Signs of inflammation of the right ovary. Inflammation of the ovaries and fallopian tubes. Inflammation of neighboring organs

The first sign that inflammation of the ovaries (female reproductive glands) has begun is a severe nagging pain in the right or left lower abdomen. If a girl experiences feelings of this nature, she should immediately seek treatment. The consequences of gynecological disease are serious - early menopause, long-term infertility. Every woman needs to know what the inflammatory process in the ovaries is and how to recognize it.

What is ovarian inflammation

To understand what oophoritis is in gynecology (as doctors call inflammation), you need to understand its nature. Oophoritis is provoked by pathogens that rise from the fallopian tubes or cervical canal. Sometimes infection of the ovary occurs through blood or lymph, then even banal caries or tuberculosis can become the causative agent. Symptoms of oophoritis are often confused with other diseases, so diagnosis of inflammation includes ultrasound, blood tests, urine tests, and smears.

Oophoritis can be unilateral (only the right or only the left ovary) and bilateral (both ovaries are inflamed). It can manifest itself in acute (subacute) and chronic forms. Accompanied by a violation of the correct location of the pelvic organs, enlarged ovaries, adhesions, up to an ovarian cyst. There are concomitant diseases: with acute and chronic adnexitis, the appendages become inflamed, with salpingitis – the uterine cavity, the tissue of the fallopian tubes.

Causes

The causative agents of infection are the viruses of chlamydia, trichomoniasis, gonorrhea, tuberculosis, mycoplasmosis, inhabitants of the pathogenic microflora of the female genital organs (streptococci, candida, E. coli). The disease can be triggered by external factors: hypothermia, complications after infectious diseases, abuse of antibiotics, hormonal drugs, injuries during a gynecological examination of a woman, the use of an intrauterine device.

Symptoms

Signs of inflammation of the ovaries and appendages in women in its acute and chronic forms differ. The acute form of the disease is characterized by:

pain, pain when urinating due to infection of the cervical canal;
pain in the lower abdomen due to adhesions in the ovarian tissues;
fever, weakness due to infection;
dull pain in the lower abdomen during sexual intercourse due to damage to the fallopian tubes;
disruption of menstruation due to the formation of a persistent focus of inflammation in the pelvis;
purulent discharge or leucorrhoea.

Symptoms of ovarian inflammation in women in its chronic form (chronic oophoritis):

dull, aching, nagging pain in the lower abdomen, in the vagina, which intensifies before and during menstruation, during hypothermia, during sexual intercourse;
leucorrhoea;
erratic menstruation;
difficulty conceiving;
decreased sex drive;
causeless irritability;
insomnia, anxiety;
high fatigue, decreased performance.

How to treat ovarian inflammation

The sooner a woman begins treatment, the higher the chance of overcoming the disease without complications. You need to take care of prevention and go to the gynecologist as soon as the first symptoms of oophoritis, salpingitis, and adnexitis appear. He will prescribe an ultrasound for the woman, look at the results in the photo, and conduct tests, including culture for bacteria from the vagina. Features of treatment depend on what stage the inflammation is at, what causes it, and how it proceeds. It is extremely dangerous if the disease is detected in a pregnant woman. This is a threat to the life of the woman and the fetus.

Chronic

Treatment of the disease comes down to pain relief, restoration of reproductive function and the formation of beneficial microflora of the woman’s genital organs, which has an anti-inflammatory and antimicrobial effect. The doctor prescribes anti-inflammatory drugs, immunomodulators, physiotherapy - mud therapy, mineral baths, gynecological massage, acupuncture. Treatment of chronic ovarian inflammation takes a long time and sometimes requires surgical intervention.

Acute

Exacerbations of adnexitis and oophoritis are treated in a hospital. It is important to suppress the pathogen as quickly as possible before the disease enters the chronic stage, so antibiotics (based on the results of flora culture) and anti-inflammatory are prescribed. Droppers are used against intoxication, and general strengthening agents are administered - vitamins, antioxidants. To restore sexual microflora, a probiotic is given. Therapy necessarily includes painkillers.

How to treat ovarian inflammation in women

Drug treatment includes drugs of several groups - anti-inflammatory, to increase immunity, painkillers, antiviral (antimicrobial), physiotherapy. An antibiotic for inflammation of the ovaries in women is prescribed selectively, based on culture results. During the treatment period, a woman should avoid sexual intercourse and alcohol. The woman undergoes the examination together with her sexual partner, and if necessary, he is also prescribed treatment.

