Diffuse changes in the left ovary like oophoritis. Treatment of oophoritis with folk remedies

- a long-term inflammatory process that affects the ovaries. An exacerbation of the disease is characterized by dull or aching pain in the lower abdomen and groin area, mucous and mucopurulent leucorrhoea. In the remission phase, disorders of the ovarian-menstrual cycle, dyshormonal disorders, and infertility are observed. To diagnose the disease, bimanual examination, ultrasound of the pelvic organs, laparoscopy, and laboratory diagnostic methods are used. The treatment regimen includes etiotropic antibacterial drugs, anti-inflammatory, immunocorrective and enzyme agents.

General information

The disease occurs cyclically: a period of exacerbation with clinical symptoms, expressed to varying degrees, is replaced by remission. Exacerbation of the process is usually facilitated by hypothermia, stress, hormonal changes during pregnancy or before menstruation, colds, and decreased immunity.

Symptoms of chronic oophoritis

The clinical picture of the disease depends on its phase. During an exacerbation, the patient is bothered by a dull or aching pain in the lower abdomen and groin area. Possible irradiation to the sacrum, increased pain during physical exertion and sexual intercourse. If other genital organs are involved in the inflammation, the amount of vaginal discharge increases, usually mucous, less often mucopurulent. General symptoms, as a rule, are mild; in rare cases, they manifest as fever up to low-grade levels, nausea, and sometimes vomiting.

In remission there is usually no pain. A woman’s sleep may deteriorate, performance may decrease, fatigue and irritability may occur, the menstrual cycle, sexual and reproductive functions may be disrupted. With chronic oophoritis, periods become irregular, while the menstrual cycle usually lengthens, intermenstrual bleeding, pain and heavy menstrual flow may occur. Some patients experience severe PMS. In 50-70% of women, libido decreases, which is often associated with dyspareunia (painful sensations during sex). In some cases, the only sign of chronic inflammation is the inability to become pregnant with regular sexual activity.

Complications

Since in a chronic course oophoritis is usually combined with salpingitis, the most serious complication of the disease is adhesive disease. It is plastic pelvioperitonitis and disruption of the endocrine function of the ovaries that usually lead to tuboperitoneal infertility. In addition, such patients have a significantly increased risk of ectopic pregnancy and miscarriage. With exacerbation, oophoritis can be complicated by purulent-inflammatory processes, from purulent melting of the ovaries (pyoovar) to the formation of a tubo-ovarian abscess and the development of peritonitis.

Diagnostics

When making a diagnosis, it is necessary to take into account that the symptoms characteristic of chronic oophoritis are quite nonspecific and may indicate other gynecological diseases. Therefore, the examination plan includes methods that reliably confirm the localization of inflammation and allow identifying the pathogen:

  • Examination on the chair. On bimanual examination, the appendages are pasty, compacted or stringy. On palpation, pain and limited mobility are noted.
  • Transvaginal ultrasound. The ovaries are enlarged, their surface is smoothed. The echogenic structure is enhanced due to the presence of areas of fibrosis. Echo signs of inflammation of the fallopian tubes and endometrium may be present.
  • Laparoscopy. The endoscopic method is considered the gold standard for diagnosing inflammation in the ovaries. During the procedure, you can not only confirm the inflammatory process, but also, if necessary, take biomaterial for histological examination.
  • Laboratory diagnostics. Microscopy, culture of vaginal discharge, PCR, RIF, ELISA and other tests can determine the causative agent of oophoritis.
  • Tuberculin test. Indicated in the presence of an extensive inflammatory process in the pelvic area with scant clinical symptoms.

Differential diagnosis is carried out with other inflammatory gynecological diseases and volumetric processes in the pelvic cavity. According to indications, the patient is referred for consultation to a gynecologist-reproductologist, oncogynecologist, or phthisiatrician.

Treatment of chronic oophoritis

The choice of therapeutic regimen depends on the phase of the process. In case of exacerbation and the identified causative agent of inflammation, the following are indicated:

  • Etiotropic antibacterial therapy. Medicines are selected taking into account the sensitivity of pathogenic flora. If necessary, broad-spectrum antibiotics are prescribed until culture results are obtained.
  • Anti-inflammatory drugs. Non-steroidal drugs can reduce pain and the severity of inflammatory changes.
  • Enzyme therapy. The use of enzyme preparations is aimed at preventing adhesive disease and resolving existing adhesions.
  • Immunocorrection. To strengthen the body's own defenses, immunostimulants, interferonogens, and vitamin and mineral complexes are recommended.

