Inflammation of the appendages is one of the most common pathologies of the female reproductive system. Attachments - Fallopian tubes and ovaries - are responsible for the process of fertilization and gestation. For this reason, inflammation of the appendages during pregnancy is particularly dangerous. In order to prevent the development of the disease, it is necessary to know the causes of its occurrence and ways to combat it.
There is an opinion that inflammation of the appendages and pregnancy are absolutely incompatible. This is due to the processes arising from the development of pathology. In the presence of the disease, the hairs in the fallopian tubes coalesce and can not fulfill their functional purpose. Thus, they can not actively promote the promotion of the egg to the uterus. In addition, bearing a child with this diagnosis can also be accompanied by serious complications.
However, in spite of everything, some women, having such a pathology of the reproductive system, become pregnant, and also successfully bear the child.
What is an
? The disease of the appendages, called adnexitis( salpingoophoritis), is an infectious inflammatory process that occurs in the ovaries and tubes. With a similar diagnosis, 65% of women are facing age 20-30 years. Disease is a consequence of microorganisms infiltrating the fallopian tubes.
Causes of
The most common causes of adnexitis during pregnancy are:
- Streptococci, chlamydia, E. coli, staphylococci, mycobacterium tuberculosis and other pathogenic microorganisms;
- Endometritis;
- Weakened immune system;
- Overwork, stress;
- Pyelonephritis, tonsillitis, etc.;
- Abortion, surgical intervention in the system of female reproductive organs;
- Endocrine or hormonal pathology;
- Subcooling, swimming in cold water;
- Poor nutrition;
- Sexual relations during menstruation;
- A long spiral inside the uterus.
Infectious agents can penetrate the appendages of a woman with poor personal hygiene or sexual contact. Adnexitis can not occur without an obvious cause. Almost every case of pathology is preceded by inflammation of the lower genital tract. For example, damage to the canal of the cervix, vagina or urethra. Lack of proper treatment promotes the spread of dangerous bacteria to other organs of the reproductive system. For this reason, salpingo-oophoritis is often accompanied by endometritis, as well as other diseases of the pelvic organs.
When planning pregnancy, it is necessary to take measures to exclude the listed factors. Successful conception and bearing of a baby directly depends on the prevention and treatment of adnexitis.
Symptoms of
Doctors distinguish two types of disease: acute, chronic. The acute form is accompanied by severe pain in the lower abdomen. Often the pain syndrome is bilateral and passes into the inguinal region of the woman. The defeat of appendages on the one hand practically does not occur.
Acute adnexitis is characterized by the appearance of such symptoms:
- Chills;
- Temperature rise to 380 - 390;
- Headache;
- Burning sensation and pain when urinating.
There may be other signs of intoxication of the body. Often the development of inflammation is accompanied by abundant purulent discharge from the genital tract. The course of acute adnexitis may be similar to inflammation of the intestine. In this case, severe pain in the abdomen can be regarded as a sign of colitis or appendicitis. For this reason, the presence of acute pain in the abdomen requires a mandatory examination of the gynecologist.
Chronic form
The chronic form of salpingo-oophoritis is characterized by less vivid signs. Pain can be moderate. The temperature of the body does not increase, there are no other symptoms of intoxication. Women with this disease often complain about the occurrence of pain during sexual intercourse. This is due to the adhesive process in the pelvic area.
Almost half of patients with a chronic form of the disease have a disorder of sexual function, lack of attraction. Chronic salpingo-oophoritis and pregnancy are compatible provided that all the preventive requirements are met with the constant supervision of a specialist.
In pregnancy
Conception of the child in the inflammatory process of the appendages is possible in the absence of adhesions in the tubes. However, a woman who has this pathology can face difficulties in the process of pregnancy, as well as with the threat of miscarriage.
Interruption of pregnancy can be triggered by a lack of progesterone production. The hormone synthesized by the yellow body formed on the site of the follicle that released the egg is responsible for the process of implantation of the embryo into the uterus, as well as the safety of pregnancy in the future.