Pills

To relieve inflammation of the tissue of the fallopian tube or ovary, drugs are prescribed according to one of the following regimens: Ceftriaxone or Cefotaxime with Metronidazole plus inhibitors, or Ofloxacin or Ciprofloxacin with Metronidazole plus Doxycycline. It is advised to take vitamins E and C, painkillers - Tempalgin, Pentalgin, Analgin, Spazmalgon, Aspirin. Gynecologists use other pills for ovarian inflammation:

Amoxiclav;
Azithromycin or Sumamed;
Biseptol;
Urotropin;
Trichopolum;
Clindamycin;
Gentamicin;
Negroes;

Candles

If necessary, the doctor can prescribe topical medications to the woman - suppositories. Depending on the situation, two types are used - anti-inflammatory and antimicrobial (antiviral). Suppositories are characterized by an almost complete absence of side effects, only sometimes patients complain of itching or burning. Chronic inflammation cannot be cured with suppositories alone.

The following types of suppositories have a strong therapeutic effect for oophoritis:

Hexicon - inhibits the causative agents of oophoritis, is a prophylactic against thrush;
Betadine is an antimicrobial, antiviral, bactericidal agent, characterized by a gentle effect on the mucous membrane of the genital organs due to the base - gelatin, water;
any suppositories with indomethacin, propolis, oak bark or walnut - soothe, relieve inflammation, pain and other discomfort from oophoritis.

Inflammation of the appendages in women is an infectious pathology, and the process affects the ovaries or fallopian tubes, but not the uterus itself. Penetration of the infectious agent into the body occurs in various ways.

The disease can proceed without symptoms for a long time, sometimes characterized by the appearance of pain in the lower abdomen and menstrual irregularities. Treatment is aimed at destroying the pathogen and restoring the function of the uterine appendages.

Causes

Why do women experience inflammation of the appendages, and what is it? In medicine, this disease is called salpingoophoritis. If the inflammation affects only the fallopian tubes, then salpingitis is diagnosed. An inflammatory process that affects only the ovaries is called oophoritis.

The development of the inflammatory process in the uterine appendages occurs under the influence of pathogenic and conditionally pathogenic microorganisms. There are two types of disease:

specific adnexitis caused by diphtheria bacteria, tuberculosis bacillus, gonococci;
nonspecific salpingoophoritis, caused by viruses, fungi, E. coli, streptococci, staphylococci, mycoplasmas, chlamydia and other microorganisms.

Penetration of infection into the uterine appendages can occur in the following ways:

ascending (pathogenic microbes from the vagina penetrate the uterus, bypassing the cervical canal, into the tubes, and then can enter the ovaries);
descending (there is already inflammation in the abdominal cavity, which gradually spreads to healthy tissue);
hematogenous (microbes enter the fallopian tubes and ovaries with blood from other internal organs).

The likelihood of inflammation of the appendages increases with the action of provoking factors on the body:

hypothermia;
weakened immunity;
using a contraceptive method such as an intrauterine device;
unprotected sex;
childbirth or abortion.

can occur in three forms:

acute;
chronic;
latent (asymptomatic, or sluggish).

The disease can be diagnosed at any age. Both young girls who are not sexually active and older women who have reached menopause turn to doctors for help.

Symptoms of inflammation of the appendages

In the case of inflammation of the appendages in women, the presence of certain symptoms depends on certain factors:

pathogenicity of the ingested microorganism, its type;
on the course of the disease, whether it is an acute process, with pronounced symptoms, or chronic, with erased, barely noticeable symptoms;
the girl’s body’s ability to resist microorganisms and fight the inflammatory process, from the state of the immune system.

In acute form women complain of the following symptoms:

tense abdomen in the lower regions;
, sometimes radiating to the legs or lower back;
increased body temperature (it can reach 39 degrees);
changes in the menstrual cycle (sudden bleeding or delayed menstruation);
vaginal discharge that is different from normal (it may be greenish-purulent or yellowish, thick or foamy).

An incompletely cured disease in the acute period can develop into chronic inflammation of the appendages, the symptoms of which depend on the period of remission or exacerbation. Every second woman with chronic adnexitis experiences the following pathological changes:

menstrual irregularities;
sexual function disorder;
concomitant diseases of the urinary organs (,), etc.

