Oophoritis

Oophoritis is an inflammation of the ovaries, often combined with inflammation of the fallopian tubes (see Salpingitis). Staphylococcus aureus, streptococcus, escherichia, gonococci, mycobacterium tuberculosis and other microbes. In most cases, the ovaries are affected again due to salpingitis. Inflammatory-altered fallopian tube is soldered to the ovary, forming a single inflammatory conglomerate. The formation of pus in the fallopian tube leads to melting of the ovary tissue with the development of tubo-ovarian inflammatory formation (pyosalpinx and pioovar).

Symptoms, course. Distinguish acute, subacute and chronic stages of the disease. Acute inflammation is manifested by pain in the lower abdomen and in the lumbar region, high fever, chills, dizurim disorders, peritoneal phenomena, often disorders of ovarian function (see Bleeding uterine dysfunctional). In a chronic stage of patients disturb a pain in a stomach, disturbances of a menstrual cycle (metrorrhagia). Often there are relapses of the disease under the influence of nonspecific factors (overfatigue, hypothermia, intercurrent infections). Often revealed secondary infertility of a functional nature. In the acute stage, the appendages of the uterus are palpated unclear due to their puffiness and soreness. In the chronic stage, the appendages are enlarged and painful, located posteriorly from the uterus, retorted, elastic or dense in consistency, sensitive to palpation. Differential diagnosis is carried out with a subserous myoma of the uterus, ovarian tumors, a cyst, an ectopic pregnancy.

Treatment depends on the etiology and stage of inflammation (acute, subacute, chronic). In acute treatment, the treatment is carried out in a hospital: rest, ice on the lower abdomen (in the early days), anesthetics, antibiotics, sulfonamides, calcium chloride; In the subacute stage, cautiously begin physiotherapeutic treatment (quartz locally or to another area of ​​the body, etc.). In the chronic stage all kinds of physiotherapy and balneotherapy are shown. With recurrence of the disease, the appointment of antibiotics and sulfonamides is not indicated, since the exacerbation, as a rule, is caused not by reinfection and activation of autoinfection. If conservative treatment is unsuccessful, and the appendages of the uterus are significantly enlarged (saktosalpinks), surgical treatment is indicated. Gonorrhea and tuberculosis oophoritis are subject to specific treatment.