The presence of an inflammatory process disrupts the functioning of the corpus luteum, resulting in poorer progesterone production. Thus, transportation of a fertilized egg can become impossible.
Another risk is the possibility of intrauterine infection of the fetus. Infection of the baby is possible during childbirth, as the infection can affect the birth canal. In order to exclude such a danger, many doctors recommend conducting a cesarean section.
Ectopic pregnancy
Also, adnexitis can promote implantation of the embryo into the lower part of the uterine cavity. This entails a low placement of the placenta. Anomaly provokes the occurrence of bleeding in different periods of bearing of the child, as well as during childbirth.
If conception took place during the remission of the disease, then with the slightest weakening of immunity, the pathology may become worse. Symptoms of salpingo-oophoritis in this case may differ depending on the pathogen. Among the most common symptoms include vaginal discharge and abdominal pain.
Inflammation of the appendages can promote ectopic pregnancy. Often the cause is the weak patency of the pipe. Small sizes of spermatozoa do not interfere with their penetration into the ovum with further fertilization. The egg is fixed in the fallopian tube and begins to develop. As a result, the pipe breaks.
In order to avoid such consequences, it is necessary to consult a gynecologist in a timely manner. Removal of the fetal egg will keep the uterine tube, and again become pregnant after appropriate therapy.
Possible consequences of
Chronic diseases of the female reproductive system can stimulate the production of antibodies to their cells by the body. This provokes the occurrence of thrombosis, which leads to a delay in the development of the embryo or detachment of the placenta. In addition, blood cells can have a toxic effect on the formation of the placenta.
Bilateral adnexitis during pregnancy can lead to such consequences:
- Spontaneous miscarriage at any gestation period;
- Infection of the child;
- Pregnancy fading;
- Rodam before the deadline.
It is important not to neglect the severity of the consequences of this pathology, which can be avoided with the timely visit of a specialist.
Postpartum period
Salpingo-oophoritis leaves its after-effects. The development of endometritis is possible. This pathology is characterized by:
- Pain in the lower abdomen;
- Inadequate uterine contraction;
- Appearance of fetid secretions;
- Increase in temperature index;
- Increased blood discharge.
For the treatment of the disease, in-patient follow-up is necessary.
The chronic form of adnexitis often occurs secretly and causes changes in the immune system and blood clotting, as well as serious complications not only during pregnancy and childbirth, but also during the postpartum period. To avoid long-term ill effects of the disease, to eliminate inflammation foci, it is necessary to undergo examination at the stage of pregnancy planning.
Treatment of
During the treatment of adnexitis, antibiotics are inevitable, which can harm a baby's health. This is an additional reason to undergo diagnostics and therapy before pregnancy. The treatment regimen is determined by the doctor taking into account the characteristics of the organism, as well as the stage and form of the disease.
Subject to the expert's agreement, the use of folk remedies is recommended for more successful treatment. These include tampons, douching, and the reception of broths.
Tampons are advised to moisten with a mixture of tincture of calendula( 20ml), eucalyptus( 20ml), lanolin( 50ml) and dimexide( 10ml).The tampon is inserted into the vagina at night. For syringing, brew dry flowers of chamomile and linden. The procedure is carried out 2 times a day.
Preventive measures
Self-medication of adnexitis is extremely dangerous. The disease can leave serious consequences in the body of a woman. For this reason, the course of therapy should proceed under the supervision of an experienced specialist. There are often cases when treatment with folk remedies without the use of antibiotics promotes the development of a chronic type of pathology with the development of further complications.
To achieve maximum effect in the treatment it is recommended to follow the following recommendations:
- Follow the diet. Do not eat fried, salted and hard-assimilated food;
- To protect yourself from unnecessary emotional stress, stress;
- Strengthen immunity;
- Do not allow the body to subcool;
- Wearing a hat;
- Avoid infectious diseases, colds;
- Remove the uterine spiral in time;
- More rest, sleep.
Pregnancy and adnexitis are only compatible with timely treatment of pathology. Preventive maintenance will allow without difficulty to conceive and bear a child.
