancies, abortions, whether there is an intrauterine device, whether surgical interventions have been performed. Also, for the medical history, information is collected about the presence of sexually transmitted diseases or other infectious and inflammatory diseases of the pelvic organs in the past.

Then the doctor begins an examination in a gynecological chair to identify painful areas using palpation. As a rule, an experienced gynecologist can determine inflammation of the appendages already at this stage, but in order to avoid an erroneous diagnosis, additional diagnostics are carried out.

The gynecologist takes samples of bacterial culture of the vagina, polymerase chain reaction (PCR) analysis to determine pathogenic microflora, and also prescribes a general or detailed blood test (from a finger or from a vein).

With an exacerbation of chronic bilateral adnexitis, the above studies can give a false negative result, therefore, they additionally resort to the following types of laboratory diagnostics:

• menstrual fluid is examined (on days 2-4 of the cycle). This is done in order to identify pathogenic microorganisms whose foci are localized inside the uterine appendages;
• “provocation test” is a type of research in which the patient’s immunity is artificially suppressed in order to allow hidden pathogenic microflora to spread to the extent where it can be easily detected.

After the necessary tests are taken, the patient is sent for an ultrasound examination. It is advisable to do it in the first half of the cycle, before ovulation. This is due to the fact that after ovulation and immediately before menstruation, the ovaries may increase in size, and this will not at all be associated with any inflammatory process.

In some cases, laparoscopy (to determine the presence of 2-sided adnexitis and adhesions in the pelvis) and MRI may be prescribed.

Treatment of 2-sided salpingoophoritis

Treatment is prescribed depending on the form of the disease and the pathogen, but the main points are similar.

Acute bilateral salpingoophoritis is treated radically in order to quickly stop the disease and prevent it from becoming chronic. Antibacterial therapy is prescribed (depending on the identified pathogen), anti-inflammatory drugs (for example, Indomethacin suppositories). For severe pain, analgesics are prescribed and bed rest is recommended for at least three days. Usually these measures are enough to quickly relieve inflammation.

Chronic bilateral salpingoophoritis requires a more comprehensive approach and long-term treatment. In addition to these methods, aloe injections are prescribed (to restore blood circulation and have an additional anti-inflammatory effect), drugs for resolving adhesions (for example, Longidaza suppositories), and physiotherapy. Treatment of chronic bilateral salpingoophoritis may also include non-traditional methods: acupuncture, mud therapy, thalassotherapy.

It should be remembered that bilateral adnexitis can cause the appearance of endometriosis and other “female” disorders.

Pregnancy and bilateral adnexitis

Since the main complication of adnexitis is infertility due to the resulting adhesive process, many women with this diagnosis are concerned about the question of whether it is possible to become pregnant after suffering from inflammation.

It is impossible to give an unambiguous answer to this question, because pregnancy can be affected by many factors - the patient’s age, the extent of the adhesive process that arose after adnexitis, and the individual characteristics of the body. Only a gynecologist can give an exact answer to this question in each specific case.

Women suffering from chronic inflammation of the appendages sometimes have problems conceiving or bearing a fetus. Problems with conception are due to the fact that the adhesive process causes obstruction of the fallopian tubes. In this case, pregnancy either does not occur at all, or the risk of an ectopic pregnancy is high. This pathology is insidious in that when diagnosed it is practically no different from a normal pregnancy until the appendage bursts.

If pregnancy occurs and bilateral adnexitis appears during it, then the difficulty lies in treatment, since pregnant women cannot take antibiotics.

Therefore, competent diagnosis and regular examinations for patients suffering from bilateral adnexitis are simply necessary.

Salpingo-oophoritis, or as it is also called adnexitis, is a common female disease. As a result of infection or under the influence of other unfavorable factors, the appendages begin to develop.

Subsequently, inflammation affects one (unilateral salpingoophoritis) or both ovaries (bilateral adnexitis). Treatment of chronic salpingoophoritis is long and does not always lead to complete recovery. Meanwhile, the pathology is often accompanied by adhesions in the appendages and fallopian tubes, which causes infertility.

The main cause of chronic adnexitis is infection through the genitals, which, combined with low immunity and impaired blood supply to the ovaries and uterus, contributes to the development of inflammation.