During the period of exacerbation, all symptoms characteristic of acute adnexitis resume.

Chronic adnexitis

Chronic adnexitis develops as a result of untimely or poor-quality treatment of the acute form of the disease; it occurs with periodic seasonal exacerbations. This form of inflammation of the appendages is characterized by the presence of dull, aching pain in the lower abdomen, radiating to the vagina and lumbar region. Palpation of the abdomen determines moderate pain.

Due to structural and functional transformations in the ovaries (lack of ovulation, hypoestrogenism), chronic inflammation of the appendages in women is accompanied by menstrual irregularities, which are manifested by oligomenorrhea (scanty periods), polymenorrhea (heavy periods), algomenorrhea (painful periods). Patients may also complain of a lack or decrease in sexual desire, pain during intercourse.

Diagnostics

The above symptoms may also be present in other diseases of the genital organs, so only a gynecologist can make an accurate diagnosis after examining the patient, collecting anamnesis, and the results of laboratory and instrumental studies:

Ultrasound of the uterus and appendages;
PCR diagnostics (vaginal smear), which allows you to identify sexually transmitted infections;
colposcopy (examination of the vagina and its walls);
bacterial sowing;
tomography;
laparoscopy.

Signs of inflammation of the appendages can be determined by the results of a blood test. During inflammatory processes, the blood formula changes significantly. In addition, during a gynecological examination at an appointment with a gynecologist, a woman feels severe pain in the ovaries and uterus.

Consequences

Any inflammation of the appendages is dangerous because the following complications are possible:

development into a chronic form;
infertility as a result of the adhesive process, which causes obstruction of the fallopian tubes and anovulation;
quite high risk of ectopic conception;
purulent complication (tubo-ovarian formation) - purulent melting of the ovaries and tubes, followed by an abscess.

Prevention

Visit a gynecologist regularly, do not resist an examination in the chair, and take smears.
Avoid hypothermia by dressing appropriately for the weather, changing clothes after swimming, and avoiding sitting on cold objects.
If termination of pregnancy is necessary, do it early or with the help of medications, or a mini-abortion (avoid curettage).
Cure teeth, intestines and other foci of chronic infection.
Use barrier methods of contraception.
Treat gynecological diseases in a timely manner.
Follow the rules of healthy eating.
Follow the rules of intimate hygiene.
Avoid douching.
Avoid stress.

Thus, inflammation of the appendages is a serious disease that requires timely treatment, which involves strict compliance with medical instructions.

Treatment of inflammation of the appendages

When diagnosing inflammation of the appendages, treatment in women should be comprehensive: a combination of medications with physiotherapy, gynecological massage, osteopathy, and physiotherapy.

The main point in the treatment of inflammation is antibiotics. They are selected with a wide spectrum of action and maximum half-life. In addition, the woman herself needs to monitor her lifestyle (proper nutrition, abstinence from sexual activity, physical exercise, smoking and alcohol should be stopped).

The disease cannot be neglected, since the inflammatory process soon becomes chronic, which leads to infertility.

Antibiotics for inflammation of the appendages

Antibiotics for inflammation of the appendages are the first and main condition that must be met for a favorable outcome of the disease. How to treat inflammation of the appendages, the dosage and number of doses for each individual woman is determined by a specialist, but we will give you the most commonly prescribed pairs of medications:

Nitroimidazole derivatives (for example, Metronidazole) to eliminate anaerobic flora that can live in an oxygen-free environment, such as gonococci (the causative agents of gonorrhea);
Inhibitor-protected penicillins (Amoxiclav), 3rd generation cephalosporins (Ceftriaxone), macrolides (Erythromycin), etc., which affect aerobic (living in an oxygen environment) flora;
Antifungal drugs (eg, Diflucan, Nystatin).

For the first three to four days until the condition normalizes, all these drugs are administered by injection. Then you can switch to tablet forms and reduce the dose.

Concomitant treatment

In addition to the prescription of antibacterial drugs, detoxification therapy is carried out (intravenous infusions of saline solutions, glucose, hemodez, rheopolyglucin and others in a volume of 2 - 3 liters).

Relief of pain and reduction of the inflammatory process is carried out using tablets. These are Diclofenac, Ibuprofen, Ketarol and other drugs. Be sure to prescribe vitamins C and B, as well as allergy pills.

