What are the symptoms and treatment of adnexitis?

What are the symptoms and treatments of adnexitis? Adnexitis is a gynecological disease that is more common in women. It mainly refers to inflammation of the fallopian tubes and ovaries. Patients should not underestimate the occurrence of adnexitis. Once the symptoms of the disease are found, they should be actively treated. Let's take a closer look at the symptoms and treatments of adnexitis.

Symptoms of adnexitis:

Acute adnexitis: mainly acute lower abdominal pain, accompanied by fever, obvious tenderness and rebound pain in the adnexal area during gynecological examination, and blood routine tests can show an increase in white blood cell count and a significant increase in the proportion of neutrophils. If acute adnexitis is not treated in time or thoroughly, it can turn into chronic adnexitis.

Chronic adnexitis: There are varying degrees of abdominal pain. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesions of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbosacral pain, which are sometimes mild and sometimes severe, accompanied by increased leucorrhea, back pain, menstrual disorders, etc., and often worsen during menstruation or after fatigue. During gynecological examination, there is tenderness, thickening, or tender masses in the bilateral or unilateral adnexal area, and the white blood cell count is elevated or normal. Some symptoms are sometimes not very obvious, but because the fallopian tubes and ovaries are adjacent, it is difficult to distinguish when inflammation occurs.

Treatment of adnexitis:

Antibiotic treatment: Many patients have obvious symptoms when they discover the disease, and antibiotic treatment is needed at this time. Antibiotics can kill the remaining pathogenic bacteria and prevent their acute attacks. Commonly used drugs are still penicillin, gentamicin, metronidazole, etc., and the usage is the same as acute salpingo-oophoritis and pelvic peritonitis.

Physical therapy: Physical therapy is a common method for treating adnexitis in clinic. The benign stimulation of warmth can promote blood circulation in the pelvic cavity, improve the nutritional status of local tissues, and facilitate the absorption and disappearance of inflammation. Commonly used physical therapies include shortwave, ultrashortwave, infrared, audio, ion penetration, etc. However, physical therapy should not be used when the body temperature exceeds 37.5℃ or when suffering from genital tuberculosis.

Surgical treatment: Clinically, surgical treatment is often adopted for patients with difficult-to-cure adnexitis. Surgical treatment of adnexitis is based on the ineffectiveness of drug treatment. For example, if an abscess has formed and the body temperature continues to not drop after 48-72 hours of drug treatment, and the symptoms of poisoning are significantly aggravated or the mass shows signs of enlargement, drainage and resection should be performed immediately.

In addition, if the patient suddenly develops worsening abdominal pain, high fever, chills, nausea,