During the period of remission, therapy aimed at strengthening the immune system and restoring reproductive and endocrine functions plays a leading role. At this stage, immunoregulators, enzymes, eubiotics, biogenic stimulants, and hormonal drugs are prescribed. A combination of drug treatment with physiotherapy and balneotherapy is effective. Surgical techniques are used in the presence of complications. Operations are indicated when severe purulent-inflammatory diseases (pyoovar, tubo-ovarian abscess, peritonitis, etc.) and adhesive disease leading to tubo-peritoneal infertility are detected.

Prognosis and prevention

With an uncomplicated course and proper treatment, the prognosis is favorable. To prevent chronic oophoritis, it is recommended to visit a gynecologist every 6 months, carry out invasive procedures reasonably, refuse abortions, and promptly and sufficiently treat infectious and inflammatory diseases of the reproductive sphere. It is important to exclude casual sex, use barrier contraceptives, maintain personal hygiene, lead a healthy lifestyle with sufficient physical activity, and quit smoking and alcohol abuse. It is necessary to avoid hypothermia, significant psycho-emotional and physical stress.

Inflammation of the ovaries (oophoritis) is an inflammatory process that forms in paired female sex glands. It can be unilateral or bilateral. The causative agent of inflammation is pathogenic bacteria. The cause may also be opportunistic microorganisms. At risk are young girls who are sexually active but do not use protection. The causes of this unpleasant illness can be caused by tuberculosis, hypothermia, or surgery on the pelvic organs. Oophoritis often affects women who have given birth or those who have had an abortion.

Symptoms of the disease

Inflammation of the ovaries always makes itself felt. The symptoms cannot be ignored, but they can easily be confused with manifestations of other diseases.

How does the acute stage of oophoritis manifest:

  • First of all, a woman feels severe pain of an acute nature, which is localized in the lower abdomen and is also felt in the lower back;
  • Problems with urination;
  • Discomfort during sex;
  • Weakness and general poor health;
  • There is copious discharge from the vagina;
  • Temperature increase;
  • Loss of appetite;
  • The suprapubic part and vagina suffer from dull and aching pain, which becomes stronger before menstruation or as a result of weakened immunity (cold, hypothermia);
  • The monthly cycle gets lost;
  • The ovaries stop functioning normally;
  • There may be a constant discharge of small amounts of white discharge;
  • Libido decreases;
  • Problems with conception.

The stronger the inflammation, the more intense the pain. At an appointment with a gynecologist, enlarged ovaries and pain will be noted. The acute condition is often confused with other diseases. So problems with the right ovary are similar to attacks of appendicitis, and with diseases of the left one, hepatic colic begins to torment. Forms of pain syndrome can manifest themselves in different ways - a woman feels throbbing, stabbing, bursting and aching pain. The attacks are not affected by either the period of the menstrual cycle or the time of day. The acute manifestation of inflammation will last 5-15 days. Then the disease develops into a chronic form.

An acute condition can become a chronic disease that will bother you for a long time. Complications, scarring and adhesions can be prevented if the necessary complex therapy is carried out in a timely manner.

Acute oophoritis requires hospitalization so that treatment is carried out under the supervision of doctors. In addition, such therapy is more effective. Some women suffer from a subacute form of inflammation, but this is rare. It can be a consequence of tuberculosis or mycotic infection. When selecting treatment, you need to completely eliminate the problem. If the disease is not treated, it will develop into chronic inflammation of the ovaries, which will manifest itself as periodic exacerbations. They have more pronounced symptoms, although they pass faster.

Complications always have a negative impact on a woman’s health. The menstrual cycle and ovarian function may be disrupted. Girls may also experience more serious illnesses: miscarriages, adhesions, tubal obstruction. Ectopic pregnancy often occurs due to oophoritis. Neighboring organs can also become inflamed.

Causes of oophoritis

The location of the ovaries prevents the infection from getting there first. First, the fallopian tubes are affected. Inflammation may occur due to appendicitis.

