What are the symptoms of adnexitis?

What are the symptoms of adnexitis? When it comes to adnexae, many people may not know what they are. The fallopian tubes and ovaries in the female reproductive organs are called adnexae. The so-called adnexitis refers to the inflammation occurring in the fallopian tubes and ovaries. Let's take a closer look at the symptoms of adnexitis so that everyone can detect and treat it early.

Generally speaking, adnexitis is a common disease caused by pathogenic microorganisms invading the reproductive organs and causing infection of the fallopian tubes and ovaries. It is divided into two types: acute and chronic.

1. Symptoms of acute adnexitis

The symptoms of acute adnexitis are mainly acute lower abdominal pain, accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests show an increase in white blood cells and a significant increase in the proportion of neutrophils. Symptoms of adnexitis: If acute adnexitis is not treated in time or thoroughly, it may turn into chronic adnexitis. Oral antibiotics and topical medications can relieve and eliminate inflammation.

2. Symptoms of chronic adnexitis

Chronic adnexitis causes varying degrees of abdominal pain. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesion of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbar pain, which may be mild or severe, accompanied by increased vaginal discharge, back pain, and menstrual disorders, which often worsen during menstruation or after fatigue. During gynecological examinations, there is tenderness, thickening, or tender masses in the bilateral or unilateral adnexal areas, and the number of white blood cells is elevated or normal.

It is worth noting that some symptoms of adnexitis are not very obvious sometimes, but because the fallopian tubes and ovaries are adjacent, it is difficult to distinguish when inflammation occurs. Especially chronic inflammation of the fallopian tubes, over time, can lead to fibrosis, thickening and obstruction of the fallopian tubes, and can also adhere to surrounding tissues. If both ends of the fallopian tubes are blocked, hydrosalpinx can form, and the accumulated water will penetrate into the ovaries that are adhered together, forming a fallopian tube cyst. This is the main cause of post-marital infertility or ectopic pregnancy.

When adnexitis first occurs, there is only a slight dull pain or discomfort. The symptoms worsen when adnexitis occurs, so it is often ignored by people and regarded as a normal reaction of the physiological cycle. This disease can occur in both unmarried and married women. It is generally caused by retrograde infection of the internal and external vulva. Clinically, adnexitis often occurs with pelvic inflammatory disease. Adnexitis can cause fallopian tube atresia, leading to infertility, inducing inflammation and other complications, so it is important to pay attention to treatment.