Symptoms of fallopian tube inflammation, acute and chronic

Salpingitis is a type of pelvic inflammatory disease that can occur in both married and unmarried women. Salpingitis can be acute or chronic. The most obvious symptoms are dysmenorrhea, lower abdominal pain, changes in menstrual cycles, and delayed menstruation. It should be checked and treated in time.

1. Symptoms of acute salpingitis

1. The symptoms of acute salpingitis usually include lower abdominal pain, heaviness, frequent and painful urination, and bloody vaginal discharge; they may be accompanied by chills and fever, and may also include abdominal distension, constipation, or diarrhea. If the disease occurs during menstruation or after miscarriage, the amount of bleeding will increase and the menstrual period will be prolonged.

2. Patients with acute salpingitis may also have symptoms such as high body temperature, accelerated pulse rate, muscle tension or resistance, tenderness, and rebound pain in the lower abdomen. Gynecological examination may reveal purulent and bloody discharge from the vagina and cervix, cervical congestion, easy bleeding when touched, and pain when lifted. The adnexal area is tender and a painful mass may be palpable. Posterior fornix puncture can extract a small amount of purulent fluid.

2. Symptoms of chronic salpingitis

1. Abdominal pain: Patients with chronic salpingitis have varying degrees of pain in the lower abdomen, which is mostly hidden discomfort, soreness, swelling, and a feeling of falling in the waist, back, and sacrum, which is often aggravated by fatigue. Due to pelvic adhesions, there may be pain when the bladder or rectum is filled or empty, or other symptoms of bladder and rectal irritation, such as frequent urination and tenesmus.

2. Dysmenorrhea: Dysmenorrhea caused by pelvic congestion usually begins with abdominal pain one week before menstruation, which becomes more severe as the menstrual period approaches until the onset of menstruation.

3. Menstrual irregularities: The fallopian tubes are adjacent to the ovaries. Generally, diseases of the fallopian tubes do not affect the function of the ovaries or the amount of menstruation. Menstrual abnormalities only occur when inflammation spreads to the ovaries and damages the ovarian function. The most common symptoms are frequent menstruation and excessive menstrual flow, which may be the result of pelvic congestion and ovarian dysfunction. Excessive menstruation can be caused by uterine fibrosis due to chronic inflammation, abnormal uterine position due to incomplete uterine involution or adhesions.

4. Infertility: The fallopian tube itself is damaged by lesions, causing blockage and leading to infertility, with secondary infertility being more common.

5. Others: Women with chronic salpingitis may also experience symptoms such as increased vaginal discharge, pain during sexual intercourse, gastrointestinal disorders, fatigue, labor disturbance or intolerance to long-term labor, neurological symptoms and depression.