Inflammation in women: symptoms and treatment. How to cure inflammation like a woman at home: traditional medicine recipes. Treatment of gynecological diseases

Inflammation of the appendages in women is an infectious pathology, and the process affects the ovaries or fallopian tubes, but not the uterus itself. Penetration of the infectious agent into the body occurs in various ways.

The disease can proceed without symptoms for a long time, sometimes characterized by the appearance of pain in the lower abdomen and menstrual irregularities. Treatment is aimed at destroying the pathogen and restoring the function of the uterine appendages.

Causes

Why do women experience inflammation of the appendages, and what is it? In medicine, this disease is called salpingoophoritis. If the inflammation affects only the fallopian tubes, then salpingitis is diagnosed. An inflammatory process that affects only the ovaries is called oophoritis.

The development of the inflammatory process in the uterine appendages occurs under the influence of pathogenic and conditionally pathogenic microorganisms. There are two types of disease:

• specific adnexitis caused by diphtheria bacteria, tuberculosis bacillus, gonococci;
• nonspecific salpingoophoritis, caused by viruses, fungi, E. coli, streptococci, staphylococci, mycoplasmas, chlamydia and other microorganisms.

Penetration of infection into the uterine appendages can occur in the following ways:

• ascending (pathogenic microbes from the vagina penetrate the uterus, bypassing the cervical canal, into the tubes, and then can enter the ovaries);
• descending (there is already inflammation in the abdominal cavity, which gradually spreads to healthy tissue);
• hematogenous (microbes enter the fallopian tubes and ovaries with blood from other internal organs).

The likelihood of inflammation of the appendages increases with the action of provoking factors on the body:

• hypothermia;
• weakened immunity;
• using a contraceptive method such as an intrauterine device;
• unprotected sex;
• childbirth or abortion.

• acute;
• chronic;
• latent (asymptomatic, or sluggish).

The disease can be diagnosed at any age. Both young girls who are not sexually active and older women who have reached menopause turn to doctors for help.

Symptoms of inflammation of the appendages

In the case of inflammation of the appendages in women, the presence of certain symptoms depends on certain factors:

• pathogenicity of the ingested microorganism, its type;
• on the course of the disease, whether it is an acute process, with pronounced symptoms, or chronic, with erased, barely noticeable symptoms;
• the girl’s body’s ability to resist microorganisms and fight the inflammatory process, from the state of the immune system.

In acute form women complain of the following symptoms:

• tense abdomen in the lower regions;
• , sometimes radiating to the legs or lower back;
• increased body temperature (it can reach 39 degrees);
• changes in the menstrual cycle (sudden bleeding or delayed menstruation);
• vaginal discharge that is different from normal (it may be greenish-purulent or yellowish, thick or foamy).

An incompletely cured disease in the acute period can develop into chronic inflammation of the appendages, the symptoms of which depend on the period of remission or exacerbation. Every second woman with chronic adnexitis experiences the following pathological changes:

• menstrual irregularities;
• sexual function disorder;
• concomitant diseases of the urinary organs (,), etc.

During the period of exacerbation, all symptoms characteristic of acute adnexitis resume.

Chronic adnexitis

Chronic adnexitis develops as a result of untimely or poor-quality treatment of the acute form of the disease; it occurs with periodic seasonal exacerbations. This form of inflammation of the appendages is characterized by the presence of dull, aching pain in the lower abdomen, radiating to the vagina and lumbar region. Palpation of the abdomen determines moderate pain.

Due to structural and functional transformations in the ovaries (lack of ovulation, hypoestrogenism), chronic inflammation of the appendages in women is accompanied by menstrual irregularities, which are manifested by oligomenorrhea (scanty periods), polymenorrhea (heavy periods), algomenorrhea (painful periods). Patients may also complain of a lack or decrease in sexual desire, pain during intercourse.

Diagnostics

The above symptoms may also be present in other diseases of the genital organs, so only a gynecologist can make an accurate diagnosis after examining the patient, collecting anamnesis, and the results of laboratory and instrumental studies:

• Ultrasound of the uterus and appendages;
• PCR diagnostics (vaginal smear), which allows you to identify sexually transmitted infections;
• colposcopy (examination of the vagina and its walls);
• bacterial sowing;
• tomography;
• laparoscopy.

Signs of inflammation of the appendages can be determined by the results of a blood test. During inflammatory processes, the blood formula changes significantly. In addition, during a gynecological examination at an appointment with a gynecologist, a woman feels severe pain in the ovaries and uterus.

Consequences

Any inflammation of the appendages is dangerous because the following complications are possible:

• development into a chronic form;
• infertility as a result of the adhesive process, which causes obstruction of the fallopian tubes and anovulation;
• quite high risk of ectopic conception;
• purulent complication (tubo-ovarian formation) - purulent melting of the ovaries and tubes, followed by an abscess.

Prevention

1. Visit a gynecologist regularly, do not resist an examination in the chair, and take smears.
2. Avoid hypothermia by dressing appropriately for the weather, changing clothes after swimming, and avoiding sitting on cold objects.
3. If termination of pregnancy is necessary, do it early or with the help of medications, or a mini-abortion (avoid curettage).
4. Cure teeth, intestines and other foci of chronic infection.
5. Use barrier methods of contraception.
6. Treat gynecological diseases in a timely manner.
7. Follow the rules of healthy eating.
8. Follow the rules of intimate hygiene.
9. Avoid douching.
10. Avoid stress.

Thus, inflammation of the appendages is a serious disease that requires timely treatment, which involves strict compliance with medical instructions.

Treatment of inflammation of the appendages

When diagnosing inflammation of the appendages, treatment in women should be comprehensive: a combination of medications with physiotherapy, gynecological massage, osteopathy, and physiotherapy.

The main point in the treatment of inflammation is antibiotics. They are selected with a wide spectrum of action and maximum half-life. In addition, the woman herself needs to monitor her lifestyle (proper nutrition, abstinence from sexual activity, physical exercise, smoking and alcohol should be stopped).

The disease cannot be neglected, since the inflammatory process soon becomes chronic, which leads to infertility.

Antibiotics for inflammation of the appendages

Antibiotics for inflammation of the appendages are the first and main condition that must be met for a favorable outcome of the disease. How to treat inflammation of the appendages, the dosage and number of doses for each individual woman is determined by a specialist, but we will give you the most commonly prescribed pairs of medications:

1. Nitroimidazole derivatives (for example, Metronidazole) to eliminate anaerobic flora that can live in an oxygen-free environment, such as gonococci (the causative agents of gonorrhea);
2. Inhibitor-protected penicillins (Amoxiclav), 3rd generation cephalosporins (Ceftriaxone), macrolides (Erythromycin), etc., which affect aerobic (living in an oxygen environment) flora;
3. Antifungal drugs (eg, Diflucan, Nystatin).

For the first three to four days until the condition normalizes, all these drugs are administered by injection. Then you can switch to tablet forms and reduce the dose.

Concomitant treatment

In addition to the prescription of antibacterial drugs, detoxification therapy is carried out (intravenous infusions of saline solutions, glucose, hemodez, rheopolyglucin and others in a volume of 2 - 3 liters).

Relief of pain and reduction of the inflammatory process is carried out using tablets. These are Diclofenac, Ibuprofen, Ketarol and other drugs. Be sure to prescribe vitamins C and B, as well as allergy pills.

When relieving an acute process and in the treatment of chronic inflammation of the appendages outside of exacerbation, physiotherapy is widely used: copper and zinc electrophoresis according to the phases of the menstrual cycle, electrophoresis with lidase or iodine, ultrasound, high-frequency pulsed currents (CMT, DDT). Also used in rehabilitation treatment are immunomodulators, autohemotherapy, injections of aloe, FIBS, Longidase, etc. For chronic adnexitis, sanatorium-resort treatment is indicated - mud, paraffin, medicinal baths and douching.

