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Ask your question2013-09-18 03:28:02
Olesya asks:
Hello!
Help, please, I don’t know what to do anymore. Last year, my boyfriend infected me with chlamydia, as a result of which the erosion of the cervix turned from small to very extensive. Chlymidiasis was treated with Vilprafen, after PCR it was always negative. Erosion was treated with Surgitron (radio wave coagulation). Afterwards, everything seemed to be fine, except for a slight inflammation (you can see it on video colposcopy). Then I moved to the other side of the country, where the climate is completely different. Apparently the immune system has weakened - copious curdled discharge of a milky, yellowish tint and itching at the entrance to the vagina, redness, and swelling appeared. PCR for chlamydia - negative. I thought candidiasis - the smear was negative, the cytology showed inflammation. After menstruation, these symptoms disappeared, only small milky discharge remained). I took a smear from “C” for flora with determination of sensitivity to antibiotics - Staphylococcus aureus moderately (moxifloxacin, clarithromycin, ofloxcin, disosamycin, ceftriaxone.)
Tell me, what causes the inflammation (endocervicosis) - Staphylococcus aureus or latent chlamydia, which has worsened against the backdrop of climate change and weakened immunity? The young man donated blood to determine the titer of antibodies to chlamydia LgG (chronic form) result 1:160. Does this mean we were not cured, the antibiotics were chosen incorrectly? How should this be understood and how to get rid of this infection forever? More than a year has passed since the treatment.
How to cure inflammation and what is its cause after all? I’m already tired of this, against the background of endocervicosis, erosion again made itself felt and again I don’t know how to finally get rid of it.
The thought of untreated chlamydia still haunts me; we are planning a pregnancy soon. What to do?
Answers Kolotilkina Tatyana Olegovna:
Hello, Olesya. Your inflammation is caused by staphylococcus. Antibodies G do not indicate the presence of a fresh infection in the body, but rather the strength of your partner’s immunity. Let him take a PCR test. Treat staphylococcus according to the results of the tank. sowing And we can tell about the erosion that has reappeared after inspection.
2013-01-28 16:38:56
Alena asks:
Hello Igor Evgenievich. My ultrasound dated January 22, 2013, the uterus is in normal shape. M-echo 4.4 structure is not changed. The right ovary is length 51. thickness 35, the structure is heterogeneous due to a 2-chamber anechoic formation measuring 39 * 28 mm, also available follicles 5 mm. Left length 21, thickness 11 with follicles 3 mm stringy. free fluid is not determined. Conclusion: cyst of the right ovary. Before the formation of the cyst, ultrasound results: Uterus length 52, anteroposterior 37, width 58. Myometrium: structure is not changed. Endometrium : 6 mm does not correspond to the m.c. phase. There is a hypoechoic rim along the periphery. In the structure of the endometrium there are single small hyperechoic inclusions. Cervix: the structure does not change. In the endocervix there are single cysts 6 mm or less, as well as small hyperechoic inclusions. Right ovary: length 30, width 16, thickness 15, homogeneous structure, average echogenicity. Next to the ovary, echo-negative formation 9 mm. Left ovarian length 31, width 21. thickness 19, homogeneous structure, average echogenicity, visualized corpus luteum 18 mm. Along the periphery ovaries small hyperechoic inclusions. Free fluid determined in small quantities. Conclusion: Ultrasound signs of endometrial hypoplasia (chronic endometritis, chronic salpingo-oophoritis, paraovarian cysts. Signs of inflammation include constant pain in the lower abdomen, especially during sexual intercourse, discharge, copious amounts of leucorrhoea, sometimes itching. If it doesn’t itch, then there is so much leucorrhea that you have to change 2-3 panty liners a day. Tingling and a feeling of heaviness on the part of the ovaries. Hormones prolactin 2200 (normal is up to 600) MRI showed nothing, cortisol 977 .9 (normal up to 600), dihydrotestosterone 1299 (normal for women up to 300), aldosterone 531 (normal up to 300) - such hormone tests after taking hormonal pills Diane-35 (during taking the breasts were very sore - a consequence of increased prolactin and stagnation liquids) And this has been going on for 5 years and the inflammation does not go away. I took almost everything from antibiotics: ceftriaxone, cefazolin, Unidox Solutab, Zoflox, Klion, gentamicin, metrodidazole, diclofenac, augmentin, tinidazole, vilprafen, and bacteriophages (staphylococcal bacteriophage) to destroy what
then rods. Also on genetic tests, FGB is increased - fibrinogen-1, plasminogen activator inhibitor 5G/4G (heterozygote) -1, relative sum for the genes of the fibrinolysis system -1 total genetic predisposition to a complicated course of pregnancy - 3.25 (average from 2-3.9) Leukocytes from the cervix-38 always. All the problems began after a frozen pregnancy, tell me what to do, what other tests to take, and how to cure the inflammation, there are not even remissions, every month everything starts again. Constantly on antibiotics, and how to pass PCR smear if I am constantly undergoing treatment and they put tampons with dimexide and antibiotics. How else can you check for specific and non-specific infections. And what to do next, I really want children.
