The most common causes of pain on the right side of the uterus are right adnexitis, appendicitis, and ureteral stones; in addition to abdominal pain, if it is accompanied by lumbar pain, pain during sexual intercourse, fatigue, and appendicitis; it starts as upper abdominal or periumbilical pain that gradually worsens, and then moves to the lower abdomen after a few hours, and the pain continues; there is more than one cause of pain on the right side of the uterus. Let's take a look at the pain on the right side of the uterus caused by adnexitis. A concept Among the female internal reproductive organs, the fallopian tubes and ovaries are called appendages. Adnexitis refers to inflammation of the fallopian tubes and ovaries. However, fallopian tube and oophoritis are often accompanied by parametrial connective tissue inflammation and pelvic peritonitis, and are difficult to distinguish during diagnosis. Among pelvic organ inflammations, salpingitis is the most common. Due to the proximity of anatomical sites, salpingitis, oophoritis and pelvic peritonitis often coexist and affect each other. Second cause Adnexitis is a common disease caused by pathogenic microorganisms invading the reproductive organs and causing infection of the fallopian tubes and ovaries. This disease can occur in both unmarried and married women, and is often associated with pelvic connective tissue inflammation clinically. Adnexitis can cause fallopian tube atresia, leading to infertility and inducing other complications. Three clinical manifestations Clinically it is divided into acute and chronic types. 1. Acute adnexitis The main symptom is acute lower abdominal pain accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests can show an increased white blood cell count and a significantly increased neutrophil ratio. If acute adnexitis is not treated promptly or thoroughly, it may turn into chronic adnexitis. 2. Chronic adnexitis There are abdominal pains of varying degrees. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesion of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbar pain, which may be mild or severe, accompanied by increased vaginal discharge, low back pain, menstrual disorders, etc., and often worsen during menstruation or after fatigue. During gynecological examination, there is tenderness, thickening, or a tender mass in the adnexal area on both sides or one side, and the white blood cell count is elevated or normal. Some symptoms are sometimes not very obvious, but because the fallopian tubes and ovaries are adjacent to each other, it is difficult to distinguish when inflammation occurs. In particular, chronic inflammation of the fallopian tubes can lead to fibrosis, thickening and blockage of the fallopian tubes over time, and may also cause adhesion to surrounding tissues. If both ends of the fallopian tube are blocked, hydrosalpinx may form, and the accumulated water will penetrate into the ovaries that are adhered together, forming a fallopian tube ovarian cyst. It can easily cause infertility or ectopic pregnancy. After reading the above content, everyone will have some understanding of the part of adnexitis that causes pain on the right side of the uterus. The cause of adnexitis is mostly due to infection. Therefore, in order to avoid this gynecological disease, women must pay more attention to their lower body hygiene, change underwear frequently, pay attention to health problems in private areas, and stay away from gynecological diseases. |
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