Suppositories for inflammation of the appendages

To reduce signs such as inflammation, pain, swelling, and temperature, special suppositories are used that can relieve inflammation. They can also prescribe suppositories that can strengthen the immune system, and this is very important for any illness. Also, such drugs cleanse the body of harmful substances.

All suppositories are prescribed by a doctor, but in any case such treatment will be additional.

Folk remedies

At home you can use some folk recipes:

1. Take 4 teaspoons finely chopped buckthorn, Chernobyl and peony roots, add 3 teaspoons of burnet and elecampane roots. After this, pour 2 tablespoons of the resulting mixture with half a liter of boiling water. Boil for half an hour over low heat, and then let cool for half an hour. Afterwards, strain and you can add a little honey for taste. You should take the product half a glass 3-4 times a day.
2. One tablespoon chopped dry boron uterus grass pour a glass of boiling water. Leave for 2 hours. Strain. Take 1/3 cup 3 times a day half an hour before meals. The course of treatment is 1 month. After a month's course of treating adnexitis with boron uterus, it is advisable to drink another infusion for 2 months - from the grass of the field grass. 1 tbsp. l. pour a glass of boiling water over the herbs, leave for 4 hours, strain. Drink 1 tsp. 30 minutes before meals 4 times a day.
3. Buldenezh should be collected at the very beginning of flowering (until insects infest them). A tincture of them has excellent antiseptic, anti-inflammatory and analgesic properties. A liter jar is filled with inflorescence balls, filled with vodka and sent to a dark, cool place for 15 days. This tincture is rubbed on the lower abdomen, and the inflorescences are applied in the form of compresses.
4. Take flowers of coltsfoot, sweet clover, centaury in equal proportions. Mix, after crushing, pour boiling water, let it brew for an hour, then strain the broth through cheesecloth and drink half a glass twice a day. During treatment, abstinence from sexual intercourse is recommended.

Remember that folk remedies are only a supplement and cannot in any way replace drug therapy prescribed by a specialist.

Inflammation in the female part is a serious and common problem. After all, the reproductive system is a very vulnerable part of the female body. It is susceptible to many inflammatory and infectious diseases. Each of them can lead to serious consequences, including ectopic pregnancies and infertility. If you want to know how to recognize inflammation of the female organs in time and how to treat them, read our article!

What organs may be affected?

To avoid confusion in terms, we have prepared a convenient table. It shows the organs of the female reproductive system and what their inflammations are called.

In general, female inflammation rarely occurs alone. Due to the anatomically close location of the organs, inflammation is often complex.

In addition, in almost half of the cases the disease also affects the urinary system - kidneys, bladder, urethra.

Therefore, it is better to treat infectious diseases of the female organs immediately after their occurrence. This significantly reduces the chance of the disease spreading.

Female inflammation rarely occurs alone. Due to the anatomically close location of organs, inflammation is often complex

Causes of inflammation in women

The main cause of any inflammation is pathogenic or pathogenic microorganisms. They can enter the female reproductive system through the vagina or blood.

Infection through the blood occurs if the body has a so-called “focus of infection” - that is, another organ that is inflamed due to a pathogenic microorganism. Pathogens from the source enter the blood and are carried throughout the body by its current.

The infection, which is transmitted through the vagina, most often occurs during sex without a condom.

The main causes of inflammation in women are:

• Sexually transmitted diseases;
• Violation of personal hygiene rules;
• Intrauterine contraceptives, that is, spirals;
• The presence of chronic infectious diseases;
• Operations on female organs - abortions, curettage, cauterization of erosions;
• Natural birth;
• Hypothermia, low level of immunity;
• Diseases of the endocrine system.

Sexually transmitted diseases are a leader in the field of causes of infectious diseases of the female organs. Gonococci, Trichomonas, chlamydia and other pathogens of sexual diseases affect the reproductive organs without treatment.

Due to the fact that in recent years people have often taken antibiotics uncontrollably, sexually transmitted infections often occur latently, without symptoms. This, however, does not prevent diseases from developing and affecting various organs.

Symptoms of inflammation in women

There are a number of signs by which one can suspect the presence of inflammation of the female organs:

• Heaviness in the lower abdomen, pain similar to menstruation;
• Painful menstruation;
• Menstrual irregularities;
• Heavy, or vice versa – very scanty menstrual flow;
• Bloody discharge not during menstruation;
• Change in the color of vaginal discharge;
• Strong and unpleasant odor of vaginal discharge;
• Unpleasant sensations or pain during sex;
• Itching and burning sensation in the vagina and vulva area;
• Increased body temperature, weakness, feeling of exhaustion - with acute inflammation.

Which doctor should I go to for female inflammation?

Suspicions of diseases of the female organs are a reason to immediately visit a doctor. A gynecologist treats such inflammations. If the problem is genital infections, or the disease affects the urinary system, consultations with a venereologist, urologist and nephrologist may be necessary.

For the doctor to understand whether there is inflammation and where exactly it is located, he will need to conduct additional studies and take tests.

The main diagnostic method is a gynecological examination. Thanks to him, the doctor has the opportunity to examine the organs and notice the characteristic symptoms of inflammation. Moreover, by the nature, color and smell of some discharges, one can even guess which microorganism is the cause of the disease.

If the examination is not enough, the gynecologist prescribes Ultrasound pelvic organs. It can be carried out both externally and transvaginally - that is, through the vagina.

Be afraid of transvaginal Ultrasound It’s not worth it - this procedure is unpleasant, but does not cause pain.

It is important to remember that if a woman is a virgin, she must inform her doctor about this. This will help avoid injury or rupture of the hymen.

If a girl under 15 years of age comes to see a doctor, the examination and all manipulations are carried out in the presence of parents or guardians.

The main method for diagnosing inflammation is a gynecological examination. Thanks to him, the doctor has the opportunity to examine the organs and notice the characteristic symptoms of inflammation

What tests may be needed

For women's diseases in gynecology, tests are required before treating inflammation.

In order to find out the degree of inflammation and its cause, the doctor may prescribe the following studies:

How to treat inflammation like a woman?

Inflammatory diseases are treated primarily with antibiotics. Without them, it is impossible to completely and reliably cope with bacteria. If the cause of the disease is fungi, antimycotic drugs are prescribed; if viruses, antiviral drugs are prescribed.

Antibiotics can be prescribed in the form of tablets, injections or suppositories. Often it is necessary to combine several options for taking medications. In order to choose the right drug, a gynecological smear is examined by bacterial culture.

This makes it possible to conduct a test with antibiotics. This way it is precisely determined which medicine will be most effective for treatment.

Another important point of treatment is strengthening the immune system. This helps the female body cope with inflammation on its own.

If the inflammation has become chronic, physiotherapeutic procedures are prescribed. The doctor prescribes warming procedures, ultrasound treatment and electrotherapy.

When diseases lead to serious consequences - for example, the formation of adhesions, or severe purulent inflammation, surgical intervention is required. Today, they try to perform such operations in the least traumatic way. For this, the laparotomy method is used. It involves making very small incisions, and all manipulations are carried out using special equipment. So that the doctor can see the organs and understand what he is doing, special cameras are used.

Recovery after laparotomy surgery is quick and, as a rule, without consequences.

Medicinal suppositories for inflammation of the female part

If inflammation affects the vagina, suppositories are the optimal treatment method. Gynecological suppositories contain anti-inflammatory and antimicrobial substances. Since there are many blood vessels in the vagina, the medicine enters the blood very quickly. In addition, suppositories destroy inflammation and pathogens right where they are.

This local treatment is very effective and does not harm the rest of the body. But in order to choose the right type of suppositories, you need to know exactly the location of the inflammation and the infection that caused it. After all, if you make a mistake with your choice, you can cause disruption of the beneficial microflora without getting rid of the pathogenic one. Then it will be even more difficult to cure the disease, and bacterial vaginosis or thrush will be added to the main cause.