Answers Palyga Igor Evgenievich:
First you need to separate two problems - the inflammatory process and hormonal imbalance. This is not a normal situation, that inflammation lasts 5 years and you have taken almost all possible antibiotics! What kind of body can withstand this! Are you experiencing an increase in temperature? What is the general blood test that can be used to diagnose inflammation? Excessive leucorrhoea and itching can be caused by dysbiosis of the vagina and the whole body from so many antibiotics taken. I would advise you to stop taking antibiotics, restore the vaginal microflora locally + take bacterial preparations orally. In addition, you are indicated for sanatorium-resort treatment, plasmol injections, etc., because the process became chronic. It is necessary to give the body some rest and recovery. Hormonal imbalance must be corrected with adequate hormone therapy. Such elevated levels of hormones after taking COCs are also abnormal. Prolactin needs to be knocked down with Dostinex, which will relieve chest pain. Hyperandrogenism needs to be treated with complex treatment, which includes not only COCs or another group of drugs altogether. The cyst needs to be monitored over time. After the issue with inflammation is resolved, it will be necessary to check the patency of the fallopian tubes; after so many years of the inflammatory reaction, adhesions could have formed. The situation is advanced, you need to find an experienced gynecologist who can be constantly monitored, for now your situation is being treated symptomatically, without eliminating the root cause, but only driving the process into a chronic form.
2015-06-08 21:18:58
Marina asks:
I am 38 years old. What should be my further treatment? On 05/05/15 I underwent double curettage of the walls of the uterus, I received a histological answer: an endometrial polyp with severe chronic inflammation. After that, I took tests for hormones: DHEA-4.02; LH-0.03; Progesterone-7.09; Testosterone-0.69; TSH-2.75; FSH-1.65; Estradiol-59.4. Treatment was prescribed to cure inflammation: Avelox, flucostat, diplovit suppositories, polyoxidonium, and then the Mirena spiral was recommended for further treatment ", but I read the reviews that are not very positive, what should I do now??? How to treat further, please tell me...
Answers Sitenok Alena Ivanovna:
Hello, Marina. Whose reviews did you base your opinion on? Doctors, I hope?! Mirena is the second stage of treatment for your pathology after anti-inflammatory therapy.
2013-11-30 20:48:33
Elena asks:
Hello! 3 months ago I lost my virginity, did not use protection and had a cold. Profuse white discharge began. When examined by a gynecologist, they said that I had colpitis and slight inflammation on the cervix, I took tests for infections and found HPV-16. A smear 2 months ago for flora was normal. They prescribed isoprinosine, viferon and genferon, a course of 10 days. I was treated, took tests and am waiting for the results. After reading your answers, I realized that treating HPV is useless, especially since I am only 20 years old. I still have discharge and my stomach is starting to hurt... I’m already tired of it, please tell me how to cure colpitis? I think I will be prescribed “magic” useless pills again and I just don’t want to spend money. Thank you
Answers Chernenko Evgenia Yurievna:
Dear Elena!
In the absence of clinical manifestations before the age of 30, detection and, especially, treatment of HPV infection is considered inappropriate by international standards. However, it is not entirely clear what exactly was meant by “inflammation of the cervix.” Check this point with your gynecologist.
