Inflammatory processes of the female genital area in the modern world affect many of the fair sex, and in this case inflammation of the uterine appendages (ovaries and fallopian tubes) is considered a very common disease. This ailment can occur not only because the girl sat on something cold or had cold feet. Of course, hypothermia is considered the main cause of such a disease, but other factors also contribute to the inflammatory process. Let's try to figure out why the appendages hurt. Symptoms, treatment of this ailment will also be considered.
Causes of the inflammatory process
Inflammation in the uterine appendages is provoked by both pathogenic and conditionally pathogenic microorganisms. Certain factors make them disease-causing and contribute to the onset of symptoms of the disease. The infection enters the appendages as follows:
- from the vagina and cervix;
- on lymphaticand blood vessels;
- from other organs in which the inflammatory process occurs - the sigmoid colon, appendix.
Why do appendages hurt? This happens due to the inflammatory process, which is caused by the following factors:
- stress, hypothermia;
- multiple sex partners;
- childbirth with complications;
- appendectomy;
- weakening of immunity caused by various infections and diseases - HIV infection, diabetes mellitus and others;
- medical manipulations in the uterine cavity, such as abortion.
Local symptoms
If the appendages hurt, the symptoms of this disease can be local and general. Damage to the fallopian tubes and ovaries disrupts their normal functioning.
As a result of this, the body reacts to the inflammatory process as follows:
- Pain. A woman may experience pain in the lower abdomen, and they come in varying degrees of intensity. Most often, the pain is aching, but gradually increasing. It is felt in the iliac region and passes from this zone to the sacrum or thigh. With chronic inflammation of the appendages, the pain becomes constant, but not too sharp, aggravated by sexual intercourse, menstruation or physical activity.
- Disorder of the menstrual cycle. When the appendages hurt due to the inflammatory process, then menstruation can be irregular and proceed quite painfully and for a long time, with heavy bleeding. Sometimesthe opposite happens: the menstrual cycle is shortened, and the discharge becomes scarce.
- Vaginal discharge. They are purulent, serous or mucous, accompanied by irritation and itching of the genitals.
General symptoms
The inflammatory process of the appendages is accompanied by such general symptoms as:
Increased body temperature. This causes chills, headaches and muscle pain, body temperature exceeds 39 degrees
- Unwell. The woman begins to feel sick, vomiting may open, the oral cavity dries up.
- Violation of the gastrointestinal tract. There is pain in the abdomen and its swelling is observed, a disorder occurs in the form of diarrhea.
- Violation of the functions of the urinary system. When the appendages hurt as a result of inflammation, there may be pain when urinating, and urine is excreted in small quantities. Sometimes there is pyelonephritis and cystitis.
- Disorders of the endocrine and nervous system. A woman develops neurosis and depression, her performance is significantly reduced. Many patients complain to the doctor about a decrease in sexual desire or its complete absence.
Possible Complications
Since the appendages hurt most often due to inflammation, which contributes to the formation of obstruction of the fallopian tubes or adhesions, then an untreated disease can subsequently cause infertility. In addition, the transferred inflammation of the appendages increases the risk of ectopic pregnancy by 5-10times.
The frivolous attitude to their he alth in girls further results in the appearance of purulent complications, which requires surgical intervention. In severe cases, the fallopian tubes may be removed.
Treatment of disease
If the appendages hurt, treatment should be started in a timely manner. Usually the patient is referred to a hospital, where she is first prescribed a diet that excludes the use of s alt, carbohydrates and pepper. With severe pain, the patient in the first days should be in bed. Cold relieves pain and inflammation well, so the doctor may also advise applying a cold compress to the lower abdomen.
Drug treatment of inflammation of the appendages begins with antibiotics. Since the disease occurs due to the action of different groups of microorganisms, several types of such drugs are usually prescribed.
Thus, the treatment is carried out with the following antibacterial agents:
- penicillins ("Amoxiclav");
- macrolides ("Erythromycin");
- cephalosporins (Ceftriaxone);
- nitromidazole derivatives ("Metronidazole");
- antifungal drugs (Diflucan, Nystatin).
The doctor may prescribe other antibiotics, but they must have a positive effect on the flora, which usually lives in an oxygen environment. In the first three days, antibiotics are administered by injection, after which the patient begins to take pills, and the drugthe dose is reduced. The effect of treatment occurs already in the first days after its start. But if taking antibiotics does not bring the desired result, then surgical intervention is possible.
In addition to these drugs, treatment in the hospital is carried out with the introduction of intravenous infusions of saline solutions, glucose, gemodez and other drugs. To stop the pain and reduce inflammation, the patient is recommended to take anti-inflammatory nonsteroidal drugs in the form of tablets. These include Ibuprofen, Diclofenac, Ketarol and other means.
As soon as the acute form of inflammation subsides, procedures such as electrophoresis with lidase or iodine, high-frequency impulsive currents, ultrasound are prescribed.
Conclusion
Thus, the appendages hurt for various reasons, but usually inflammation provokes hypothermia. If symptoms such as nausea, pain in the lower abdomen, suspicious discharge occur, then a visit to the gynecologist should not be postponed. If treatment is delayed, serious complications may develop.
