Color Doppler Ultrasound Cannot Detect Adnexitis

Color Doppler ultrasound cannot directly detect adnexitis, but it can assist in diagnosis through indirect manifestations. Adnexitis is a common inflammatory disease of the female reproductive system, mostly caused by bacterial infection, and requires a comprehensive diagnosis based on clinical symptoms, laboratory tests, and imaging.

1. Reasons why color Doppler ultrasound cannot directly detect adnexitis

Color Doppler ultrasound mainly observes the morphology and structure of organs through images, but there may be no obvious morphological changes in the early stages of adnexitis. Color Doppler ultrasound can detect indirect manifestations such as thickening and effusion in the adnexal area, but it cannot directly show the inflammation itself. For chronic adnexitis or mild inflammation, the sensitivity of color Doppler ultrasound is low and it is easy to miss the diagnosis.

2. Diagnosis of adnexitis

In addition to color Doppler ultrasound, the diagnosis of adnexitis also needs to be combined with other examinations. A blood routine test can show an increase in white blood cells, indicating infection; a vaginal discharge test can reveal pathogens; and a pelvic examination can detect tenderness or masses in the adnexal area. For difficult cases, MRI or CT can provide clearer imaging information to help clarify the diagnosis.

3. Treatment of adnexitis

The treatment of adnexitis is mainly based on anti-infection, and antibiotics should be selected according to the pathogen. Commonly used drugs include cephalosporins, metronidazole, azithromycin, etc. For patients with chronic adnexitis or recurrent attacks, physical therapy such as hot compresses and shortwave therapy can be combined. Severe cases may require surgical treatment, such as laparoscopic exploration and abscess drainage.

4. Prevention and daily care of adnexitis

To prevent adnexitis, you need to pay attention to personal hygiene and avoid unclean sexual behavior. Avoid bathing and swimming during menstruation to reduce the risk of infection. Eat a light diet and eat more foods rich in vitamins to enhance immunity. Appropriate exercise such as yoga and walking can help improve pelvic blood circulation and prevent inflammation.

Although color Doppler ultrasound cannot directly diagnose adnexitis, it can still provide an important reference for diagnosis in combination with other examinations and clinical symptoms. Early detection and treatment are the key to avoiding complications. Women should undergo regular gynecological examinations and pay attention to their own health. For symptoms of suspected adnexitis, such as lower abdominal pain, fever, abnormal leucorrhea, etc., you should seek medical attention in time to avoid delaying the disease.