The question “how to cure colpitis” can only be answered after examining the patient and conducting additional studies (according to indications) because colpitis, like their causes, are different.
Contact your gynecologist.
2012-10-07 09:59:39
Alena asks:
Hello! 10 years ago I had an abortion, subsequently inflammation of the uterus began, the inflammation was cured and adhesions formed in the uterine tubes, I took pictures. 8 years ago I was diagnosed with 2nd degree infertility. One tube is completely blocked, the other is partially patent. Regarding treatment, I plan to do a laparoscopy, I’m just tormented by the question of how effective this will be in my case and whether there is even a chance for natural conception since I haven’t done anything with adhesions for 10 years... I’m currently 27 years old. Or is there already a chance for normal functioning of the tubes over such a long period of time? no? thanks in advance for your answer!
Answers Palyga Igor Evgenievich:
Your situation is not unique, to be honest, you, of course, can do laparoscopy, but there is little chance that the functional patency of the fallopian tubes will be completely restored. The optimal method in your case is IVF, the chances of which are quite high, but ultimately it’s up to you to decide.
2011-08-15 21:49:53
Vita asks:
Hello! My name is Vita and I am 20 years old. I have been losing hair in very large quantities for almost two years. It was like this: after giving birth, 3 months. I started having inflammation of the uterus, now it has turned into a chronic disease and I can’t cure it in any way. Almost at the same time, the loss began. It seems to me that this is probably due to this, or perhaps after childbirth stress or general anesthesia, since the birth was difficult. I visited many doctors, a private clinic, and they told me that the living roots simply died. I took a lot of expensive and well-known medicines, injections, bought expensive sprays, capsules, rubbed in burdock oil, washed my hair with boiled burdock root, and a lot of Drugov... Help me, please, somehow get rid of this problem, there is almost no hair left. Thanks in advance!
Answers Todorova Larisa Petrovna:
Hello Vita! It is clear to me that you have diffuse alopecia. But it is impossible to treat such a pathology over the Internet! Here it is impossible to get by with a couple of tips and guarantee a good result. Treatment of alopecia is a very complex and lengthy process in which several specialists are involved. . When complaining of hair loss, a diagnostic program is traditionally prescribed to identify pathologies of the thyroid gland, central nervous system, diseases of the ovaries and adrenal glands, liver, immune system, metabolism, digestive system, etc. in order to establish the true cause of baldness. After taking antibiotics and anesthesia, pregnancy and childbirth, hair may fall out from 6-8 months to a year. The growth of new hair can be monitored using trichodermatoscopy, a method for studying hair growth and its quality using a special video camera and computer program. Hair restoration is a long process. It is necessary to take not only internal medications, but also physiotherapeutic effects (head massages, mesotherapy, laser therapy), and external therapy in the form of specially selected restorative care products (shampoos, masks, balms, lotions). Very often, treatment of the underlying disease is at the same time the key to successful treatment of diffuse hair loss, since there are still no 100% effective means of causing hair growth. Therefore, pharmacological therapy for hair loss in many cases is of secondary importance. All treatment is prescribed after examination and examination. I will not list the medications for you, since you wrote that you have already taken many different ones. You need to go to a good clinic, see a dermatovenerologist or trichologist, where, together with a gynecologist-endocrinologist and a psychoneurologist, you will be prescribed adequate complex therapy. This is the only way and with your faith you will grow beautiful hair, don’t despair, don’t close the vicious circle (stress-hair loss-stress). Good luck!
2010-09-21 16:13:02
Ira asks:
Dear doctor, Please help me figure it out
Diagnosis: type 1 dysplasia and HPV.
- flora smear – leukocytes 5-10 in the field of vision, abundant mixed flora, inflammatory type of smear, copious discharge.
- Complaints of severe pain in the lower abdomen on the first day of menstruation, as well as severe pain in the chest 4-5 days before menstruation. An ultrasound of the pelvic organs confirmed the diagnosis of cervical adenomyosis, and an ultrasound of the mammary glands confirmed the diagnosis of dyshormonal adenomyosis.
