Anti-inflammatory and surgical treatment of acute adnexitis

Adnexitis refers to inflammation of the fallopian tubes and ovaries. Clinically, adnexitis can be divided into acute adnexitis and chronic adnexitis. Patients with acute adnexitis should be treated promptly to avoid developing into a chronic disease. Treatments for patients with acute adnexitis include anti-inflammatory treatment and surgical treatment. Anti-inflammatory treatment is usually performed first. If the treatment effect is not obvious, surgical treatment can be used.

Anti-inflammatory treatment

Since acute adnexitis is mainly caused by bacterial infection, chlamydia infection or mixed infection, the most important thing in treating acute adnexitis is to use antibiotics in a timely and sufficient amount in the early stage of the disease.

Patients with adnexitis often use antibacterial drugs such as penicillin, streptomycin, and sulfonamides in the acute phase, because it is difficult for patients in the acute phase to determine which disease caused the infection. The course of treatment is generally 7 days. Do not stop taking the medicine before the treatment is less than 7 days. This may lead to a recurrence of the disease. After the use of antibacterial drugs, consolidation treatment should be continued for a period of time to ensure recovery.

Surgery

Surgical treatment is usually considered if the patient's symptoms are still not relieved after 72 hours of anti-inflammatory treatment for acute adnexitis.

Note: In addition to patients with acute adnexitis, patients with chronic adnexitis who have uncured hydrosalpinx or ovarian cysts should also undergo surgical treatment.