Salpingitis is an inflammation of one or both of the fallopian tubes, most often associated with a uterine infection (endometritis). This infection concerns anatomically the uterus and its annexes, it affects the whole reproductive tract, there is talk of utero-adnexal infections.
How is the disease transmitted?: :
The migration of the bacteria responsible is most often in an upward, direction that's to say that the bacteria migrates from the vagina, perineum.-85% of cases are sexually transmitted. The main organisms implicated are :-Chlamydia trachomatis (60%).-Neisseria gonorrhea otherwise known as gonococcus(10%)..-Bacteria of gastrointestinal origin: Escherichia coli, Proteus, Klebsiella..-Bacteria rarely involved: Mycoplasma, streptococci, staphylococci.-15% of cases are iatrogenic, secondary to intrauterine invasive procedures, such as curettage, abortion, IUD, hysteroscopy, hysterosalpingography.
In terms of prevention ….
It is important to mention the key risk factors for salpingitis: :-young age -intrauterine contraceptive -early first intercourse -low socio-economic status-multiple sexual partners -history of STDs
What are the suggestive symptoms
Symptoms will vary depending on the causative bacteria and you have to be alert to the emergence of a combination of symptoms such as: :-frank infection syndrome, with fever> 38 ° C -pelvic pain, more or less associated with pain in liver -purulent vaginal discharge -metrorrhagia -urinary symptoms such as burning on urination, urinary urgency, leaking. -Clinical signs in the partner
How will the diagnosis be confirmed?
The doctor will perform as at each visit an examination and a physical examination to enable them to consolidate the symptoms complained of by the patient concerning the syndrome! To confirm the diagnosis, isolate the causative bacteria and eliminate the associated infections, your doctor may prescribe: -a battery of biological and infectious samples -blood tests and search for causative bacteria in sexually transmitted -diseases in the patient and / Partners -local bacteriological samples -a morphological examination -pelvic ultrasound -Surgical exploration at the slightest doubt about the diagnosis, laparoscopic -
What are the possible complications?
-Acute complications salpingitis is a severe infection, it is important to take care of early. Risks otherwise are: -formation of a pelvic abscess -peritonitis (infection / inflammation of the abdominal cavity) Late complications -tubal infertility: In fact the major risk is tubal dysfunction due to scarring of the tubal salpingitis -ectopic pregnancy (EP): A history of sapingitis multiplies by 10 the risk of an ectopic pregnancy -recurrence -Chronic salpingitis favored by initial unadapted treatment or inadequate treatment -chronic pelvic pain -repeated early spontaneous abortions
What is the treatment?
It is necessary to hospitalize the patient in the gynaecological ward. The treatment is based on the prescription of antibiotics intravenously initially. This antibiotic is prolonged in time (21 days in total minimum) The treatment for pain will be by taking painkillers such as paracetamol, antispasmodics, and some physical measures such as applying an ice pack on their stomach. It is possible that the use of surgery is necessary, for the 3 following cases -diagnostic -prognostic - therapeutic, an estrogen pill will block the normal ovarian cycleThe / partners will be treated according to the bacteria involved.
Evolution :
The best test to know if the pelvic inflammatory disease is cured is an evolving intrauterine pregnancy
Les informations fournies sur ce site sont destinées à améliorer, non à remplacer, la relation qui existe entre le patient (ou visiteur du site) et son médecin.
Victor Hugo