When relieving an acute process and in the treatment of chronic inflammation of the appendages outside of exacerbation, physiotherapy is widely used: copper and zinc electrophoresis according to the phases of the menstrual cycle, electrophoresis with lidase or iodine, ultrasound, high-frequency pulsed currents (CMT, DDT). Also used in rehabilitation treatment are immunomodulators, autohemotherapy, injections of aloe, FIBS, Longidase, etc. For chronic adnexitis, sanatorium-resort treatment is indicated - mud, paraffin, medicinal baths and douching.

Suppositories for inflammation of the appendages

To reduce signs such as inflammation, pain, swelling, and temperature, special suppositories are used that can relieve inflammation. They can also prescribe suppositories that can strengthen the immune system, and this is very important for any illness. Also, such drugs cleanse the body of harmful substances.

All suppositories are prescribed by a doctor, but in any case such treatment will be additional.

Folk remedies

At home you can use some folk recipes:

Take 4 teaspoons finely chopped buckthorn, Chernobyl and peony roots, add 3 teaspoons of burnet and elecampane roots. After this, pour 2 tablespoons of the resulting mixture with half a liter of boiling water. Boil for half an hour over low heat, and then let cool for half an hour. Afterwards, strain and you can add a little honey for taste. You should take the product half a glass 3-4 times a day.
One tablespoon chopped dry boron uterus grass pour a glass of boiling water. Leave for 2 hours. Strain. Take 1/3 cup 3 times a day half an hour before meals. The course of treatment is 1 month. After a month's course of treating adnexitis with boron uterus, it is advisable to drink another infusion for 2 months - from the grass of the field grass. 1 tbsp. l. pour a glass of boiling water over the herbs, leave for 4 hours, strain. Drink 1 tsp. 30 minutes before meals 4 times a day.
Buldenezh should be collected at the very beginning of flowering (until insects infest them). A tincture of them has excellent antiseptic, anti-inflammatory and analgesic properties. A liter jar is filled with inflorescence balls, filled with vodka and sent to a dark, cool place for 15 days. This tincture is rubbed on the lower abdomen, and the inflorescences are applied in the form of compresses.
Take flowers of coltsfoot, sweet clover, centaury in equal proportions. Mix, after crushing, pour boiling water, let it brew for an hour, then strain the broth through cheesecloth and drink half a glass twice a day. During treatment, abstinence from sexual intercourse is recommended.

Remember that folk remedies are only a supplement and cannot in any way replace drug therapy prescribed by a specialist.

Today in our article we continue the women's theme and talk about inflammation of the ovaries, or as it is professionally called oophoritis. To initially find out whether you have inflammation, you need to answer a simple question - do you have pain in the lower abdomen more often than once a month during the period of regulation? If the answer is yes, then we strongly recommend contacting a gynecologist.

Read more about our current illness. Oophoritis belongs to the group of pelvic inflammatory diseases. And, unfortunately, it occurs quite often in young girls and women from 18 to 25-30 years old.

Often the cause of inflammation is infection that occurs through sexual contact.

However, sometimes inflammation appears as a result of the body’s protective reaction and has nothing to do with infections:

When the ovaries become inflamed, the entire area around them becomes inflamed, including the fallopian tubes.

The most serious consequence of oophoritis is infertility. If you want to have children of your own now or in the future, be sure to visit a doctor at least once every six months. Since in some women this disease occurs without symptoms, everything is discovered only when the woman comes to the doctor after she cannot get pregnant.

Indirect reasons can also be identified:

many stressful situations;
lack of sleep;
smoking;
overwork;
avitaminosis.

Kinds

There are two types of this disease:

Non-specific- when inflammation occurs due to opportunistic microbes, that is, those that are always present in the human body, but are activated only when the immune system is weakened. Due to stress, hypothermia. These microbes include staphylococci, streptococci, E. coli and candida fungus.
Specific- when oophoritis begins due to sexually transmitted infection (gonorrhea, trichomoniasis).

Symptoms

Speaking about symptoms, it is necessary to highlight the forms of oophoritis; of course, it manifests itself similarly in each form, but to varying degrees:

Acute inflammation. With this form, women immediately turn to the doctor, because they feel very severe pain not only in the ovarian area, but also in the groin area, aching pain in the lower back and sacrum. A woman may also notice:

increased body temperature and chills;
pain in joints and muscles, headache;
heavy discharge that may be clear, white, green, brown, bloody, yellow, or containing pus;
bleeding between regulae;
disruption of the menstrual cycle;
pain during sex;
indigestion;
fatigue, nervousness, irritability, insomnia.