How much does it cost to treat inflammation in women?

The price of treatment depends greatly on the degree of inflammation and whether surgery is necessary.

If a woman is treated in a state medical institution - a hospital, a antenatal clinic - according to the policy Compulsory medical insurance, all tests, procedures and examinations by doctors are free for her.

Costs in this case are reduced only to the purchase of medications. If a woman is treated in a hospital, then the medical institution also provides them.

Paid gynecology saves time and effort, but at the cost of money.

Taking into account all the tests, the need to regularly consult a doctor and the cost of medications, a course of treatment may require 10,000 - 15,000 rubles.

The operations will seriously affect the final account, increasing it to 60,000 - 100,000 rubles.

As can be seen from the “price list”, it is better not to let gynecological diseases lead to serious consequences.

Complications of female inflammation

Without treatment, any disease gradually progresses and can also become chronic. Over time, changes in internal organs become stronger and sometimes even irreversible.

Inflammation in the female part mainly affects reproductive function - that is, a woman’s ability to conceive and bear a child.

The most common consequences of female diseases are:

• Ectopic pregnancy - due to adhesions in the fallopian tubes, the fertilized egg cannot enter the uterus and is implanted into the tissue of the fallopian tube.
• Infertility - scars on the uterus and chronic inflammation make it impossible for the egg to attach. Inflammation of the ovaries interferes with the release of the egg, which also makes conception impossible.
• Amenorrhea and dysmenorrhea - that is, the cessation of menstruation or a serious disruption of their flow.
• Hormonal disorders - since both the uterus and ovaries produce female hormones, the disease disrupts this function. Due to the fact that all hormones in the body are connected to each other, hormonal disorders in the female part affect the entire endocrine system.
• Miscarriage, that is, miscarriages - changes in the lining of the uterus, scars and adhesions make it impossible to fully bear the fetus.
• Frozen pregnancy - pathogenic microorganisms can damage the fetus and stop its development. In addition, a frozen pregnancy can be caused by hormonal disorders.
• Fetal pathologies - some microorganisms can penetrate the placenta and damage the developing fetus.

Women often tend to take inflammation of their reproductive system lightly. They often occur in a hidden or lubricated form and do not cause any particular inconvenience. However, this is a false calm - inflammation quietly but inevitably harms health. It is necessary to identify and treat them at the earliest stage, so as not to struggle later, painfully and hard, with the consequences and complications.

The best prevention of inflammation in women is regular preventive examinations by a gynecologist.

Timely diagnosis and proper treatment are the key to women’s health.

Inflammations often occur in a hidden or blurred form and do not cause any particular inconvenience. To detect inflammation in time, you need to regularly visit a gynecologist

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Correction of the labia, or labiaplasty, is a change in the shape or size of the labia majora and/or minora through surgery. The operation is cosmetic in nature...

Gynecological tests are a laboratory testing method that allows you to get an idea of ​​the functioning of the genital organs, infections, sexually transmitted diseases, as well as information...

Laser labiaplasty is a procedure for partial removal of developed labia minora. This operation belongs to the group of minor surgical interventions in the same way...

Laser removal of vulvar tumors is an operation performed using a laser beam for tumor diseases of the skin and mucous membrane of the female genital organs.…

Lactation mastitis is a disease of the mammary gland that occurs during lactation and is characterized by an inflammatory process. Mastitis (or breastfeeding) occurs in 80-85%...

Lactostasis is the stagnation of milk in the mammary glands of a nursing woman. Externally, lactostasis manifests itself in the form of thickening of the breast tissue, accompanied by painful…

Laparoscopic conservative myomectomy is a minimally invasive surgical procedure to remove uterine fibroids. Unlike open abdominal or laparotomy...

Laparoscopic tubectomy is a type of surgical intervention that is used for pathological changes in the uterine tubes and consists of excision using minimally invasive…

Laparoscopic echography is a technique for visually diagnosing the pelvic organs from the inside using ultrasound and laparoscopic equipment. This procedure applies...

Laparoscopic removal of an ovarian cyst is a surgical procedure that is performed using a puncture in the lower abdominal area, after which the removal of…

Diagnostic laparoscopy in gynecology - visual examination of the pelvic organs, as well as collection of the necessary material for analysis. Diagnostic in gynecology…

Conservative myomectomy laparotomy is a method of removing fibroids in which the doctor preserves the patient’s fertility. Myomectomy surgery is the removal of a benign…

Leukoplakia of the cervix is ​​a pathological process in which there is an increase in the thickness of the outer layer of the vaginal epithelium. The prevalence of this pathological condition...

Adnexitis treatment is a therapeutic tactic aimed at eliminating inflammation in the tubal uterus and ovaries. The development of adnexitis in women occurs...

Treatment of adrenogenital syndrome is a combination of surgical and medicinal measures that are aimed at treating congenital dysfunction of the adrenal cortex. Adrenogenital...

Algodismenorrhea treatment is a complex of therapeutic measures that can be pathogenetic (aimed at eliminating the causes causing the development of pathology), as well as...

Bartholinitis treatment is a set of therapeutic techniques to eliminate an infectious inflammatory disease of the large paired gland at the vestibule of the vagina. The most...

Treatment of infertility in women - various gynecological procedures, selected depending on the reasons that caused the inability to conceive a child. Often, upon hearing...

Treatment of vaginitis is the medicinal elimination of pathogenic flora, mainly using antibiotics. Vaginitis (or colpitis) is a common gynecological…

Treatment of ectopic pregnancy is a complex of surgical procedures aimed at removing a fertilized egg from the fallopian tube, ovary or abdominal cavity. The right method...

Gardnerellosis (treatment available in specialized clinics) is a disease that occurs in more than 50% of women. It is caused by anaerobic microorganisms and gardenella.…

Treatment of genital herpes in women is a complex of medical measures aimed at eliminating symptoms and reducing cases of exacerbation of herpes disease. When infected, a person does not...

Treatment of female diseases is a set of measures to alleviate the suffering of the patient and eliminate processes of a pathological nature, which are carried out by gynecologists. We're talking about any...

Treatment of ovarian dysfunction is a set of measures that involves treating hormonal disorders that provoke a malfunction of the ovaries. The therapeutic process involves...

Treatment of vaginal diseases is a set of therapeutic, surgical and preventive measures that are aimed at ridding the patient of vaginal diseases. Before we begin...

Treatment of diseases of the appendages is a therapeutic complex that is aimed at eliminating diseases of the fallopian tube and ovaries. Such diseases include:

Treatment of malignant tumors of the uterus is a complex of therapeutic measures to cure pathologies of the uterine region, which can be carried out using palliative or radical…

Treatment of malignant tumors of the cervix is ​​a complex of therapeutic measures aimed at eliminating cancerous tumors of the cervix and saving the patient…

Treatment of immunological infertility is a set of measures aimed at immunocorrection and restoration of fertility in women. In this case, the pathological...

Treatment of infectious and inflammatory processes in gynecological practice is a set of measures aimed at eliminating the causes of the disease and restoring normal functioning...

Treatment of candidiasis in women is not just getting rid of the unpleasant, life-complicating and often very painful symptoms of this pathology, but mainly eliminating the root cause...

Treatment of ovarian cysts is a medical and/or surgical set of measures that is aimed at eliminating a foreign cavity located on the organ of the female reproductive system. Many…

Treatment of menopause is a complex of medications, physiotherapeutic and preventive measures that are aimed at eliminating the pathological manifestations of menopause...

Treatment of menstrual dysfunction is a set of therapeutic measures to eliminate dysfunction (failure) of the menstrual cycle. Dysfunction of the menstrual cycle is gynecological and…

Treatment of mycoplasmosis in women is a set of measures that involves the destruction of the causative virus using local or general antibiotics, as well as...

Uterine fibroids are a benign formation localized in the myometrium. The tumor is a chaotic plexus of smooth muscle fibers. The size of the fibroid node can vary: from...