Provoking factors are also:

• sexual activity without using condoms;
• sexual contacts during the menstrual cycle;
• sedentary lifestyle;
• hypothermia
• period of pregnancy and childbirth;
• damage to the walls of the uterus by contraception or medical intervention;
• frequent constipation;
• overwork and stress;
• compression of the pelvic organs by tight clothing;
• hormonal imbalance and diseases of the endocrine system;
• infections of the genitourinary system.

Low body resistance and congestion in the pelvis make it difficult to treat the disease, which often leads to the development of a chronic form of the disease.

The disease begins acutely and is accompanied by pronounced symptoms.

If treatment is started in a timely manner, the acute form of salpingoophoritis can be successfully cured.

Otherwise, after a couple of weeks the disease passes into the subacute and then into the chronic stage.

At the beginning of the development of inflammation, the following signs are observed:

• temperature 38-39 degrees;
• pain in the abdominal area of ​​unclear localization and radiating to the anus and lower back;
• purulent discharge appears;
• loss of appetite and bouts of nausea appear;
• headaches and chills are observed;
• flatulence appears.

Symptoms of chronic salpingoophoritis are less intense, and sometimes completely absent.

The following phenomena may be observed:

• pain in the groin and lower abdomen, which intensifies during menstruation and after hypothermia;
• pain during sexual intercourse, which leads to decreased sexual activity;
• purulent leucorrhoea is observed;
• irregular heavy menstrual flow;
• bleeding between menstrual cycles.

Infertility can also be considered a sign of chronic salpingoophoritis, since as a result of inflammation, adhesions form in the fallopian tubes, which makes conception difficult.

What is bilateral chronic salpingoophoritis

With bilateral salpingoophoritis, two uterine appendages and both ovaries are affected. This pathology is much less common than unilateral adnexitis.

In case of inflammation of the fallopian tube and ovary on one side, the other part of the reproductive organs remains healthy and pregnancy may occur.

With bilateral damage, both fallopian tubes are blocked by adhesions and the likelihood of conception is significantly reduced, up to complete infertility.

Treatment

Treatment tactics are selected depending on the form of the disease and the patient’s condition.

Therapy in a hospital setting is carried out for acute forms of salpingoophoritis, during the patient’s pregnancy and for an unconfirmed diagnosis with severe symptoms.

The following medications are used in the treatment of acute adnexitis:

1. Antibacterial drugs of the penicillin, tetracycline, cephalosporin series in the form of tablets or injections. For the treatment of pregnant women, the antibiotic regimen is selected taking into account the period.
2. Antispasmodics and regeneration stimulants.
3. Antifungal agents to restore vaginal microflora.
4. Drugs to enhance immunity and antihistamines.

Local use of antiseptics in the form of douches, suppositories or ointments is used. A laparoscopic examination is performed with simultaneous removal of adhesions and accumulation of pus.

In chronic salpingoophoritis, antibacterial drugs are used only during an exacerbation.

In addition to drug treatment, physiotherapeutic procedures are added:

• electrophoresis
• magnetotherapy
• ultrasound treatment;
• phonophoresis
• hydrogen sulfide and radon baths;

In complicated cases, surgical removal of adhesions and elimination of obstruction of the fallopian tubes using plastic surgery are performed.

Treatment of chronic salpingoophoritis with folk remedies

Inflammation of the ovaries can be treated with douching, medicinal baths and decoctions of medicinal herbs. But given the seriousness of the disease, the duration of treatment and the likelihood of severe complications, the use of traditional medicine should be carried out after the doctor’s approval and combined with prescribed drug therapy.

Infusions and decoctions

In the morning before meals, squeeze the juice from two unpeeled potato tubers and drink. Carry out treatment every day until cure.

Mix St. John's wort, nettle and yarrow, a tablespoon each, and thyme, coltsfoot, marshmallow root, 2 tablespoons each. Pour 3 tbsp of boiling water over a liter. l. mixture and leave for a couple of hours. Morning, afternoon and evening, take 100 ml of infusion for 2 months.

2 tbsp. l. Grind and mix strawberry and birch leaves, corn silks, string and yarrow. Pour two tablespoons of the mixture into 1.5 liters of boiling water and leave to infuse for 5-6 days. Drink 100 ml 3 times a day for 30 days.