- Tests for ureaplasma, mycoplasma, chlamydia IgG/IgM/IgA, gardenella, cytomegalovirus, Neisser gonococcus, trichomonas - negative, not detected.
- The PCR test for HPV also turned out to be negative, despite the fact that there are papillomas on the walls of the vagina.
We did a colposcopy, according to the cytology of the material from the surface of the cervix - type 1 dysplasia, epithelium of the cervix. superficial and intermediate layer with signs of reactive changes, single two-nucleated cells; glandular epithelial cells were not found, rod flora in large quantities, a small amount of filamentous bacteria of the Leptothrix type, mucus impurities.
Cytology of material from the cervical canal - rod-coccal flora in large quantities.
Please help me understand:
- Is it worth removing dysplasia with a laser at this stage? Does it make sense to remove papillomas, cure inflammation caused by coccal infection, conduct antiviral therapy - but not remove dysplasia?
- what could have caused the coccal flora, what kind of Leptothrix bacteria are they, is it possible to cure them, how can they be cured, and what are their dangers? Does my partner need treatment?
- What additional tests are recommended?
Thanks a lot
Ira
2008-07-21 13:14:13
Lera asks:
Hello! I am 22 years old. At the age of 20 I had a miscarriage. When I went to the doctor, they discovered cervical erosion and inflammation of the vagina. The doctor explained that he did not understand where the erosion could come from. After some time, thrush also appeared. I was treated, took a course of fluconazole capsules 2 times (1 capsule on the first day of menstruation for three months). Several months ago I took tests again, laboratory tests showed that everything was fine, but the discharge was still bothering me. How to cure thrush permanently? Because of the erosion, the doctor said that it was better not to touch it for now, but just observe. Could erosion appear due to pregnancy and miscarriage? Thank you in advance!
Answers Buyalo Valentina Vitalievna:
In case of erosion, it is important to undergo a cytological analysis to exclude unwanted cell degeneration and a mandatory analysis to exclude papillomavirus infection. Of course, erosion occurs both due to hormonal disorders (and pregnancy is, after all, a hormonal change for the body), and due to inflammatory processes (in your case, thrush). If, after a course of treatment, tests show the presence of mycelium of a yeast-like fungus, it means either the treatment was insufficient, or this microorganism is resistant to the drug you took (at the same time, you need to rule out high blood sugar and gastrointestinal pathology). You can test the discharge for the presence of a yeast-like fungus and sensitivity to various antifungal drugs, and select the most suitable medicine for treatment.
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 last for a long time without symptoms, 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.
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:
Penetration of infection into the uterine appendages can occur in the following ways:
The likelihood of inflammation of the appendages increases with the action of provoking factors on the body:
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.
In the case of inflammation of the appendages in women, the presence of certain symptoms depends on certain factors:
In acute form women complain of the following symptoms:
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:
During the period of exacerbation, all symptoms characteristic of acute adnexitis resume.
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.
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:
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.
Any inflammation of the appendages is dangerous because the following complications are possible:
Thus, inflammation of the appendages is a serious disease that requires timely treatment, which involves strict compliance with medical instructions.
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 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:
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.
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.
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.
At home you can use some folk recipes:
Remember that folk remedies are only a supplement and cannot in any way replace drug therapy prescribed by a specialist.
Inflammation of the ovaries or appendages (this also includes the fallopian tubes) is a disease that leads to serious consequences: hormonal imbalances , infertility and early menopause . the site analyzes the causes of the disease and explores the possibility of getting rid of this disease forever. Remember: being healthy means being beautiful and successful!
As a child, our mothers and grandmothers often told us not to sit on cold benches, stones or concrete slabs. They were partly right, but usually the disease occurs due to other reasons.
Inflammation of the ovaries, or oophoritis, can be acute and chronic, but if the inflammation affects all the uterine appendages, it is called adnexitis. It occurs as a result of the spread of infection of the genital organs and vagina, less commonly – the abdominal organs or urinary system. This is usually streptococcal, staphylococcal or gonorrheal infections or tuberculosis.
In addition, ovarian inflammation occurs against the background of hormonal imbalance and weakened immunity. It is promoted by hypothermia, frequent stress, menstrual irregularities, abortions , taking hormonal medications.