The main causes of the disease:

  • Pathological processes in the fallopian tubes. In most cases, this is what causes oophoritis.
  • Hormonal imbalances in the reproductive system. It produces insufficient hormones.
  • Mechanical injuries of the reproductive system.
  • Autoimmune diseases. They occur when the immune system is too active.
  • Sexually transmitted infections, in particular chlamydia.
  • Unprotected sex. At the same time, partners often change.
  • Pathogenic processes in other body systems.

Indirect signs of ovarian inflammation:

  • Stress;
  • Poor sleep;
  • Bad habits;
  • Unbalanced diet;
  • Overwork.

Due to inflammation, suppuration of the ovaries can occur. Then you need to quickly do the operation. Otherwise, the organ may rupture, leading to peritonitis. Treatment is possible only after an accurate diagnosis. It is necessary to determine the stage of the disease, which will help to accurately select the medicine.

Diagnostics

The symptoms of oophoritis are quite similar to other diseases: attacks of appendicitis, peritonitis, ectopic pregnancy and other abdominal diseases. This is why diagnosing ovarian inflammation in women is not easy.

Necessary tests for diagnosing oophoritis:

1 Study of previous diseases. It is necessary to look at what the patient has previously encountered: abortion, difficult childbirth, ectopic pregnancy, inflammation of the appendages, sexually transmitted diseases. It is also necessary to study the symptoms of the current problem: types of pain and their place of manifestation, the presence of discharge, the general picture of well-being.

2 Laboratory research. Blood is taken for a sample. With oophoritis, the level of leukocytes increases. You also need to examine your urine and take a swab from the vagina and urethra.

3 Gynecological examination. The inflamed organ increases in size and becomes very painful. In addition, the mobility of the uterine appendages suffers.

4 ultrasound. All pelvic organs are examined, not just the reproductive system.

5 PCR, ELISA, RIF. Bacteriological analyzes are also carried out. This will help find the cause of the disease and identify hidden infectious processes. If there is a suspicion of gonorrhea or tuberculosis, additional tests will be required.

6 Hysterosalpingoscopy. Shows pathologies that arise from chronic inflammation. These are different formations, adhesions and scars.

7 Laparoscopy. Allows you to obtain the greatest amount of information about the disease. You can examine the organs of the reproductive system and make a diagnosis. The analysis is prescribed for long-term infertility. A study is also prescribed for pain in the lower abdomen that has no explanation. It will be necessary to carry out the procedure for oophoritis, which cannot be comprehensively cured. If laparoscopy diagnoses acute inflammation, then the study will reveal obstruction of the fallopian tubes and multiple adhesions. Laparoscopy helps to see any formations in the organs of the reproductive system. The more often the disease manifests itself and the longer it lasts, the higher the form of neglect will be.

Treatment methods

Treatment has several successive stages, which differ in methods and goals. The main thing is to resume the regularity of the menstrual cycle. It is necessary to methodically organize treatment so that the ovaries do not lose their functionality. This is especially important for women who are planning a pregnancy. When the ovary is functioning normally, infertility can be treated. If adhesions, purulent formations, or scars form, surgical intervention will be required.

Local preparations

  • Pain relief;
  • Disinfection;
  • Elimination of inflammation;
  • Antimicrobial action;
  • Regeneration;
  • Regulation of the immune system.

Many rectal and vaginal suppositories are available without a prescription. Usually the duration of treatment does not exceed 5-7 days. For complex treatment, you need to combine suppositories for inflammation of the ovaries with other means and methods of treatment.

Systemic application:

  • Drugs that can relieve pain and eliminate inflammation. These include Voltaren and Movalis. They relieve symptoms for 8-12 hours. The products are prohibited for use by those who have problems with blood clotting and certain diseases of the vascular system.
  • Vaginal antiseptic suppositories. You can buy Flowmizin, Hexicon or Chlorhexidine. They provide help right to the source of the problem.
  • Drugs that have an antimicrobial effect. These include Polygynax, Terzhinan, Betadine, Macmiror Complex.

When choosing how to treat ovarian inflammation, you need to settle on one drug. It is prohibited to mix many drugs at the same time.

