Inflammation Of The Ovaries & Fallopian Tubes - All About "Pelvic Inflammatory Disease (PID)" And Adnexitis

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Inflammation Of The Ovaries & Fallopian Tubes - All About "Pelvic Inflammatory Disease (PID)" And Adnexitis
Inflammation Of The Ovaries & Fallopian Tubes - All About "Pelvic Inflammatory Disease (PID)" And Adnexitis
Video: Inflammation Of The Ovaries & Fallopian Tubes - All About "Pelvic Inflammatory Disease (PID)" And Adnexitis
Video: Pelvic Inflammatory Disease (PID) 2023, February
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Ovarian / fallopian tube inflammation: what is it?

Inflammation of the fallopian tube (tube) and ovary (ovary) often occurs simultaneously and on both sides and is known as adnexitis. Usually the endometrium or the peritoneum can also be inflamed at the same time. If this is the case, it is called "Pelvic Inflammatory Disease (PID)". Both adnexitis and PID should be treated as early as possible, as several complications (e.g. failure to have children) can occur. However, a symptom-poor or symptom-free course is often observed. However, consequential damage is possible.

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  • "Pelvic Inflammatory Disease (PID)"
  • Bacterial infection
  • Possible complications

Pelvic Inflammatory Disease (PID)

PGD ​​is a complex disease. This means the combination of:

  • Endometritis: inflammation of the lining of the uterus (endometrium);
  • Salpingitis: inflammation of the fallopian tubes (tubes);
  • Tubo-ovarian abscess: abscess of the fallopian tubes and ovaries (ovaries);
  • Pelopteritonitis: inflammation of the peritoneum in the small pelvis.

Bacterial infection

Sexually active women in particular can be affected by adnexitis / PID. In most cases this is caused by a mixed bacterial infection. The causative agents include, for example, Chlamydia trachomatis, gonococci, streptococci, enterococci and anaerobes.

Favoring factors are:

  • Menstruation,
  • Operations in the urogenital area,
  • disturbed vaginal environment ("vaginal flora") and
  • Lack of estrogen.

The bacteria usually rise from the skin or vagina and uterus to the fallopian tubes and ovaries (ascending infection). Descending infections spread from neighboring organs, e.g. the intestine, to the internal female genital organs. Special forms of fallopian tube / ovarian inflammation are actinomycosis (infection with actinomycetes) and genital tuberculosis.

Tip The use of condoms can protect against infections of the female genital organs.

Possible complications

Anexitis / PID that is untreated or treated too late can be complicated with, among others:

  • Consequential damage and adhesions on fallopian tubes: Since fertilization takes place in the fallopian tube, a non-intact fallopian tube is a possible cause of an unfulfilled desire to have children. The more frequent this inflammation occurs, the higher the risk of becoming sterile. It also increases the likelihood of a dangerous ectopic pregnancy.
  • Hydrosalpinx: fluid in the fallopian tube inflates it up to ten centimeters.
  • Purulent inflammation: accumulation of pus in the fallopian tube (pyosalpinx) or in the Douglas space (Douglas abscess).
  • "Frozen pelvis": With this particularly severe consequence of inflammation of the fallopian tubes and ovaries, the small pelvis is completely overgrown with overgrown tissue (also, for example, in endometriosis).

Infections with toxin-producing bacteria (e.g. clostridia) can lead to blood poisoning (sepsis). For example, the rare Toxic Shock Syndrome was observed when using tampons and simultaneously infected with Staphylococcus aureus.

In general, persistent pelvic pain is possible with chronic inflammation of the tube and ovary.

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