Treatment of tumors of the external genitalia is surgical removal of the growth on the external parts of the reproductive system. There are a number of cases when desensitizing therapy and...

Treatment of tumors of the uterine appendages is the process of eliminating tumors in the uterus through surgery or medication. Often surgery is the most effective method of treating an appendage,...

Treatment of human papillomavirus infection in women (HPV) is a set of measures to eliminate the papillomavirus, which is selected depending on the stage, extent of the process and the woman’s condition.…

Treatment of polycystic ovary syndrome is a complex of therapeutic measures aimed at restoring ovarian metabolism. This disease occurs due to hormonal imbalance, the presence of…

Premenstrual syndrome treatment is a drug therapy, the actions of which are aimed at reducing hormonal levels in the female body, as well as stabilizing the emotional background,…

Treatment of trichomoniasis in women is a complex of medicinal and preventive procedures aimed at ridding the body of trichomonas, which cause inflammatory...

Treatment of ureaplasmosis in women is drug therapy aimed at eliminating sexually transmitted infections caused by gram-negative microorganisms (ureaplasma).…

Cervicitis (the treatment of which is very important due to its prevalence) is an inflammatory disease that affects the mucous membrane of the cervix. Usually with cervicitis also...

Treatment of endocrine infertility is a whole range of measures aimed at normalizing the hormonal balance in the body. It is endocrine (or hormonal)…

Endometriosis treatment is a complex of medicinal, preventive and surgical measures aimed at eliminating the pathological signs of the disease. Endometriosis…

Endometritis treatment is a set of therapeutic measures aimed at eliminating the inflammatory process in the uterine mucosa (endometrium). Treatment of endometritis...

Treatment of cervical erosion - medical procedures aimed at restoring the integrity of the mucous membrane of the cervix. The greatest danger is observed with the development of inflammatory diseases...

Surgitron is a method of treating erosion through radio wave exposure to the affected area of ​​the cervix. This is a radiosurgical method used in gynecology for non-contact…

Pubic liposuction is a surgical procedure that is aimed at eliminating excess subcutaneous fat in the pubic bone area. This procedure makes it possible...

A smear for oncocytology of the cervix is ​​an effective microscopic test of cells of the cervical canal and cervix, which can be used to promptly detect...

A flora smear is a diagnostic procedure in gynecology, performed to take material (discharge from the vagina or other organs of the genitourinary system) for…

Cytology smear is a microscopic laboratory type of examination of cervical cells, which is carried out to identify abnormalities in their structure. This technique...

Marsupialization of a Bartholin gland cyst is a surgical intervention that helps remove a tumor of the labia majora resulting from inflammation of the Bartholin gland, as well as…

Mastitis is one of the breast diseases in women during the postpartum period. Mastitis affects the female breast and is characterized by inflammation of the parenchyma...

Mastitis is an inflammatory process in the mammary glands, accompanied by pain. With the birth of a child, the happiest days begin for the mother...

Mastopathy is a disease of the mammary gland that results in the formation of benign tumors. Mastopathy is characterized by the occurrence of proliferative and regressive…

Uterine bleeding is bloody discharge from the uterine cavity, which is a consequence of hormonal dysfunction, the appearance of various gynecological diseases or injuries,…

Uterine bleeding is a fairly common complication of uterine fibroids in women. It is accompanied by hypermenstrual syndrome (menorrhagia), when the usual menstruation turns...

Medical abortion is one of the types of pregnancy termination currently used in gynecology. Like any other abortion method, make a medicinal...

Uterine metritis is an inflammatory process of the muscular layer of the uterus. This pathology can be observed in women of different age groups.

Metroendometritis is an infectious disease characterized by the development of an inflammatory process in the mucous and muscular lining of the uterus. The course of the pathology can be acute,…

Mycoplasmosis is a chronic infection that leads to the development of infectious and inflammatory diseases of the urinary tract. These pathologies develop as a result of exposure...

Microscopic examination of smears is a diagnostic method in gynecology aimed at identifying genitourinary infections. The purpose of it is the analysis of biological material, which...

Mini-abortion (vacuum aspiration) is an operation performed in the early stages of pregnancy to terminate it. The optimal option for carrying out the procedure is the 14th...

Uterine fibroids are a benign neoplasm that is localized in the muscular lining of the uterus (myometrium). This is a very common gynecological disease,…

Uterine fibroids in combination with adenomyosis is one of the most common combinations of diseases of the female genital area, in which diffuse changes occur in the tissues...

Thrush is an infectious disease caused by an increase in the concentration of fungal microflora on the vaginal mucosa. When in the internal genitalia...

Supravaginal amputation of the uterus is the surgical removal of the body of the uterus in the area of ​​the supravaginal part of the cervix at the level of the internal os. After this operation...

Menstrual irregularity is a disruption of the normal pattern of the beginning and end of menstruation, which can be caused by a number of internal pathologies and dysfunctions of the female...

Urinary incontinence in women is an involuntary discharge from the urethra that is uncontrollable. Anyone can experience this condition...

Nonspecific vaginitis is an inflammatory disease of the female genital organs that occurs as a result of the activity of opportunistic pathogens on them...

Nonspecific vulvitis is a disease in which there is a widespread inflammatory process of the external genital organs. It is mainly diagnosed in younger girls…

Testing for HPV (human papillomavirus) is a diagnosis of a viral disease that occurs due to the introduction of the papillomavirus into the body, causing warty growth...

Oophoritis is a gynecological disease that is characterized by the presence of an inflammatory process in the ovaries. This pathology can simultaneously be combined with inflammation of the uterine...

Surgical treatment of vaginal fistulas is a plastic operation performed surgically, which involves cutting damaged areas of the vagina and applying sutures.…

Prolapse of the vaginal walls is an abnormal condition in the female reproductive system that can occur in women of all ages. However, the main risk group in this case...

An examination in a gynecological chair is a set of studies that are carried out to assess the condition of the genital organs. The inspection procedure consists of several stages...

Acute adnexitis is an inflammatory disease of the uterine appendages (fallopian tubes and ovaries). According to localization, it is divided into one-sided or two-sided. Inflammatory process…

Acute bartholinitis is an inflammatory process of various origins of the Bartholin glands of the vagina. This disease can develop independently, as well as with…

Acute vaginitis is a common disease of the female genital area, in which inflammatory changes in the walls of the vagina occur of an infectious nature. Acute vaginitis...

Acute vulvitis in women is pronounced inflammatory processes occurring in the external genitalia. The symptoms of this disease are uncomfortable and may…

Vulvovaginitis is an inflammatory process of the external genitalia and vaginal mucosa. Inflammation is caused by infections, the nature of the disease depends on the composition of the microflora.…

Acute endometritis is an inflammatory process that affects the inner layer of the uterus and is characterized by an acute course. The danger of this disease is that it...

Focal adenomyosis of the uterus is the appearance in the muscle layer of focal inclusions that are characteristic of the intrauterine layer of the endometrium, in other words, this is the growth of the endometrium inward...

Pipelle endometrial biopsy is a method of extensive examination of the tissues of the mucous membrane of the uterine cavity. The traditional method of performing a biopsy involves mandatory expansion of the canal...

Plasma coagulation of condylomas in women is a manipulation aimed at removing condylomas using a high-frequency arc discharge in gas form. She launches...

Subacute adnexitis is one of the forms of the inflammatory process that develops in the uterine appendages. More precisely, this pathological condition arises and develops in the uterine...

Pubic lift (dermolipectomy) is a cosmetic operation to eliminate sagging folds of skin and fat in the pubic area. This minor defect does not cause any harm to health...

Polycystic ovarian disease is a disease characterized by the presence of multiple cysts in the ovaries and the absence of ovulatory function with varying degrees of hyperandrogenism...