It is quite difficult to palpate the ovaries in this form of the disease, as they swell and cause severe pain.

Subacute inflammation. The symptoms of this form of the disease are similar to the acute form of the disease and occur only in patients with tuberculosis, so it is very difficult to recognize the symptoms, since they overlap with the symptoms of the main disease.
Chronic form when a woman did not consult a doctor in a timely manner or did not complete treatment for oophoritis. With this form, one can observe improvements in the condition interspersed with exacerbations. Provocateurs of chronic inflammation are colds and infectious diseases, physical or mental stress, and urinary tract diseases. In women who smoke and drink, the risk of a crisis increases greatly.

With a unilateral process, pain is concentrated at the site of inflammation. When the inflammation is located on the right side, it is very easy to confuse it with appendicitis. A very careful and clear diagnosis is needed.

Often, oophoritis that develops in the area of one ovary spreads to the second ovary. Women with a chronic form of the disease constantly experience discharge.

Diagnostics

First of all, the doctor:

Takes an anamnesis, asks the patient what procedures or operations she underwent, what illness she had, whether there were abortions, and it will also be necessary to talk about the contraceptives used. The specialist will listen to what you are complaining about at the moment, if and how much discharge there is.
Analyzes. Next, he will conduct an examination and prescribe blood and urine tests and an ultrasound of the pelvic organs. In tests for inflammation, an increased level of leukocytes will be observed, as in a smear.
In addition, it is assigned bacteriological examination, thanks to which it will be possible to find out what is the causative agent of inflammation and reveal hidden infections.
Laparoscopy It is considered one of the best diagnostic methods, since it allows you to fully examine the uterus, ovaries and fallopian tubes, and therefore make a more accurate diagnosis. In the chronic form of inflammation, adhesions and infection of the uterus are observed.

Laparoscopy

Treatment

The method of therapy is directly related to the form of inflammation, the root cause of its occurrence and symptoms. Often the treatment process is quite long, it includes antibiotics, suppositories, injections and infusions into a vein.

Never use folk remedies to treat appendages.

Only a qualified specialist can choose the right direction of therapy for you. Usually the disease is treated as follows:

Antibiotics, the choice of which depends on the causative agent of inflammation. Since it is very important that the dose of antibiotics properly ensures their high concentration at the site of inflammation, drugs with a long half-life are prescribed for therapy. In case of severe illness, a complex of antibiotics is prescribed.

Popular in treatment:

Amoxicillin, costs from 30 to 165 rubles;
Oxacillin, costs from 128 to 776 rubles;
Ampicillin, costs from 17 to 67 rubles.

They are believed to cause the least harm to the body. If a higher concentration of antibiotics is necessary, then antihistamines are prescribed in parallel in order to reduce the risk of intoxication (diphenhydramine, suprastin, etc.).

Vaginal suppositories that kill harmful microorganisms. They should include: betadine, chlorhexidine bicluconate and pimafucin. The most common drugs:

Hexicon suppositories are very popular; they cure sexually transmitted infections and are also a preventative against thrush. Costs from 58 to 297 rubles.
Betadine is an antiviral, bactericidal suppository. Since they are based on gelatin and water, they have a gentle effect on the vaginal mucosa. Costs from 166 to 863 rubles.

Any other suppositories that contain propolis, oak bark, or walnut, indomethacin are soothing medications and help relieve inflammation and pain.

Consequences and complications

The most serious danger is caused by bilateral chronic inflammation. The symptoms are not pronounced, as, for example, in the acute form. From time to time, a woman does not feel anything unusual, the therapy is not completed, due to which the production of hormones is disrupted. This is manifested by the absence of ovulation and, as a consequence, reproductive function.

Failure of the ovaries and hormonal imbalances lead to diseases:

mammary glands;
unnatural changes in the tissues of the uterus, which can cause malignant tumors.

You can also watch a video where they will tell you what oophoritis is and what treatment methods exist today.