If in case of acute inflammation, pain in the lower abdomen, fever and poor health do not allow a woman to not notice the problem, then with a chronic course it is more complicated. Sluggish inflammation - due to an untreated acute process or occurring independently - leads to serious disturbances in the reproductive function of a woman. Inflammation causes adhesions in and around the fallopian tubes, causing them to become obstructed and tubal ulcers may occur. infertility .
In addition, inflammation of the ovarian tissue disrupts the regularity of menstrual cycles, periods become heavy and painful, or scanty and rare. Decreases and libido , sex ceases to be enjoyable and discomfort occurs during sexual intercourse.
First of all, you need to know that adnexitis is not a disease for which it is worth trying traditional medicine and self-medication with various methods of dubious origin. Your health, both general and female, is at stake, so if you experience the slightest pain in the genital area, you should consult a doctor.
Adnexitis is treated by a gynecologist; in the case of an acute process and a serious condition, hospitalization in the gynecological department of the hospital is usually required, or the woman is treated at home, undergoing outpatient treatment, and attends procedures in the antenatal clinic.
If acute adnexitis occurs, antibiotics are prescribed. They are usually chosen taking into account the culture of the flora from the genital tract, since inflammation is often caused by special microbes that are not amenable to conventional antibiotic therapy - mycoplasmas, chlamydia or gonococci. However, in addition to suppressing the microflora that caused inflammation, pain relief and anti-inflammatory therapy are also necessary.
If intoxication occurs, the woman is given IV drips with solutions that remove toxins and microbial waste products, and also introduce vitamins and antioxidants to combat inflammation. Against the background of antibiotics, fungi can actively multiply in the genital area, so the woman, in parallel with antibiotics, is given Metrogyl - it suppresses the activity of harmful fungi and microbes.
If pus or fluid accumulates in the sacs in the area of the appendages, laparoscopic operations are performed to remove them under general anesthesia. As the woman’s condition normalizes, immunostimulating agents are added to therapy; they help the body fight infection and stimulate tissue repair.
Often the inflammation proceeds latently or sluggishly, becoming chronic, and the principles of therapy change. In this case, antibiotics are prescribed only for exacerbations or specifically for the pathogen that caused the inflammation, but strictly according to sensitivity cultures.
While taking antibiotics, immunomodulatory drugs are prescribed - they activate lymphocytes to fight infection. Typically, cycloferon, viferon, echinacea, and galavit are used.
If pain occurs, it is necessary to prescribe a course of anti-inflammatory and analgesic substances - these are usually rectal suppositories with diclofenac, it has an analgesic and pronounced anti-inflammatory effect. They work great for chronic inflammation. massages and acupuncture.
Psychotherapy and the mindset for recovery should occupy an important place in treatment. It has been noticed that in hysterical and apathetic individuals it is prolonged. Therefore, it is important to have the mindset for a successful resolution and a quick recovery.
How to cure ovarian inflammation?
Chronic adnexitis is highly treatable during the period of remission, then the main treatment options will be procedures that resolve adhesions and physical therapy. For absorbable procedures, tampons with medicines and therapeutic mud, suppositories, magnetic therapy and ultrasound, electrophoresis of substances are used on the lumbar region and ovaries.
One of the effective methods of treating adnexitis in remission is hirudotherapy (treatment with leeches).
One of the most effective methods in the treatment of chronic gynecological pathology is climatotherapy and spa treatment. They combine treatment and psychotherapy, the woman changes her environment, takes a physical and mental break from problems and illnesses, and gains strength.
You can go to resorts in central Russia six months after an exacerbation of adnexitis or an acute process, and to the Crimea, the Caucasus Mountains or the Krasnodar Territory - about eight to ten months after exacerbations.
The most useful and effective spa procedures are mud therapy, mineral water baths and massages, sea bathing, physiotherapy and sea air.
In addition, hormonal contraceptives are used in the treatment of ovarian inflammation; they give rest to the ovary and the possibility of normalizing the menstrual cycle. On average, they are taken for six months, and if they are discontinued, pregnancy is quite possible.
