Oophoritis inflammation of the ovary is called - paired organs female reproductive system, uterine (fallopian) tube connects the uterus. Ovaries are responsible for the maturation of oocytes and production of female sex hormones, so the inflammation of the ovaries, especially chronic oophoritis, may have dire consequences for women's health, including the cause of infertility.
Oophoritis almost never independent disease. Ovaries are arranged so that the primary infection can not penetrate them. The most common inflammation of the ovary is transferred to the fallopian tube, in this case accompanied by salpingitis oophoritis (inflammation of the fallopian tube), this condition is called salpingoooforitom or adnexitis (inflammation of the uterus). Oophoritis pathogens are sexually transmitted infections (STIs): chlamydia, gonorrhea, trichomonas, etc. Less inflammation of the ovary is transmitted to another source, placed in the abdominal cavity, such as appendicitis. In that case, agents are streptococci, staphylococci, E. coli.
In some cases, oophoritis may be called a common infectious disease organism, often of viral origin.
Factors contributing to the occurrence of oophoritis are:
- Diseases of the genitourinary system;
- The foci of chronic infection in the body;
- Endocrinological diseases;
- Tobacco smoking. Under the influence of tobacco smoke entering the body composition changes slime forming cervical stopper thereby reducing its barrier properties, which leads to the penetration of external infections of the genital tract;
- Wrong way of life, fatigue, stress as a factor that reduces the protective properties of the immune system;
- Promiscuous, especially without the use of barrier contraception.
Types and symptoms oophoritis
In clinical practice are acute, subacute and chronic oophoritis, the process can be unilateral or bilateral.
Acute oophoritis begins suddenly, with sharp pains in the abdomen, which can give the groin, lumbosacral. Urination becomes difficult, sometimes painful, appear purulent vaginal discharge. Signs oophoritis accompanied by a general deterioration of the high temperature, fever, headache and muscle and joint pains.
Chronic oophoritis is often a hidden beginning, that is to be primary-chronic, or develop as a result of not cured acute oophoritis. The only sign of chronic oophoritis long time is unspoken pain. Pain is usually constant, is dull, aching in nature, appears with fatigue, colds, trauma-informed, during intercourse. Most often, these symptoms oophoritis in its chronic form appear on the eve of menstruation. Another sign of chronic oophoritis in running form are menstrual irregularities due to impaired development of the ovaries of estrogen.
In some cases, chronic oophoritis occurs so implicitly that appears only in the survey about the menstrual irregularities or infertility.
Diagnosis oophoritis considered challenging because the pain syndrome, which is the main feature of oophoritis may accompany any abdominal disease. If you suspect a oophoritis conduct gynecological examination, with obligatory study of vaginal flora. Ovarian ultrasound can show the changes that have occurred as a result of chronic oophoritis, for the disease in the acute form, this method is not informative.
The main method of diagnosis is laparoscopy oophoritis. This study using an endoscope, which allows visualization of the tissue of the ovary and for signs of inflammation. To determine the degree of ovarian dysfunction in chronic oophoritis endocrinological examination is carried out, with the preparation of a diary of ovulation.
Treatment of chronic and acute oophoritis different.
In acute oophoritis prescribe a course of antibiotic therapy with broad-spectrum antibiotics, often in combination with sulfanilamidnymi drugs. Use painkillers and anti-inflammatory drugs, bed rest is desirable, in the area of the affected ovary apply an ice pack for the purpose of pain relief. When the signs of acute inflammation subsides, resort to physiotherapy: electrophoresis, laser therapy, magnetic therapy, UHF and microwave therapy, and so forth. The treatment in acute oophoritis performed in a hospital.
Treatment of chronic oophoritis should be carried out consistently and persistently, otherwise it could face a loss of ovarian function. For the treatment of chronic oophoritis also applied antibiotic therapy, taking into account the identified microorganisms. Prescribe anti-inflammatory steroids. The main efforts are aimed at eliminating the infection and fight with adhesive process, which are appointed by injection and electrophoresis absorbable preparations. Physiotherapy and Balneotherapy is the main method in the treatment of chronic oophoritis.
It should be understood that the treatment of chronic oophoritis require a change habitual way of life more healthy. Necessary restorative treatments that stimulate the body's own defenses, the transition to a healthy diet, avoiding harmful habits and increase physical activity to remove stagnation in the pelvis. Only when all these conditions we can talk about the possibility of a complete cure.
Complications of acute and exacerbated oophoritis can be ovarian abscess. This is an acute inflammatory process, which occurs as a result of purulent fusion of the ovary, and it turns into a thin-walled spherical education, filled with pus. This condition requires emergency surgery, as the gap ovary leads to peritonitis.
Chronic oophoritis, runs hard, with frequent relapses, coupled with chronic salpingitis can lead to saktosalpinksu - purulent tumors of the uterus. This condition also requires surgical intervention. Ovaries and fallopian tubes are removed.
The most common complication of chronic oophoritis are the development of adhesions that are in violation of tubal patency, and hardening of the ovary, in which its tissue replaced by fibrous tissue, which leads to loss of function. Since the ovary is a ductless gland, its malfunction is reflected in the woman's hormonal background, which can cause a variety of disorders - from anorgasmia to infertility.
Therefore oophoritis treatment should begin as early as possible, and be sure to follow through.