Prevention

Measures to help prevent the disease:

  • Periodic examination by a gynecologist (it is optimal to visit the doctor twice a year);
  • Rejection of bad habits;
  • Use of protection during sexual intercourse, especially with private changes of partners;
  • Balanced diet;
  • Strengthening immunity;
  • Avoid hypothermia and colds;
  • Do not take antibiotics without a reason;
  • Take care of your own hygiene;
  • It is necessary to treat chronic diseases in a timely manner;
  • Sexual infections require proper and quick treatment.

Inflammation of the ovaries can lead to significant disorders of the reproductive system. It is necessary to select complex drugs. But drugs alone will not be enough. You will need to reconsider your views on lifestyle and eat right.

In folk medicine there are many recipes for the treatment of oophoritis. They can be used in addition to primary therapy or as preventive measures. The duration of treatment is long, but it is necessary to get rid of the disease. If you have sexually transmitted infections, you need to undergo treatment. It is not recommended to have sexual intercourse during therapy. Be healthy!

What is it - oophoritis? Long-term chronic inflammatory processes occurring in the pelvic area can lead to the development oophoritis - inflammation of the ovaries.

Among older women, there is an opinion that such problems can happen due to hypothermia (for example, sitting on something cold). However, hypothermia itself will not lead to oophoritis; for it to begin, rapid proliferation of pathogenic bacteria is necessary: ​​streptococci, gonococci, trichomonas.

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Mechanism of development of oophoritis

Inflammation of the ovaries is almost never an independent disease and does not occur instantly. Its development is preceded by certain stages:

  1. Bacterial growth in the uterus, cervix, fallopian tubes, or vagina.
  2. In order for the infection to spread beyond a specific organ of the reproductive system, the disease must be left untreated for a fairly long period. Therefore, inaction provokes the spread of infection to neighboring organs.
  3. In most cases, the fallopian tube becomes the conductor of pathogenic microbes to the ovary. Therefore, endometritis and various diseases affecting the flora of the vagina and cervical canal gradually rise up the oviduct.
  4. If the changes occurring in the body are still left unattended, then the infection first covers one ovary and then the other, even though they are located quite far from each other.

In more rare cases, it happens that oophoritis occurs due to a general serious infectious disease.

Signs of acute oophoritis

Acute oophoritis cannot go unnoticed, so a woman is forced to go to the doctor within a few days after its onset. This form of the disease is characterized by the following symptoms:

  • Presence of high temperature, above 38.5 degrees. Moreover, it either cannot be brought down, or already 30-40 minutes after the decrease, the temperature quickly rises again.
  • Sharp pain in the lower abdomen. If the oophoritis is unilateral, then pain and shooting are noted only on the side of the inflamed ovary. But often pain is noted in the lower back or sacrum, as well as in the thigh.
  • General weakness, dizziness, chills, pale skin are accompanying symptoms of oophoritis.
  • Frequent urination. If oophoritis is the result of an inflammatory process in the vagina or urethra, then going to the toilet may be accompanied by pain.
  • Diarrhea, frequent urge to defecate.

This condition requires immediate hospitalization. In addition, there is also a subacute form of the disease in which all the symptoms of acute oophoritis are observed, only not so pronounced.

Symptoms of chronic oophoritis

If the acute form of the disease was treated incorrectly or insufficiently, then it turns into chronic oophoritis. It is much more difficult to treat, and due to the fact that at times the pain subsides and the disease is latent, a woman can put off visiting a doctor for years.

This form of the disease is characterized by the following symptoms:

  • Aching pain in the lower abdomen. It is often impossible to determine its specific location. The pain is not constant - it subsides after taking analgesics, and the woman feels completely healthy until the next attack.
  • Vaginal discharge has an unpleasant odor and comes in large quantities all the time.
  • Menstrual irregularities
  • Constant detection of fluid in the retrouterine space on ultrasound (on different days and phases of the cycle).

Left-sided and right-sided oophoritis - features

If the root cause of the disease is endometritis or vaginitis, then the inflammatory process, as a rule, rises up both fallopian tubes.

Thus, not one, but two ovaries are often affected, which is why a diagnosis of “bilateral oophoritis” is made. But in milder cases, the inflammatory process is localized only on one side.

Features of right-sided oophoritis

Sharp pain on the right side of the patient is often confused with signs of appendicitis. Likewise, the abdomen is painful to palpation. However, in acute appendicitis, when pressing on the appendix and subsequent sudden release of pressure, the patient feels shooting pain.