If the adhesive process occupies a large volume of the small pelvis, there are accumulations of fluid or purulent foci, surgery will be required. Unfortunately, in such cases it is not always possible to achieve a complete cure. Therefore, it is better to take care of your health, maintain hygiene and regularly visit a gynecologist.
Alena PARETSKAYA
Inflammation of the ovaries and uterine appendages is a fairly common female ailment, which, in addition to extremely unpleasant symptoms, is also fraught with serious consequences. Among them are the early climatic period, disorders of the menstrual cycle and reproductive function of women, including infertility. To avoid danger, you need to know how to cure inflammation in a timely and effective manner. We will talk about this in this article.
If you complain of frequent and painful urination, pain in the lower abdomen that intensifies with the onset of menstruation, discomfort during sexual intercourse, it is very possible that the doctor will diagnose “inflammation of the ovaries and/or appendages.”
Treatment methods directly depend on the form and severity of the disease, as well as its clinical manifestations. In most cases, in acute inflammation, bed rest is prescribed. At the beginning of therapy, various painkillers and anti-inflammatory drugs, antibiotics and restorative drugs are used. Against the background of the use of antibiotics, active development of fungi in the genital area is possible. In this regard, it is also necessary to take antifungal agents.
As a rule, inflammation of the ovaries and appendages is accompanied by pain, to eliminate which non-steroidal anti-inflammatory drugs are most often prescribed. Among them are Indomethacin and Ibuprofen. To avoid the allergic effect of microbes, it is recommended to use antihistamines, which include Suprastin. The activity of microbes and fungi is effectively suppressed by Metrogyl, Diflucan and Nystatin.
In order to strengthen the immune system, it is necessary to take B vitamins, ascorbic acid and vitamin E. And of course, eliminating ovarian inflammation is almost impossible without antibiotic therapy. Most often, a combination treatment is prescribed, which helps to influence various microorganisms that provoke the development of the disease. It is recommended to use drugs that affect the aerobic flora. The most effective of them are Metronidazole, Amoxiclav, Erythromycin, Ceftriaxone.
During the first days of treatment, these drugs can be prescribed by injection. After the patient’s condition has stabilized relatively, you should switch to oral antibiotics and reduce their doses. In cases where such therapy does not produce any results on the first day, urgent surgical intervention may be required. As a rule, these are laparoscopic operations, during which pus or fluid that has accumulated in the area of the uterine appendages is removed.
To treat chronic inflammation of the ovaries and appendages, it is recommended to take baths with chamomile or wildflowers. This therapy can be combined with the main treatment. To eliminate pain, the pillow is stuffed with wildflowers and heated in the oven. It should be applied to the groin several times a day.
You can also prepare home remedies to treat inflammation. Wintergreen tincture is quite effective. To prepare it, 50 g of dry leaves are poured into 0.5 liters of vodka. The drink should be infused for 2 weeks in a dark place, after which it should be taken three times a day, 40 drops.
When inflammation occurs in an acute form, yarrow tea helps a lot. A tablespoon of dry raw material should be poured with a glass of boiling water and left for 10 minutes. It is recommended to drink the product warm.
You can read about other treatment methods in our article.
Inflammatory diseases of the pelvic organs are one of the most common pathologies in the gynecological practice of doctors. According to medical indicators, about 60% of diseases of the female genital area develop against the background of inflammatory processes in the ovaries, uterus, fallopian tubes, and appendages.
The term “appendages” means all adjacent organs of the uterus (fallopian tubes, ovaries). Inflammation of the appendages belongs to a group of infectious and inflammatory processes that most often involve the ovaries or tubes of the uterus itself. In cases where inflammation affects the uterus, symptoms of endometritis most often appear.
In gynecology, diseases of the appendages can be found under the name adnexitis (inflammation of the ovaries) or salpingoophoritis (inflammation of the fallopian tubes). Considering that these organs are anatomically closely related to each other, the doctor often makes a diagnosis of “inflammation of the appendages.” What are the causes and symptoms of the disease, how to treat inflammation of the appendages and how dangerous this disease is.