Inflammation of the right ovary (right-sided oophoritis) is a disease that is one of the manifestations of the penetration of infection into the organs of the female reproductive system due to appendicitis or the presence of damage to the abdominal organs. It is accompanied by acute pain and its treatment without the use of antibacterial drugs is almost impossible. The symptoms of the disease are very similar to an attack of the appendix, and therefore patients do not always turn to a gynecologist at the first signs of the disease. The occurrence of an inflammatory process in the ovary on the right is associated with the anatomical features of the organ, and untimely diagnosis and inadequate treatment can cause the development of infertility in women.

Why does the disease occur?

Inflammation of the right ovary develops due to infection from neighboring organs:

appendix;
intestines.

There is another way of spreading pathogenic microorganisms - hematogenous. This is a descending infection, which most often provokes the development of an inflammatory process in the right ovary. When talking about the susceptibility of the gland to various diseases, doctors often associate the pathological process with the anatomical features of the organ. This primarily concerns more active blood flow and increased size.

Development on the right side can be caused by pathogenic microflora that penetrates the body under certain conditions. These pathogens include:

gonococci;
mycoplasma;
trichomanas;
chlamydia.

We must not forget about pathogenic microorganisms that are constantly present in the body:

staphylococci;
streptococci;
mushrooms.

Since initially in women the right ovary is slightly larger in size than the left, it is more actively supplied with blood and therefore there is a higher probability of infection entering here through the hematogenous route. The main danger of right-sided oophoritis is that the infection spreads rapidly and in a short time affects the paired left ovary. inflammation can cause disruption of the functionality of the gonads and the development of infertility.

Among other reasons for the occurrence of the disease, its development is facilitated by:

constant hypothermia;
long-term use of an intrauterine contraceptive device (coil in the uterine cavity);
violation of the integrity of the mucous membranes as a result of complex surgical interventions;
the disease occurs against a background of weakened immunity in the presence of other infectious diseases;
Chronic infectious diseases provoke the development of the disease due to a decrease in the quality of the body’s protective functions.

Doctors recognize pregnancy as a dangerous period. It is at this time that women experience a significant change in hormonal balance. No less dangerous are the days of menstruation, when the epithelium is rejected and the inner surface of the uterus becomes open to various types of infections. Infection is possible on the days of ovulation. The place where the egg is detached from the ovary is also a gateway for the penetration of pathogenic microorganisms, as a result of which the ovary can become inflamed.

Symptoms and diagnosis

The most characteristic symptoms of inflammation of the ovary on the right are often confused with the manifestation of other diseases, so a doctor can confirm a preliminary diagnosis after a detailed instrumental examination. However, the reasons for turning to a medical institution for qualified help are:

temperature increase;
sharp pain on the right, radiating to the groin and lower back;
the appearance of purulent vaginal discharge.

Pain increases during movement, especially when walking. Patients talk about constant chills, weakness, and dizziness. Right-sided oophoritis is often confused with appendicitis due to the localization of pain, but a sign of gynecological problems is leucorrhoea or purulent discharge with a strong unpleasant odor. In addition, with appendicitis, pain occurs sharply, and with inflammation of the right ovary, the severity of the pain increases gradually.

With right-sided oophoritis, there is no nausea and vomiting, as well as characteristic symptoms of peritoneal irritation. During a gynecological examination during a manual examination in the presence of an inflamed right ovary, the doctor notes pain when moving in the posterior vaginal fornix and painful displacement of the uterus. A detailed instrumental examination will help confirm a preliminary diagnosis, but a woman experiencing severe pain in the lower abdomen on the right should not refuse consultation with both a gynecologist and a surgeon. Oophoritis requires treatment with antibiotics, and it is impossible to eliminate the danger posed by the appendix without surgical intervention.

The absence of symptoms characteristic of appendicitis does not give full confidence in the correctness of the diagnosis, and the doctor gives the patient a referral for tests:

biochemical blood test;
general clinical examination of blood and urine;
a smear from the vagina and from the cervical canal of the cervix;
culture from the cervical canal.

There are other symptoms that in women raise suspicion of gynecological problems:

pain during sexual intercourse;
significantly increased amount of vaginal discharge;
absence of menstruation or irregularity of menstruation;
changes in the nature, color and volume of menstrual blood released;
painful and frequent urination.

All this forces women to turn to an experienced, competent gynecologist to receive timely, qualified help.