Whereas in acute right-sided oophoritis, when the pressure is relaxed, a decrease in pain will be felt.

Features of left-sided oophoritis

Pain on the left side can radiate to the kidney, to the lower intestines. Therefore, at first, without having ultrasound results, you can associate a sharp deterioration in health with renal colic.

But the results of an examination of the pelvic organs will give a clear answer: if the diagnostician determines a significant increase in the size of the ovary, the gynecologist will diagnose “left-sided oophoritis.”

Treatment of oophoritis - drugs and methods

Oophoritis is treated both with medication and with surgical intervention. Physiotherapy is actively used as an auxiliary method.

Antibacterial therapy

The course of treatment for ovarian oophoritis should include antibiotics and anti-inflammatory drugs, with the help of which it is necessary to stop the inflammatory process.

Azithromycin is an antibiotic that is prescribed for infections caused by streptococci, staphylococci, chlamydia, ureaplasma, and mycoplasma.

However, its long-term use causes the body to become accustomed to the active substances of the drug. In addition, Azithromycin should be prescribed with caution if the patient has renal or liver failure.

Gentamicin is an antibiotic often prescribed to treat oophoritis. It is effective specifically for purulent inflammation and actively suppresses the proliferation of staphylococci.

However, the drug does not fight streptococci and treponema poorly, so before starting treatment, the doctor must find out what caused the inflammation.

Trichopolum is an antimicrobial drug often prescribed for infections of the reproductive system. A side effect is nausea that occurs 20-30 minutes after taking the pill, especially if the woman took it on an empty stomach.

Since acute oophoritis is accompanied by severe pain, the doctor prescribes analgesics to eliminate discomfort.

Surgical treatment

If the inflammatory process has entered an advanced stage, the patient often ends up with pus-filled fallopian tubes and the uterine cavity.

In this case, surgical intervention is performed using laparoscopy, during which the exudate is removed and the ovary is cleared of purulent tumors.

If the inflammatory process is serious and threatens the life and health of the patient, and it is not possible to stop it surgically, then ovarian resection or complete removal of the ovary and fallopian tube is performed.

Physiotherapy

When treating oophoritis with antimicrobial drugs, the doctor will prescribe physical therapy, which will speed up the body's recovery process.

  • Electrophoresis - in case of inflammation and the presence of purulent exudate, the procedure is carried out using absorbable drugs: aloe, lidase.
  • Autohemotherapy involves administering to the patient his own venous blood. The method was developed at the beginning of the last century and was used for infectious diseases.

Treatment prognosis and complications

If oophoritis is detected in a timely manner and proper treatment is provided, a woman can plan a pregnancy in the future and carry it to term quite successfully. The longer the trip to the doctor drags on, the more serious the consequences will be:

  • An advanced inflammatory process can be cured on the ovary, but getting rid of it from the fallopian tubes is much more difficult. Therefore, when planning to conceive in the future, a woman will have an increased risk of ectopic pregnancy.
  • The lack of correct and timely treatment of acute oophoritis will provoke its transition to a chronic form. This will entail ovarian dysfunction, which will certainly affect the possibility of conception and the hormonal background in general.
  • Oophoritis brought to an extremely serious stage will cause the removal of the ovary, fallopian tube, and in some cases even the uterus.

In case of inflammation of the ovaries, it is important to respond to a deterioration in well-being in the very first days - this is the key to successful treatment of oophoritis and the absence of negative consequences in the future.

Chronic oophoritis is a dangerous inflammatory process that affects the ovaries. The disease can cause serious complications. Treatment of chronic oophoritis must be carried out in a timely manner. Otherwise, the woman will develop infertility. The disease is difficult to treat, so its development cannot be allowed.

Damage to the ovaries can be unilateral or. In the second case, treatment is long and complex. The pathological process affects not only the ovaries, but also the fallopian tubes, which reduces a woman’s chances of becoming a mother.

Chronic oophoritis is characterized by the presence of mild pain and menstrual irregularities. The pathology develops slowly, and its course may be asymptomatic. In this case, the patient does not consult a doctor in a timely manner, which worsens her situation even more.

Chronic oophoritis has its own code in ICD 10 - 70. Its causative agents are chlamydia, E. coli, streptococcus, and even staphylococcus. The cause of inflammation is also tuberculosis, mycoplasmosis, and gonorrhea.

