How long does it take to cure adnexitis?

Adnexitis is a common gynecological disease in women. It has a particularly great impact on women's physical health, causing women to suffer tremendous pain and even affecting their fertility, causing great damage to their lives. The incidence of adnexitis is high and it is very difficult to treat, which can easily cause long-term torture to women. Let’s take a look at how long it takes to cure adnexitis.

1. Adnexitis is an inflammation of the fallopian tubes and ovaries, the most common of which is salpingitis. Ovarian inflammation rarely occurs alone. The ovaries often adhere to the inflamed fimbria of the fallopian tubes, resulting in peri-ovarian inflammation called salpingo-oophoritis. Inflammation can invade the ovarian parenchyma through the rupture of ovarian ovulation to form ovarian abscess. The abscess wall adheres to the fallopian tube pyostomy and penetrates to form fallopian tube ovarian abscess.

2. There are two types of salpingitis: acute salpingitis and chronic salpingitis.

Salpingitis often occurs after artificial abortion, after delivery, after induced labor, after tubal insufflation, after hysterosalpingography, after hysteroscopy, etc., due to surgically induced genital mucosal damage, bleeding, and necrosis, leading to ascending infection of endogenous pathogens in the lower genital tract; unhygienic sexual life, especially sexual intercourse during menstruation, use of unclean menstrual pads, etc.; direct spread of inflammation of adjacent organs such as appendicitis, peritonitis, etc., which spread to the pelvic cavity and cause fallopian tube and ovarian inflammation.

3. Symptoms of adnexitis include: lower abdominal pain, fever, increased vaginal discharge. The abdominal pain is persistent and worsens after activity or sexual intercourse. If severe, there may be chills, high fever, headache, and loss of appetite. If the disease occurs during menstruation, there may be increased menstrual flow and prolonged menstruation. If an abscess is formed, there may be a mass in the lower abdomen and local compression and irritation symptoms such as frequent urination, difficulty urinating; diarrhea, tenesmus and difficulty defecation.

Physical signs: In mild cases, there are no obvious abnormalities or gynecological examination may only reveal cervical tenderness or uterine body tenderness or adnexal tenderness. In severe cases, there may be acute illness, lower abdominal tenderness, rebound tenderness, and abdominal muscle tension and peritoneal irritation symptoms.

IV. Treatment

The patients are in general good condition, and those with mild symptoms can be treated as outpatients with oral antibiotics for 14 days.

Patients with poor general condition and severe illness accompanied by fever, nausea, and vomiting symptoms require hospitalization. The patient was given intravenous antibiotics, which were then switched to oral administration after the symptoms improved, for a course of 14 days. If antibiotic treatment is ineffective after 3 days, the poisoning symptoms are severe, and the mass increases in size, abscess formation may be considered and surgery should be performed promptly to avoid abscess rupture.

5. If acute adnexitis is not treated promptly and effectively, it will turn into chronic adnexitis, which manifests as chronic pelvic pain and recurrent attacks of adnexitis. The treatment is the same as that of acute adnexitis, combined with Chinese medicine enema, external application, physical therapy and other comprehensive therapies, and is strengthened and consolidated before and after menstruation.