A uterine polyp is a growth on the walls of the uterus that looks like a mushroom. In general, polyps in the body of the uterus are a benign formation that has serious consequences...

A cervical polyp is a benign formation on the mucous membrane of the cervix. It has a mushroom shape. In common parlance, these are warts of the cervical canal of the uterus. Causes…

Polyps in the uterus are neoplasms on the inside of the uterine wall (benign). The size of polyps can vary from a couple of millimeters to a ball 3-4 cm in size. More often...

A candidiasis test is a test whose purpose is to identify an infectious disease caused by candida fungi. The disease can affect the intestines, esophagus, throat and genitals.…

Mycoplasmosis analysis is a laboratory test that allows you to diagnose foci of chronic infection with mycoplasmas - pathogenic microorganisms similar to viruses, fungi and…

Tests for ureaplasmosis are laboratory tests that help identify an infectious disease caused by pathogenic microorganisms (ureaplasma). The disease can affect...

Postpartum endometritis is an inflammatory process in the endometrial layer of the uterus, which occurs immediately after delivery. This disease can lead...

The contraceptive ring placement is a method of modern hormonal contraception that uses a vaginal ring that can release small doses of estrogen...

PMS is a set of painful and uncomfortable sensations that a woman experiences immediately before the onset of monthly bleeding. Characterized by cyclical...

Abortion (artificial termination of pregnancy) is a procedure during which the doctor removes the fetus from the patient's uterus at up to 28 weeks. This intervention...

Cauterization of the cervix with radio waves is a minimally invasive method of treating pathology, which today has gained great popularity due to the accessibility and painlessness of the procedure.…

Cauterization of a cervical cyst (diathermocoagulation) is a common method of combating this neoplasm. The essence of cauterization of a cyst is the direct impact...

Cauterization of cervical leukoplakia is a procedure in gynecology as a component of complex treatment of leukoplakia - a pathological change in the exocervix with keratinization...

Cauterization of papillomas on the cervix is ​​a gynecological procedure that is a method of treating formations - papillomas - on the cavity of the cervix. Cauterization...

Cauterization of cervical endometriosis is one of the methods of treating gynecological pathology. Each of us knows that it is better to prevent a disease than to treat it. But unfortunately,…

Cauterization of cervical erosion is not the most progressive, but still quite relevant method of destruction in some clinical cases. Such cauterization...

Cauterization of cervical erosion with Solkovagin is a gentle method of treating cervical erosion, which is based on the use of a specialized medical drug.

Cauterization of cervical erosion with liquid nitrogen is a minimally invasive, sought-after method of treating this pathological condition, replacing cauterization with electricity...

Laser cauterization of cervical erosion is a gynecological procedure aimed at eliminating cervical pathology. Cervical erosion is a pathology...

Cauterization of cervical erosion is another method of treating erosive neoplasms of the cervical cavity, based on the use of radio wave exposure. Radio wave surgery...

Cauterization of cervical erosion with electric current is one of the most effective procedures for the treatment of cervical erosion, the essence of which is the impact...

Hydatidiform mole is a trophoblast pathology in which the villi of the outer embryonic membrane (chorion) degenerate into cysts - a huge number of small bubbles,…

Radiocoagulation of erosion is a modern technique that allows you to effectively combat erosion by cauterizing pathologically altered cells with radio waves without damaging healthy…

Radioexcision of cervical erosion is a modern radio wave surgical operation on an ulcerated area in the cervical area. This pathology represents destruction by erosion...

Separate diagnostic curettage is a gynecological surgical operation that is aimed at treating and diagnosing various pathological conditions of the canal and mucous membrane of the cervix.…

Salpingitis is a disease that causes inflammation of the fallopian tubes. It occurs when pathogenic microflora spreads from the uterine cavity or from other organs by hematogenous route.…

Salpingoophoritis is an inflammatory process in the fallopian tubes, ovaries and appendages. It occurs due to infection in the uterus by one of the following...

Spontaneous miscarriage is a natural termination of pregnancy for up to 5 months. The reason for this may be an abnormal development of the fetus or abnormalities in the body...

Vaginal sanitation is a method of treating the vagina with antiseptic agents, which is used in gynecological practice. This procedure is often prescribed by gynecologists...

PCOS is a disease, the occurrence of which can be triggered by various factors, characterized by the formation of cystic growths in the ovarian cavity or on its surface,…

Ovarian sclerocystosis is a process of degeneration in which small cystic formations up to 1 cm in size are formed. The root cause of this disease is impaired…

In medical practice, scanty, painful periods are called hypomenorrhea. Hypomenorrhea is a disruption of the menstrual cycle, which is manifested by scanty menstrual flow...

Female sterilization is a surgical intervention during which the fallopian tubes are affected in order to disrupt their patency and create a barrier to mature...

Inflammatory diseases in women are much more common than other diseases of the genital organs. Their causative agents can be various bacteria: staphylococcus, streptococcus, intestinal Escherichia, gonococcus, tuberculosis bacillus (mycobacterium), trichomonas, fungi, as well as anaerobic bacteria, etc. Pelvic inflammatory disease is characterized by constant or recurring infection of the internal female reproductive organs and is one of the most common causes of pelvic pain in women. The infection usually begins in the cervix, spreads to the uterus and fallopian tubes, and then invades the pelvic cavity. In most cases, proper treatment leads to complete recovery in about a week, although recurrence of the disease is common. If left untreated, pelvic inflammatory disease can lead to serious complications, including life-threatening abdominal abscess, abdominal infection (peritonitis), and blood poisoning. Additionally, pelvic inflammatory disease can cause scar tissue to form in the fallopian tube, which greatly increases the risk of infertility and ectopic pregnancy (which occurs when a fertilized egg remains in the fallopian tube rather than passing into the uterus).

The occurrence and course of the inflammatory process depends on the nature of the pathogen and the characteristics of the protective forces of the women’s body. When the body's defenses are disrupted, generalization of the process (sepsis) can occur. During the inflammatory process, acute, subacute and chronic stages are distinguished. Inflammatory diseases of the genital organs often have a very long course. As a result of repeated exacerbations of a long-existing inflammatory process, the glucocorticoid function of the adrenal cortex often decreases and the gonadotropic function of the pituitary gland changes, sometimes symptoms of dysfunction of the thyroid gland and nervous system are observed, and they are accompanied by various vascular disorders.

Inflammatory diseases of the internal genital organs (uterus, ovaries, tubes, pelvic peritoneum) are accompanied by menstrual disorders (various menstrual disorders) and reproductive function (infertility, spontaneous miscarriage, etc.).

Causes

Various vectors of infection, especially chlamydia and gonorrhea, can be transmitted by sexual partners and cause pelvic inflammatory disease.

Less commonly, pelvic inflammatory disease is associated with the use of intrauterine contraceptives or can occur after a false pregnancy, a full pregnancy, or a gynecological procedure such as an intrauterine biopsy or curettage.

Risk factors include having sex at a young age and having a large number of sexual partners. Using condoms reduces the risk.

Sometimes the infection can spread from other organs (for example, as a complication of appendicitis).

Symptoms

Dull pain in the lower abdomen or back.

Pain during sexual intercourse.

Mild fever, possibly with chills.

Irregular or unusually heavy or absent periods.

Excessive vaginal discharge with a foul odor.

Frequent, painful urination.

Loss of appetite.

Nausea and vomiting.

Diagnostics

A pelvic examination is necessary. Pelvic inflammatory disease can be difficult to diagnose because it can sometimes be difficult to distinguish from other types of infection, such as appendicitis.

Based on the analysis of smears of vaginal discharge, the main causative agents of infection can be identified. However, a patient may be infected with gonorrhea or chlamydia even if a culture cannot be isolated.

An examination of the pelvis using a small flexible tube inserted through a small incision in the abdomen (laparoscopy) may be done to confirm the diagnosis or drain an abscess.