The mechanism of appearance is very simple. First, the pathogen enters the mucous membrane of the vagina and vulva. Further, through the cervical canal, the infection rises into the uterine cavity, and there it is not far from the ovaries.

Causes of the disease

The disease develops only if the infection can overcome the protective barrier of the genital organs located below. The following factors can provoke:

  • surgical or spontaneous abortion;
  • constant overwork or being in a state of stress (often these reasons provoke disruption of the female reproductive system);
  • constant change of sexual partners (increases the risk of infection);
  • dysfunction of the endocrine system;
  • surgical intervention (poorly performed surgery provokes infection in the ovaries);
  • hysteroscopy, as well as diagnostic or therapeutic curettage of the uterine walls;
  • complicated childbirth, which is accompanied by ruptures of the birth canal;
  • hormonal imbalance;
  • tumors localized in the uterus (gradually growing, they also provoke the development of the inflammatory process);
  • chronic inflammatory pathologies of the internal or external genital organs of a woman.

It is also important to know why oophoritis becomes chronic. This is facilitated by:

  1. Delay of treatment due to the patient’s untimely referral to a specialist. If you do not start taking antibiotics at the initial stage of development, then over time the disease will progress and it will be more difficult to cope with it. Sometimes pathological changes become irreversible.
  2. Use of insufficient doses of antimicrobial drugs.
  3. Incorrectly prescribed therapy regimen. Here, the treatment of chronic oophoritis causes great harm.
  4. Local or local hypothermia, too much physical exertion, nervous shock.
  5. Reduced immune defense of a woman.

Chronic oophoritis is quite difficult to treat, so it is better not to let the disease progress. In addition, a long-term inflammatory process can provoke serious complications that cannot always be dealt with. Pathology often leads to irreversible consequences - infertility.

Symptoms and signs of pathology

Oophoritis, if it has acquired a chronic form, proceeds in different ways. For example, sometimes it is asymptomatic. Most often, there is a sluggish nature with periodic exacerbations (maximum once a year). In some patients, oophoritis recurs more often.

The following symptoms and signs of chronic oophoritis can be distinguished:

  • severe disruption of the menstrual cycle (there is a large gap between menstrual bleeding or there is no bleeding at all);
  • moderate pain in the lower abdomen during sexual intercourse;
  • frequent relapses resulting from exposure to external factors (hypothermia, overwork);
  • lack of pregnancy, even if the couple is actively trying to conceive;
  • weak but constant discharge (leucorrhoea);
  • periodic dull and aching pain in the groin area and vagina, which can intensify due to some disease or before the onset of menstruation.

The whole insidiousness of chronic oophoritis, the treatment of which almost never begins on time, lies in its hidden course. It can develop without an acute period, so the patient does not even suspect the presence of an inflammatory process, and does not receive the necessary treatment when she needs it.

Oophoritis can cause problems with the nervous system and instability of a woman’s psychological state. She becomes irritable, her performance decreases, her sleep becomes poor, and she gets tired faster. The patient also begins to worry about not being able to get pregnant. Her emotional state destabilizes, after which her physical health deteriorates even further.

If the ovaries are not treated, the patient will experience pathological changes in the fallopian tubes, which will not allow the woman to become a mother. That is, pregnancy can occur, but it will only develop outside the uterus. In the worst case, the patient is diagnosed with “secondary functional infertility.”

From time to time, a sick woman experiences exacerbations, which are characterized by an increase in the intensity of symptoms. You shouldn’t ignore them and assume that everything will go away on its own. Also, you should not take anti-inflammatory and painkillers on your own.

Chronic oophoritis on an ultrasound image

Diagnostic features

The ineffectiveness of conservative treatment leads to the woman requiring surgical intervention. The doctor decides which procedure will be used depending on the severity of the woman’s condition. Here the ovary being treated or the affected organ can be removed along with the uterus and fallopian tubes.