Normally, the pelvic organs, including the appendages, do not have pathogenic flora, but under certain factors or diseases, pathogenic bacteria are able to penetrate inside, provoking the development of inflammatory processes. It is known that any inflammatory disease is caused by pathogenic microorganisms. In this case, the cause of inflammation in the appendages can be any bacteria that have penetrated the mucous membranes of the genitourinary system: viruses, fungi, gonococci, chlamydia, streptococci, staphylococci, spirochetes, protozoa, herpes simplex viruses and others, which after penetration into the body actively multiply, causing symptoms are characteristic of inflammation of the appendages. Any of the pathogenic microorganisms can not only cause symptoms of inflammation of the appendages, but also other diseases. For example, chlamydia - chlamydia, fungi - vulvitis, candidiasis, gonococci - gonorrhea and other diseases that are often sexually transmitted.
Pathogenic microbes can enter the body not only through sexual contact, but also through contact, household contact, and also through failure to comply with basic hygiene rules or through contact with a carrier of the pathogen. The state of the immune system is of particular importance in the development of this disease. If a woman’s immunity is strong, it will not allow the activation of any microorganism. In cases where the immune system is weak, the risk of getting sick increases several times. In addition, there are a number of certain factors that are a trigger for the development of inflammatory processes in the appendages. Among these factors are:
In addition to the above factors, inflammatory processes in the appendages can be triggered by physical or mental stress, endocrine disorders, and internal infections of other organs. In any case, inflammation of the appendages must be treated, since the lack of timely treatment entails complex and sometimes dangerous complications.
Inflammation of the appendages - symptoms can occur in acute or chronic form. The acute form of the disease has a pronounced clinical picture, and chronic inflammation of the appendages has more subtle symptoms, which are characterized by periods of remission and exacerbation. With inflammatory processes in the appendages, a woman experiences the following symptoms:
Signs of inflammation of the appendages can be determined by the results of a blood test. During inflammatory processes, the blood formula changes significantly, and the ESR increases. In addition, during a gynecological examination at an appointment with a gynecologist, a woman feels severe pain in the ovaries and uterus. The above symptoms may also be present in other diseases of the genital organs, so only a doctor can make an accurate diagnosis after examining the patient, collecting anamnesis, and the results of laboratory and instrumental studies: blood test, urine test, ultrasound of the pelvic organs and others, which will allow the doctor to get a complete picture disease, make the correct diagnosis.
Inflammation of the appendages - symptoms and treatment should be carried out in a timely manner and only under the supervision of a doctor. In cases of untimely or incorrect treatment, there is a risk of developing complications that are not life-threatening for the woman, but can lead to the development of a chronic form of the disease, as well as infertility.
It is important to note that women who have had inflammation of the appendages are 10 times more likely to be diagnosed with an ectopic pregnancy. Complications develop due to the formation of scar tissue on the ovaries or tubes. In rare cases, the complication manifests itself in the form of purulent processes in the fallopian tubes. This complication requires surgical removal of the fallopian tubes or ovaries.
Every woman should clearly know how to treat inflammation of the appendages, but in any case, therapeutic measures should be carried out under the supervision of a doctor. In the acute period of the disease, treatment is carried out in a hospital and should include both medication, diet and proper lifestyle. In the acute period, a woman is recommended to rest in bed and eat low-fat and unsalted foods.
An important place in treatment is occupied by antibacterial therapy, the action of which is aimed at destroying the causative agent of the disease. Typically, the doctor prescribes broad-spectrum antibiotics, including the following drugs:
The doctor may prescribe other antibiotics that affect pathogenic flora. Antibiotics for inflammation of the appendages are prescribed in the form of injections for intramuscular or intravenous administration or in the form of tablets for oral use. In the acute period, it is recommended to take antibiotic injections, as they can quickly relieve the inflammatory process, thereby reducing the symptoms of the disease. The effectiveness of treatment should be observed on the first day. The course of treatment takes from 5 to 10 days. If no positive dynamics are observed, the doctor may change the antibiotic or prescribe more radical methods of treatment (surgery).
In addition to antibiotics, the doctor prescribes other medications:
A good effect in treatment can be obtained from physiotherapeutic procedures: ultraviolet irradiation of blood, electrophoresis, laser treatment, UHF and many other methods. Physiotherapy can be used both in the acute period and in the chronic form of the disease.
