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Inflammation of the uterus in women, symptoms and treatment

Inflammation of the uterus occurs at a young age, occupies a leading place in the structure of female pathology, is characterized by a tendency to chronic course, which leads to the emergence of persistent pain syndrome, impaired reproductive and sexual functions with the involvement of other body systems in the pathological process.

Once transferred, the inflammatory process of the uterine appendages, in some cases leads to infertility, and if this happens three times, the risk increases threefold. Therefore, the problem is considered one of the most acute in clinical gynecology.


Causes of inflammation of the uterus

Inflammation of the uterus

Most often, inflammatory diseases of the tubes and ovaries are diagnosed in women under the age of 24, and after crossing the thirty-year age line, their frequency decreases - this is due to an increase in protective antibodies in the cervical canal and changes in sexual behavior.

The main causes of the pathology include:

  • penetration into the fallopian tubes and ovaries of pathogenic microorganisms (chlamydia, staphylococci, gonococci, Escherichia coli);
  • diagnostic and therapeutic interventions;
  • weakened immunity;
  • change of sexual partner;
  • intrauterine device;
  • abortions;
  • sexual relations during menstruation.

In many cases, inflammation of the ovaries and tubes occurs against the background of bacterial vaginosis . Anaerobic microorganisms that multiply in the vagina during this process, reduce the protective properties of the mucus of the cervical canal, facilitating the spread of ascending infection.

Hypothermia and stress, dramatic climate change, environmental degradation, increased work without rest, poor nutrition can provoke the disease - all these risk factors favor the awakening of a possible latent infection.

Signs and symptoms of inflammation of the appendages

symptoms of inflammation of the appendages

Inflammation can be acute, subacute and chronic. The symptoms of acute inflammation of the uterine appendages are characterized by the following picture:

  1. Severe pain in suprapubic abdomen and lower back;
  2. Temperature increase from subfebrile to high hyperthermia;
  3. Sweating;
  4. Chills;
  5. Impaired urination;
  6. Bowel distention;
  7. Nausea or vomiting;
  8. General weakness;
  9. Purulent or serous discharge from the vagina.

The first signs of inflammation of the appendages in a woman with an acute course of the disease often appear during or after menstruation, with a change in sexual behavior, after the introduction of the intrauterine device.

A chronic burned out may have a similar picture with an acute process, but is accompanied by periodic exacerbations. The disease is provoked by hypothermia, stressful situations, and heavy physical work.

symptoms of chronic inflammation of the appendages

Symptoms of chronic inflammation of the appendages include:

  1. Dull, aching pain in the lower abdomen , in the vagina;
  2. Depressed psychological state;
  3. Failure of the menstrual cycle;
  4. Raising the temperature;
  5. Violation of sexual desire;
  6. Pain during sexual intercourse;
  7. Infertility

In women suffering from any form of inflammation of the appendages, an adhesive process of the pelvic organs occurs, but it is most pronounced in chronic course.

Inflammation of the appendages and pregnancy

Long-term inflammatory process is bad for the female reproductive organs. If you bring the disease to the chronic stage, it can affect the ability to bear children.

Chronic processes in the uterine appendages in many cases occur with hormonal ovarian failure and contribute to:

  • the occurrence of preterm labor;
  • abnormal labor;
  • intrauterine infection of the fetus;
  • untimely rupture of amniotic fluid.

Often leads to ectopic pregnancy , and with the onset of intrauterine - threatens miscarriage.

Treatment of inflammation of the uterus

Treatment of inflammation of the uterus

Since the symptoms of inflammation of the appendages in women are serious enough, the treatment should be carried out in stationary conditions. Adequate therapy in time started reduces the number of possible undesirable consequences. The basis of the treatment of inflammation of the uterus is:

  1. Antibacterial therapy;
  2. Detoxification therapy;
  3. Immunomodulatory therapy.

When antibiotic therapy using means of several groups. Among them are drugs with metronidazole, representatives of penicillins, cephalosoporins, tetracyclines, clindamycin, aminoglycosides. Their combined use makes it possible to qualitatively affect the most common spectrum of pathogens.

When treatment is incomplete due to the absence of symptoms, inflammation will begin again. Therefore, a course of antibiotic treatment should be completed in full and as many days as prescribed by the doctor.

Detoxification therapy is carried out with crystalloid and detoxification solutions with the inclusion of hemodez solutions, Ringer-Locke, Rheopoliglyukin, glucose. The purpose of infusion therapy is justified by the development of intoxication.

As an adjunct to the main treatment, drugs that have antiviral, immunomodulatory effects are prescribed. If problems with the immune system are serious, the administration of donor immunoglobulins is indicated. The use of immunomodulatory agents contributes to a more rapid removal of the causative agent of the disease from the body.

To reduce inflammation, relieve pain and prevent the development of adhesive processes in inflammation of the appendages, use candles. In the form of suppositories, nonsteroidal anti-inflammatory drugs (dicloberl), enzymes (longidase) and herbal preparations are prescribed. Determination of the dosage and frequency of administration of drugs is the prerogative of the gynecologist.

Candles do not replace antibacterial therapy and are used only in combination with drugs of various actions.

In the chronic course of inflammation, in the period of remission, sanatorium-resort treatment and physiotherapy are indicated. With a pronounced pain component and a common adhesions process, surgical intervention is possible with the aim of dissecting and removing adhesions, restoring the patency of the fallopian tubes.

Complications and effects of inflammation

Adhesions are the most serious complication diagnosed after inflammation of the appendages. These areas of connective tissue spliced ​​between the pelvic organs, and sometimes adjacent organs (intestinal loops) are also drawn into this process.

Complications of pathology include:

  • accumulation in the fallopian tube fluid or pus;
  • tubo-ovarian abscesses;
  • obstruction of the fallopian tubes (full or partial);
  • abscesses ruptures followed by peritonitis.

A postponed inflammation of the appendages can cause infertility, hormonal disruptions , menstrual disorders and ectopic pregnancy.

Prevention of inflammation of the appendages

Regular examination by a gynecologist is one of the important preventive measures. Prevention of inflammation of the appendages is:

  • use a condom for casual sex;
  • hygiene;
  • in the timely and proper treatment of genital infections;
  • the presence of a permanent sexual partner.

A healthy lifestyle, restorative activities contribute to the restoration of immunity. Women definitely need to monitor their health, not to supercool, and also to avoid stressful situations.

Thus, inflammation of the uterus is an important issue in modern gynecology. Timely therapeutic intervention in case of infectious and inflammatory processes of the internal organs allows preserving the fertility of the woman and prevents the development of serious consequences. The result depends on the tactics of the doctor and the correct choice of drugs.


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