What are the causes of adnexitis?

Adnexitis is divided into two types: acute and chronic. Chronic adnexitis is the most common. Generally, there is acute inflammation first, which is not treated thoroughly, or the patient has poor physical constitution, and the disease course is prolonged and turns into a chronic disease. In some cases, the acute inflammatory process is not obvious, and once discovered, it has become chronic.

Adnexitis is often caused by postpartum, abortion, or ascending infection of pathogenic bacteria due to lax aseptic operation in gynecological outpatient surgery; if sexual life occurs too early and too frequently after childbirth, and menstrual hygiene is not paid attention to, it can also cause infection and adnexitis. Patients show low fever, fatigue, one or both lower abdominal pain, lumbar pain, menstrual disorders, increased menstrual flow, increased leucorrhea, or infertility caused by fallopian tube adhesions and obstruction. During gynecological examination, the fallopian tubes are felt to be thickened. If there is hydrosalpinx or fallopian tube ovarian cysts, cystic masses can be felt. Its prevention and treatment are the same as pelvic inflammatory disease.

Although chronic adnexitis can be treated with Chinese and Western medicines, physical therapy and other methods to reduce inflammation and swelling, and relieve symptoms, only a few patients can have their fallopian tubes reopened; some people's fallopian tubes are reopened, but they are not smooth, which makes tubal pregnancy more likely. Most patients' symptoms recur soon after treatment, and it is difficult to achieve a radical cure.