Treatment

If pelvic inflammatory disease is suspected, antibiotics are often prescribed immediately because delaying treatment is dangerous. Therapy can be clarified after the results of laboratory tests become known.

Hospitalization may be considered in more serious cases if the diagnosis is in doubt, if the patient is a pregnant woman or adolescent, or if the infection does not resolve with outpatient treatment. Treatment may include intravenous antibiotics and surgical drainage of the abscess. A ruptured abscess is life-threatening and may require a complete hysterectomy with removal of the ovaries.

Surgery may also be necessary in complex cases or for recurring infections that do not respond to antibiotics. A woman who has been successfully treated can become infected again from a sexual partner, so all partners, even those without symptoms, should be treated for gonorrhea and chlamydia.

Vulvitis

Vulvitis is an inflammation of the external genitalia and the opening of the vagina. Primary vulvitis is rare and occurs due to unclean conditions and injury to the genital organs. Secondary vulvitis is observed in diabetes mellitus, genitourinary and enterogenital fistulas, and irritation of the external genitalia. Inflammatory diseases of the genital organs can be of nonspecific and specific (tuberculosis, gonorrhea) etiology. It should be emphasized that in the era of antibiotics, the so-called opportunistic microflora has become the causative agent of various severe septic diseases (for example, the Proteus group, intestinal Escherichia, etc.).

Sometimes inflammatory diseases develop as a result of the transfer of infection from neighboring organs (appendicitis, typhlitis). However, as a rule, inflammatory diseases occur when the integrity of the uterine tissue is damaged (after abortion and childbirth).

The causes of vulvitis can be: irritation from leucorrhoea, menstruation, masturbation, dirty linen, dirty hands.

Symptoms

In the acute period, there is itching, burning, copious discharge, redness and swelling of the labia minora and majora, pain after urination (irritation of inflamed tissues with urine). The diagnosis is made based on the patient’s complaints, changes in the vulva detected during examination and bacteriological examination (diabetes must be excluded).

Signs of vulvitis: a tickling sensation on the outer parts that turns into pain when walking and urinating, inflammation of the labia minora and majora, the appearance of a yellowish-greenish leucorrhoea with an unpleasant odor.

To prevent vulvitis, it is very important to follow the rules of personal hygiene and the hygiene of your sexual partner.

Traditional medicine recommends washing the labia with carbolic soap 2-3 times a day and adding a little potash to the water. Compresses made from lead water or a cloth with boric vaseline are applied to the genital slit. Washing with silver water 2-3 times a day gives a good effect.

Treatment of the underlying disease that caused vulvitis. In the acute period, it is recommended to wash the external genitalia with a solution of potassium permanganate, chamomile decoction or boric acid solution, warm sitz baths with a solution of potassium permanganate or chamomile decoction, and irradiation of the external genital area with ultraviolet radiation.

Vulvovaginitis

Vulvovaginitis is inflammation of the external genitalia and vagina. It is observed mainly in children and much less frequently in adults. Its causes may be violations of hygiene rules, constant trauma, chronic tonsillitis, and exudative diathesis.

Symptoms

In the acute stage there is burning, itching and copious discharge. In the chronic stage, inflammation phenomena decrease. On examination, swelling and hyperemia of the vulva and vaginal mucosa are noted (in girls this is determined using vaginoscopy), serous-purulent or purulent-bloody discharge (especially in the presence of foreign bodies).

Treatment is the same as for vulvitis.

Vaginitis (colpitis)

Vaginitis (colpitis) is inflammation of the vaginal mucosa due to infection by various microorganisms, metabolic disorders, hormone deficiency in the body (premature menopause, after removal of the ovaries, in old age), as well as chemical or mechanical trauma.

Symptoms

Mucopurulent and purulent discharge, a feeling of heaviness in the lower abdomen, pain in the vaginal area, burning, itching. On examination, hyperemia of the mucous membrane, swelling, and sometimes small nodules on it and the vaginal part of the cervix (granulosa colpitis) are noted. With senile colpitis, there are signs of age-related atrophy, the vaginal mucosa is smooth, pale, hyperemic in places with bleeding areas. To determine the cause of colpitis, a bacterioscopic examination of the discharge is necessary.

Treatment. Elimination of factors that contribute to the occurrence of colpitis, restorative therapy, treatment of the external genitalia with a solution of potassium permanganate or chamomile decoction. For fungal colpitis - douching with a solution of sodium bicarbonate, introducing into the vagina a 20% solution of borax in glycerin, beads with nystatin.

Condylomas acuminata

Genital condylomas (benign - multiple growths on the surface of the external genitalia and vaginal opening). May spread to the perineum, vagina, cervix. The cause of condylomas is a filterable virus; the development of the process is facilitated by copious discharge from the genital tract during colpitis and endocervicitis. Genital warts grow especially quickly during pregnancy.

Symptoms

Most often they are localized on the external genitalia, perineum, and around the anus. In cases of necrosis of condylomas and the addition of a secondary infection, purulent discharge appears. Condylomas of the vagina and cervix during pregnancy and childbirth can cause bleeding. The diagnosis is made based on examination. It is necessary to differentiate from syphilitic condylomas that have a wide base.

Treatment. For small condylomas, apply powder with resorcinol and boric acid or treat with a solution of resorcinol in 70% ethyl alcohol. It is necessary to first lubricate the skin around the condylomas with Vaseline.

Rp.: Resorcini_

Acidi borici aa 15.0 M.D.S. Powder

Rp.: Resorcini 1.5

Spiritus aethylici 70% 50.0 M.D.S. External

In case of extensive damage, condylomas are removed surgically or by electrocoagulation.

Trichomoniasis

Trichomoniasis is a specific disease caused by Trichomonas vaginalis (protozoa); transmitted sexually. Most often, trichomonas colpitis is observed; trichomonas often also cause urethritis, cervicitis, and proctitis.

Symptoms

In the acute stage, itching, burning, and heaviness in the lower abdomen are pronounced. On examination: hyperemia of the vaginal mucosa, abundant purulent foamy discharge.

In the chronic stage, hyperemia disappears, but abundant characteristic discharge remains. The course of the disease is long, there is a tendency to relapse.

The diagnosis is made based on microscopic examination of vaginal discharge.

Treatment is carried out simultaneously for the sick woman and her husband. Treatment of concomitant diseases and functional disorders is necessary, as well as an impact on existing trichomoniasis foci. Metronidazole (Flagyl, Trichopolum, Orvagil, Klion) is prescribed. The drug is used orally for the treatment of acute and chronic trichomoniasis in women and men. Dosage: 0.25 g 2 times a day for 7-10 days. The total dose per course of treatment for adults is 5 g. Metronidazole is contraindicated during pregnancy, especially in the first 3 months.

Simultaneously with the use of metronidazole, it is recommended to wash the external genitalia and douche the vagina with a chamomile decoction or a solution of potassium permanganate. Metronidazole tablets of 0.5 g are also available for insertion into the vagina. Trichomonacid has relatively high anti-trichomoniacal activity. Used internally and topically. Orally prescribed 0.3 g per day (in 2-3 doses) after meals for 3-5 days. For children, the dose is reduced according to age.

Endocervicitis

Endocervicitis is an inflammation of the mucous membrane of the cervical canal. It can occur with the penetration of various bacteria (staphylococci, streptococci, gonococci, intestinal Escherichia, etc.). Endocervicitis is often combined with an inflammatory process in other parts of the reproductive system - colpitis, salpingoophoritis, cervical erosion.

Symptoms

Mucopurulent discharge from the vagina. There is no pain. Clinical signs are mild. In the acute stage, hyperemia around the external pharynx and mucopurulent discharge are detected. In the chronic stage there is almost no hyperemia, the discharge remains. With a long course of the process, hypertrophy (thickening) of the cervix develops - cervicitis. To clarify the etiology of the process, a microscopic examination of vaginal discharge is necessary.