Chronic oophoritis should be detected correctly and on time. Diagnostics involves the following procedures:

  1. Questioning the patient. The doctor must find out whether the patient has had a history of abortions or surgical interventions.
  2. External examination and palpation by a gynecologist. Here the specialist is able to see discharge from the cervical canal. In the presence of chronic oophoritis, overhanging and thickening of the vaginal vault occurs, which can also be detected by palpation. If the doctor pulls the cervix, it hurts the patient. The ovaries are enlarged upon examination.
  3. Smears of the cervix, as well as the walls of the vagina, which should show the cellular composition of the sample, as well as its microflora. For maximum diagnostic accuracy, a PCR reaction is performed.
  4. Biochemical and general blood test. This way you can determine the level of ESR, which in chronic oophoritis is slightly, but increased.
  5. Blood test for antibodies to infections: hepatitis, syphilis, HIV.
  6. General urine analysis.
  7. Ultrasound of the ovaries and uterus with appendages. Here, signs of chronic oophoritis are found, such as enlarged ovaries, and fluid collects in the abdominal cavity.

The diagnosis of this disease should be differential so as not to confuse it with other lesions of internal organs that require immediate treatment.

Ultrasound examination of ovaries affected by chronic oophoritis

Features of treatment

Therapy for oophoritis should be comprehensive and long-term. The disease must be treated with medications, physiotherapeutic procedures, folk remedies and other methods. As for conservative therapy, the following medications are used:

  • antibacterial and antimicrobial: Amoxiclav, Ofloxacin, Ceftriaxone;
  • anti-inflammatory: Indomethacin, Ibuprofen;
  • general strengthening agents and multivitamin complexes;
  • light sedatives, as the patient becomes irritable, her emotional and psychological balance is disturbed;
  • tablets to normalize the menstrual cycle;
  • drugs to improve blood circulation in the pelvic organs;
  • multivitamins, as well as immunomodulators (the course is carried out 2 times a year).

Treatment of pathology must be done not only with medications, but also in other ways. Folk remedies can also be useful, but they should be used only after permission from a doctor.

As for other treatment methods, the patient is prescribed:

  1. Internal administration of tampons soaked in Vishnevsky ointment or Dimexide. This therapy allows you to quickly cope with pathogens.
  2. Gynecological massage.
  3. Plasmapheresis (purification of blood plasma).
  4. Physiotherapeutic procedures: ultraviolet irradiation, electrophoresis with the use of anti-inflammatory drugs, UHF. These treatment methods are in addition to conservative therapy.
  5. Physiotherapy. It is necessary to do not only breathing exercises, but also exercises to strengthen the pelvic floor muscles. This will improve blood circulation in the muscles and tissue nutrition.
  6. Spa treatment. Particularly beneficial is the use of mud baths.

If inflammation occurs during pregnancy, then any antibiotic is not only ineffective for treatment, but can also cause significant harm. Therefore, you should not take any measures arbitrarily.

Chronic oophoritis can also be treated with the help of folk remedies, but before that it is better to consult a doctor. The following recipes will be useful:

  1. You need to mix the grass of sweet clover, centaury, and coltsfoot flowers in equal parts. Next, 1 tbsp. l. The mixture needs to be poured with a glass of boiling water. After infusion, the product should be taken 1/3 cup up to 6 times a day. The course of therapy lasts 1 month.
  2. You need to take 50 g of juniper berries and stems and throw them into a bucket of boiling water. It will take 2 hours to infuse. This product is used for baths.

To prevent oophoritis from appearing at all, you must follow some rules. For example, you should not have sex without barrier protection. You should not change sexual partners frequently. Every year a woman needs to be examined for the presence of sexually transmitted infections in the body. At the first symptoms of pathology, you should consult a doctor.

The problem of pregnancy with chronic oophoritis

Many women have one question: if they develop chronic oophoritis, will it be possible for them to become pregnant. It should be noted that any violation of the functionality of the ovaries does not have a very good effect on the possibility of conception. Including chronic oophoritis.

The fact is that the disease cannot always be detected in a timely manner. This does not make it possible to treat pathology at an early stage of its development, when pathological changes have not yet affected the fallopian tubes. Long-term course of oophoritis leads to the following complications:

  • dysfunctions of the hormonal system, which can provoke miscarriage in the early stages;
  • inflammation of the fallopian tubes, in which adhesions appear in them, preventing the normal passage of the egg into the uterine cavity (an ectopic pregnancy may occur);
  • disruption of the full process of producing female germ cells, lack of ovulation, which can lead to infertility;
  • intrauterine infection of the fetus.

As you can see, chronic oophoritis should be treated before planning pregnancy. Otherwise, danger may threaten not only the expectant mother, but also her child.