What causes fallopian tube inflammation? Common pelvic inflammatory disease

Salpingitis is a common type of pelvic inflammatory disease and also has a relatively high incidence rate among gynecological inflammations. Women with salpingitis will experience lower abdominal pain and fever. The most common cause of salpingitis is bacterial infection, which is common among married women with children.

1. Causes of salpingitis in married women

(1) After childbirth or abortion, due to the decrease in resistance, pathogens can ascend through the reproductive tract and spread to the fallopian tubes, ovaries, and then the entire pelvic cavity, causing inflammation.

(2) With the widespread use of intrauterine devices, patients may not pay attention to personal hygiene or the surgical procedure may not be strict, which may cause the disease.

(3) Uterine cavity operations performed without strict disinfection, such as vacuum extraction, hysterosalpingography, cervical canal treatment, and obstetric surgery infections without strict disinfection.

(4) Not paying attention to menstrual hygiene, having sexual intercourse during menstruation or having unclean sexual intercourse, etc.

(5) If there is an infection in other parts of the body and it is not treated promptly, the pathogens can spread through the bloodstream and cause salpingo-oophoritis, which is more common in tuberculosis diseases.

(6) When inflammation occurs in the pelvic cavity or organs adjacent to the fallopian tubes, such as appendicitis, it can spread directly to cause salpingo-oophoritis and pelvic peritonitis. The inflammation usually occurs in the adjacent fallopian tube and ovary.

(7) Sexually transmitted diseases such as gonorrhea. After infection, gonococci can spread upward along the mucous membrane, causing inflammation of the fallopian tubes and ovaries.

2. Reasons why unmarried women develop adnexitis

1. Non-sexual invasion of STD pathogens

Sexually transmitted diseases are very common and can enter the reproductive tract through non-sexual routes. The most common non-sexual routes are staying in a hotel, bathing in a bathtub, using a toilet, wearing a bathrobe, etc.

2. Hematogenous transmission

It is mainly seen in tuberculosis. The tuberculosis bacteria can invade the genitals through the blood, causing genital tuberculosis in patients.

3. Lymphatic spread

In patients with enteritis, especially severe colitis, pathogenic bacteria can spread from the colon to the genitals through the lymphatic vessels.

4. Direct Infringement

The most common is appendicitis. Patients with appendicitis delay seeking medical treatment for various reasons. As a result, bacteria will break through the appendix membrane and flow into the right appendix with pus, and even accumulate in the left appendix.