Treatment depends on the nature of the pathogen: for gonorrhea and trichomoniasis, appropriate therapy is prescribed; for viral endocervicitis - tetracycline; for nonspecific endocervicitis, douching with a solution of potassium permanganate, chamomile decoction, as well as syntomycin or streptocide emulsion is used. In the chronic stage of endocervicitis, physiotherapy is indicated.

Cervical erosion

Cervical erosion is a defect in the integumentary epithelium of the vaginal part of the cervix. The formation of erosion occurs under the influence of pathological discharge from the cervical canal, which causes maceration and subsequent desquamation (desquamation) of the stratified squamous epithelium.

Symptoms

Purulent or mucopurulent discharge from the vagina. When examining the cervix with the help of mirrors, hyperemia around the external pharynx is determined, most often on the posterior lip of the cervix. The surface of the erosion can be smooth or velvety, sometimes bleeding is noted when touched.

The diagnosis is made by examining the cervix using a speculum. Colposcopy is mandatory, with the help of which the issue of the need for a targeted biopsy with subsequent histological examination is resolved. Cervical erosion should be differentiated from cervical cancer, tuberculosis and syphilitic ulcers.

Treatment. Along with the treatment of endocervicitis, treatment of concomitant diseases of the genital organs is necessary. Use tampons with fish oil, sea buckthorn oil, emulsions containing sulfonamides and antibiotics. For long-term non-healing erosion, electrocoagulation is indicated (after biopsy data).

Endometritis

Endometritis is an inflammation of the mucous and muscular lining of the uterus.

Symptoms

Acute endometritis is characterized by pain in the lower abdomen, fever, purulent or purulent-bloody discharge from the uterus.

Two-manual palpation examination reveals tenderness of the uterus, enlargement and soft consistency. With chronic endometritis, pain, prolonged bleeding are observed, the temperature is usually normal, and there is no tenderness of the uterus during examination. The diagnosis is made based on medical history (out-of-hospital abortion, postpartum period), fever, and gynecological examination data.

Metritis

Metritis is inflammation of all the linings of the uterus. It develops with the progression of endometritis, often as a manifestation of a generalized septic infection.

Symptoms

They resemble the clinical picture of endometritis, but are more severe and are often accompanied by pelvioperitonitis.

Parametritis

Parametritis is inflammation of the periuterine tissue, most often observed after childbirth, abortion and other interventions (probing, dilatation of the uterus).

Symptoms

With the so-called lateral parametritis, the infiltrate is located next to the uterus and reaches the bony wall of the pelvis. The lateral arch of the corresponding side is smoothed. The consistency of the infiltrate is dense, with suppuration a fluctuation is determined. With anterior parametritis, the infiltrate is localized anterior to the uterus, with posterior parametritis - posteriorly. The acute stage is characterized by pain, fever, chills, increased heart rate, disturbances in appetite and sleep. There may be dysuric phenomena, constipation, and menstrual irregularities. When the infiltrate suppurates, the clinical picture is characteristic of purulent septic processes. The diagnosis is made based on the indicated symptoms and laboratory data.

Pelvioperitonitis

Pelvioperitonitis is inflammation of the pelvic peritoneum.

Symptoms

It is characterized by acute abdominal pain, nausea, vomiting, bloating, stool and gas retention, fever, and increased heart rate. The tongue is dry, covered with a white coating. On palpation of the abdomen, tension in the muscles of the anterior abdominal wall in the lower section is noted, a positive Blumberg-Shchetkin sign. In the blood there is an increased ESR, leukocytosis, a shift of the white blood count to the left. With a modern (erased) course, there may be a low severity of symptoms or the absence of some of them. This often makes diagnosis difficult. With pelvioperitonitis, pus may accumulate in the pouch of Douglas. An abscess may spontaneously rupture into the vagina or rectum.

Vaginal examination is of great importance, in which protrusion of the posterior fornix with exudate is noted. Patients with pelvioperitonitis need special monitoring due to the possibility of transition of pelvioperitonitis into diffuse peritonitis, which requires emergency surgery.

Salpingoophoritis (adnexitis)

Salpingoophoritis (adnexitis) is inflammation of the uterine appendages. Isolated damage to the tube or ovary is observed very rarely; usually the inflammatory process involves the tube and ovary, often spreading to the pelvic peritoneum.

Symptoms

In the acute stage, pain in the lower abdomen, vomiting, and fever are observed. There may be menstrual irregularities (menorrhagia and metrorrhagia). During vaginal examination, enlarged, painful uterine appendages are palpated (on one or both sides). Due to severe pain, sometimes it is not possible to clearly define their boundaries. In the blood there is leukocytosis, increased ESR, a shift to the left of the white blood count. The process may be accompanied by pelvioperitonitis.

In the subacute stage, the temperature decreases, pain decreases, general condition improves, and blood counts normalize. The disease does not always end in recovery; when salpingoophoritis transitions to the chronic stage, periodic exacerbations are observed, accompanied by pain, fever, menstrual dysfunction. Diagnosis is carried out on the basis of anamnesis and objective examination, taking into account all the above symptoms and the results of bacteriological examination of smears from the vagina, cervix and urethra channel.

Treatment of inflammatory diseases of nonspecific etiology. In the acute stage: rest, cold on the stomach, intravenous calcium chloride solution or calcium gluconate solution; Antibacterial therapy - penicillin intramuscularly, 300,000-500,000 units every 3 hours. Other antibiotics are also used (it is necessary to determine the sensitivity of the microflora to antibiotics). Semi-synthetic penicillins are especially effective: oxacillin, methicillin, ammicillin. In severe cases, broad-spectrum antibiotics (cephalosporins and aminoglycosides) are used. You should always remember about the scale of infection. Treatment should be comprehensive and carried out against the background of general restorative therapy, the prescription of vitamins, painkillers, and antihistamines. In the subacute and chronic stages, physiotherapy is used: electrophoresis of calcium chloride and potassium iodide, diathermy, mud therapy. In the presence of saccular tumor-like formations of the uterine appendages, surgical treatment is indicated.

Parsley in any form several times a day (roots and aerial parts);

Anise seeds, finely ground, with honey in equal quantities by weight. Take 3-4 times a day;

Drink a decoction of parsley, or a decoction of onion peels, or a decoction of the roots of stinging nettle instead of water. You can prepare a decoction of onion peels and cloves, pour one liter of boiling water, boil for 5 minutes, cool, strain.

Prevention

Monogamy, abstinence, or condom use protect against sexually transmitted diseases.

After minor gynecological procedures such as curettage, avoid showering, tampons, bathing, and sexual intercourse for at least seven days.

If you have symptoms of pelvic inflammatory disease, especially high fever with severe pain in the lower abdomen, contact your doctor or gynecologist immediately.

Inflammation of the appendages in women is one of the most common diseases of the pelvic organs. The cause is pathogenic microorganisms that actively multiply, thereby causing inflammation and severe pain. Missing or untimely preventive measures can lead to dangerous consequences. That is why it is necessary to know the symptoms of the disease and how to treat inflammation of the appendages.

Causes of inflammation of the appendages in women

The main cause of this disease is infection in the fallopian tubes or, resulting in the formation of pathogenic microflora. It enters the body in three ways:

Ascending infection

In this case, pathogenic microorganisms in the vagina begin to actively multiply, thereby displacing beneficial microflora. A large number of them leads to the fact that they extend beyond the vagina and begin to populate the appendages, which leads to their inflammation. The infection can also be caused by failure to comply with the rules of intimate hygiene, frequent changes of sexual partners and unprotected sex.

Lymphogenous infection

Inflammation of the appendages occurs due to the inflammatory process in nearby organs, and penetrates into the appendages through the lymph.

Hemategenic infection

The disease spreads through the blood if there are foci of inflammation, such as tonsillitis, tonsillitis, tuberculosis, syphilis, etc.