Take a couple of spoons from a mixture of equal parts of calendula, sweet clover and chamomile flowers, centaury and coltsfoot. Pour two glasses of boiling water and leave for 2 hours. Drink 50 ml 5-6 times a day for 30 days. Avoid sexual activity for the duration of treatment. If nausea occurs, reduce the dose.

According to Art. l. mix thyme, St. John's wort, ginger, valerian roots, calamus, licorice. Add a couple of spoons of knotweed, birch leaves and oregano and three spoons of wormwood. 2 tbsp. l. Boil the mixture in 3 glasses of water for 20 minutes and leave for 2 hours. Drink 3-4 sips several times a day from 1 to 8 months, excluding menstruation.

Make a collection of rowan berries, mint, shepherd's purse, tansy and licorice root, a couple of spoons each. Add a mixture of 4 tablespoons of rosehip, 3 tablespoons of nettle and a spoonful of corn silk and calendula. Boil a couple of tablespoons of the mixture in 2 glasses of water for about 30 minutes, covering with a lid. Pour into a thermos and leave for 8 hours. Drink half a glass several times a day from 1 month to 8. After 30 days of rest, repeat the treatment. The infusion can be sweetened with honey or jam. Do not use the product during menstruation.

Pour a teaspoon of claspberry into a glass of boiling water, cover with a lid and leave for 20 minutes. Drink a couple of large spoons 4-5 times a day, adding a little honey for taste. For the best effect, combine with baths of claspberry infusion.

Baths and douching

2 tbsp. l. linden flowers and 3 tbsp. l. pour oak bark into a thermos and add 1 liter of boiling water. Leave to brew for 30 minutes. Douche with the infusion twice a day.

Chop juniper branches and berries and pour boiling water into a bucket. Leave for 2-3 hours. Strain and pour the infusion into a hot bath. Sit in healing water for 15 minutes.

Grind a couple of large spoons of yarrow and eucalyptus leaves. Infuse 2 tablespoons of the mixture in a liter of boiled water for two hours. Do douching once a day for 14 days.

Make a mixture of 2 spoons of oak bark, 5 spoons of chamomile flowers and 3 spoons of sage. Pour 2 tablespoons of the mixture into a liter of boiling water and leave until cool. Douche with the strained infusion or moisten a gauze swab and insert into the vagina.

Boil 100 g of claspberry for 15 minutes in 2 liters of water. Strain the broth and pour into the bath. Sit in it for 20 minutes.

Vanga recommended this remedy. Pour forest or ordinary hay into a wide container with 5 liters of boiling water, cover with a lid with a hole and sit over the steam. If there is no hay, you can boil fresh cabbage leaves in milk and use them for a steam bath.

Grind a couple of peeled garlic cloves into a paste. Add a teaspoon of water and 5 drops of celandine juice. Moisten a gauze swab in the mixture and insert it into the vagina for three hours. Repeat this procedure twice a week.

1 tsp. Heat propolis and honey for 5 minutes over low heat. Soak a gauze swab in the honey mixture and insert it into the vagina overnight. If there is no propolis, then you can use sea buckthorn oil.

Conclusion

The success of treating any disease directly depends not only on timely and competent therapy, but also on the patient’s attitude towards a successful outcome. For optimists, recovery is always faster and easier and with virtually no complications. And patients who do not expect anything good from treatment and are confident in advance of its ineffectiveness receive the corresponding result.

Chronic salpingoophoritis is a serious disease that, when neglected, deprives a woman of the opportunity to become a mother. If one fallopian tube and ovary are not affected, then pregnancy is quite possible. If bilateral inflammation is detected, then it is too early to despair.

Modern medicine allows surgical intervention to restore patency in the fallopian tubes and increase the chances of successful conception.

The most important thing is not to harm yourself. Self-medication at home for the acute form of salpingo-oophoritis will not eliminate inflammation, but will delay seeking medical help and allow the disease to progress to the chronic stage. Treatment with folk remedies is only possible for the chronic form of the disease during remission and only after consultation with the doctor.

We bring to your attention a video that explains what chronic salpingoophoritis is and the features of its treatment:

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