A number of predisposing factors can lead to the development of inflammation:

• missing or incorrect treatment of diseases of the pelvic organs;
• the presence of the intrauterine device for more than the specified period;
• surgical intervention without sanitation of the genital tract;
• many sexual partners;
• existing sexually transmitted diseases;
• early onset of sexual activity after childbirth or abortion;
• unprotected sex;
• poor nutrition, frequent stress, hypothermia;
• weakened

Symptoms of inflammation

This disease can occur in two forms: acute and chronic. In acute infection, the following symptoms occur:

• sharp, acute pain in the lower abdomen;
• increased body temperature, chills;
• bloating;
• weakness, drowsiness and other signs of intoxication;
• purulent or mucous discharge from the vagina.

Important! The acute stage of the disease becomes chronic after two weeks with improper or absent treatment.

If proper and timely treatment is not started, the disease becomes chronic, in which the following symptoms are added:

• irregular menstrual cycle, its long absence;
• severe pain during menstruation;
• , extending into the rectum;
• discomfort during intimacy.

Note! This disease can also be diagnosed in girls. In this case, the infection enters through the lymph or blood.

What are the consequences of the disease

Incorrect or absent treatment of any disease leads to unpleasant consequences. In this case, they include:

Infertility. The reason for this is disruption of the fallopian tubes and ovaries. In this case, adhesions may form in the fallopian tubes, which prevents the fertilized egg from entering the uterus. This is why pregnancy is impossible.

Ectopic pregnancy. In this case, the fertilized egg is implanted on the fallopian tube, and not in the uterus.

With frequent inflammation of the appendages or incomplete healing, the likelihood of an ectopic pregnancy increases several times.

1. Uterine bleeding or anemorrhea (absence of menstruation for more than six months).
2. Purulent processes in the uterus. They are accompanied by severe pain and are very dangerous for a woman’s life. If
3. Pus will enter the abdominal area, and the peritoneum may become infected.
4. Hormonal disorders.
5. Decreased immunity.
6. Sleep disturbances, nervous disorders.

Diagnostics

To correctly diagnose and prescribe treatment, you must undergo an examination:

1. Blood and urine tests. Here, the level of leukocytes and lymphocytes is taken into account, which, in the presence of infection, exceed the norm. Tests for HIV and other sexually transmitted diseases are also taken.
2. Ultrasound of the pelvic organs.
3. If it is difficult to make a diagnosis, laparoscopy is prescribed. To do this, a light guide is inserted into the abdominal cavity, which shows the condition of the pelvis and abdominal cavity. This method allows you to quickly and accurately make a diagnosis and begin treatment.

How to treat inflammation of the appendages

Treatment of this disease is often carried out in a hospital. The patient is prescribed a course of antibiotics, painkillers, immunostimulants, antihistamines and vitamins. To prevent the development of vaginal dysbiosis, antifungal drugs are used.

Probiotics are prescribed in the form of suppositories, as well as baths with antiseptics and anti-inflammatory agents. After the main symptoms disappear, physical therapy may be prescribed. To restore the menstrual cycle, hormonal drugs are prescribed. All consequences of the disease are treated only after their cause is eliminated.

Antibiotics for inflammation of the appendages

The use of antibiotics is considered the most effective means for recovery. The most popular are: Metronidazole, Ampicillin, Tetracycline, Erythromycin etc. The dosage is determined by the doctor, based on the stage and symptoms of the disease.

If the disease occurs in acute or chronic form, the patient is prescribed injections. In this case, complete hospitalization or day hospitalization is necessary. The injections are administered into a vein or muscle tissue and have an immediate result. After the main symptoms of the disease have passed and the patient is on the mend, the injections are canceled and appropriate medications are prescribed instead.

Among the main drugs that are administered as injections may be: Ampicillin, Clindamycin, Metronidazole, Cefazolin etc. The quantity, regimen and duration are determined by the attending physician. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be added to antibiotics ( Diclofenac, Ibuprofen, and so on.).

Pills

In addition to the main treatment, the woman is prescribed anti-inflammatory drugs. They are aimed at relieving pain, inflammation, and improving blood flow in the pelvic organs. Such drugs include Diclofenac, Indomethacin, Voltaren.

Anti-inflammatory and anti-climatic properties have drugs such as Remens, Calcium gluconate. They help the body recover faster.

Candles

Among the types of suppositories, for inflammation of the appendages the following are most often used:

1. Terzhinan is an anti-inflammatory and anti-infective agent that quickly and easily fights its pathogens.
2. Pimafucin - this drug has an antifungal and anti-inflammatory effect.
3. Betadine - which can be used to prevent infections, as well as before and after surgery.

Such drugs must be prescribed by the attending physician, who sets the recommended dosage, duration, etc. All suppositories that can be used for inflammation of the appendages can be divided into several groups:

1. With absorbable action. This drug is aimed at thinning pus and blood clots, as well as various fungi. Suppositories should be administered 2-3 times a day for a week. These types include: Dalatsin, Betadine,Iodoxide and etc.
2. Antiseptic effect. These are mainly ichthyol suppositories, which are taken 1-2 times a day. The course of treatment is 10 days.
3. Immunomodulatory effect. Such drugs are aimed at fighting viruses and improving immunity. The most popular are: Viferon, Genferon and etc.

These types of drugs are used rectally.

To normalize the vaginal microflora. To avoid dysbacteriosis, prescribed Flagyl, Terzhinan, Acylact. This type of medication is used once a day, before bedtime. The average course duration is 10 days.

Traditional methods of treatment

Treatment with traditional methods should not replace medication. It can be used as a supplement to relieve unpleasant symptoms. But this should be done after consulting a doctor.

Sagebrush. To do this, you need to take 2 liters of water, boil it, and add a handful of wormwood herb. Mix everything and remove from heat. Place the container with the grass on the floor and squat over the hot steam for 20 minutes. After six treatments, symptoms become less pronounced.

Ortilia one-sided, or ramishia. This herb is used to treat many diseases of the female genital organs. To do this you need to chop 1 tbsp. herbs, and pour 1 cup of boiling water over it. Let it brew for two hours, then strain everything, and take 1/3 cup orally before meals.

Alcohol tincture from orthalia. To do this you will need 50 grams of grass and 0.5 liters of alcohol, mix everything. Let it brew in a dark place for two weeks, then strain. The infusion should be taken 3 times a day, 35 drops before meals.

Douching

The douching procedure is carried out in the bathroom. To do this you need:

1. Find a comfortable position with your legs up against the wall.
2. Relax, otherwise it will be difficult to enter the vagina.
3. Insert the syringe with the medicine so as not to damage anything. For this, 200-300 ml of decoction will be enough.
4. All movements must be careful; liquid must be poured into the vagina slowly, otherwise it may enter the uterus.
5. It is best to douche in the morning and evening every other day until the condition improves.

Hypoallergenic diet for inflammation of the appendages

A diet is prescribed for each patient. Thanks to it, the body increases protective functions and improves metabolic processes in areas of inflammation. A hypoallergenic diet involves avoiding sweets, eggs, salt, mushrooms, etc. The patient should consume no more than 100 grams per day. proteins, 70 gr. – fat, 300 gr. – carbohydrates. The approximate kcal ratio is about 2300. Food should be boiled or steamed.

Question answer

Is it possible to cure inflammation of the appendages without becoming chronic? Inflammation of the appendages in women can be cured before it becomes chronic. To do this, you must follow the doctor's recommendations.

The patient is usually prescribed antibiotics. If they do not give results, droppers are prescribed, which are aimed at removing toxins, as well as obtaining vitamins and minerals for the body. This promotes a speedy recovery.

In most cases, the woman undergoes treatment at home. However, in severe cases, as well as the presence of complications, a hospital regime is necessary. In some cases, surgery is required to get rid of inflammation. Basically, it is prescribed when an abscess ruptures or is threatened. In other cases, the patient is prescribed antibiotics.