Clinical picture and features of treatment of the disease

Inflammation of the ovary on the right appears in women in several forms:

Acute develops suddenly, accompanied by severe pain, cramping, fever, and weakness. The patient takes a gentle position, trying to bend and avoiding unnecessary movements.
Subacute is rare, and with timely contact with a specialist, it is quickly cured, and the lack of adequate treatment threatens to become chronic.
The chronic form of right-sided oophoritis is the most dangerous. A prolonged course does not always allow for a correct diagnosis and selection of the most effective medications. The infection spreads to the left ovary, tubes and uterus, causing infertility. The treatment is long and quite complex.

Each form of the disease is characterized by the presence of pain in the right side of the abdomen, but with chronic inflammation, a large radius of scattering of foci of the pathological process and damage to several organs is possible. In this case, in addition to malaise and fever, the woman is bothered by aching or sharp pain, discomfort and pain during sexual intercourse. Patients say that it is difficult for them to walk and lift weights. All movements or lifting and moving heavy objects are accompanied by increased discharge of leucorrhoea from the vagina.

Severe pain and hyperthermia are caused by a noticeable increase in size of the diseased right ovary. In particularly difficult cases and in the absence of timely adequate treatment, the formation of adhesions, fusion of the gland with the fallopian tube and the formation of an abscess are possible. affects the pelvic area, and further treatment requires surgery.

Effective therapeutic measures can be started after the source of inflammation and the source of infection have been identified. This will allow you to choose the right antibacterial drug, since treatment will not be successful without the use of antibiotics. Features of therapy depend on the form in which the disease occurs. The acute form is treated strictly in a hospital setting. All activities are aimed at:

pain relief;
elimination of accompanying manifestations in the form of high fever, headache, weakness, chills, and sleep disturbances.

The patient is prescribed bed rest, desensitizers and antibiotics are prescribed. Vitamin therapy is carried out and general strengthening drugs are prescribed. The subacute form, in addition to all the listed methods of therapy, requires physiotherapeutic procedures, but the patient remains in the hospital until complete recovery.

A diagnosed chronic inflammatory process in the right ovary can be treated on an outpatient basis. Such treatment takes a long time and is associated with certain difficulties. Before medications for drug treatment are selected and prescribed, doctors will have to conduct a detailed examination and determine the boundaries of the pathological process and the organs affected by it. Depending on the severity of the disease, methods and means of combating the disease are selected.

In addition to drug treatment, a variety of physiotherapeutic procedures are also required. They are selected exclusively by a qualified physiotherapist in consultation with a gynecologist. Manipulations may include:

hirudo- and magnetic therapy;
laser exposure;
acupuncture;
electrophoresis;
massage.

All of them help to avoid the formation of adhesions, restore quality blood flow and activate blood circulation. Physiotherapy treatment and acupuncture can help relieve pain without taking unnecessary medications. It is impossible to avoid the prescription of vitamin complexes, immunomodulators and restoratives.

It is impossible to cure right-sided oophoritis without prescribing antibiotics, so it is important to correctly select the most effective antibacterial drug. This choice depends on the isolated pathogen, the severity of the disease and the form of its course. The selection is carried out individually in each individual case and depends on the sensitivity of the body to a particular drug and the resistance of the pathogen. The result of a bacteriological examination of the material obtained by taking a smear from the vagina will help to establish the level of such sensitivity.

Prescribing and taking any antibiotics before receiving the results of the study is strictly prohibited. The wrong choice of medication causes a significant deterioration in the patient’s general condition and the development of various complications. In addition to tablets and injections, women are prescribed therapy using rectal and vaginal suppositories containing anti-inflammatory and antibacterial substances, analgesics and antispasmodics.

The danger to the reproductive system is oophoritis or inflammation of the ovaries. This is an insidious disease that, without treatment, can lead to quite complex consequences, one of which is infertility. At the slightest suspicion of inflammation, you should consult a gynecologist, since recovery depends on the timeliness of the measures taken.

What leads to inflammation of the ovaries

Oophoritis occurs due to the spread of infections present in the body. The pathogen can enter through the cervical canal, fallopian tubes, uterus, blood, or from neighboring inflamed organs: the bladder, vagina or intestines. The disease almost never goes away as an isolated process; it is accompanied by inflammatory processes in the fallopian tubes.

Inflammation of the ovaries can be caused by various reasons. It can be caused by the presence of candida, staphylococci, E. coli, streptococci in the body, as well as pathogens of mycoplasmosis, gonorrhea, trichomoniasis, chlamydia or tuberculosis. Not only bacteria can lead to the disease; it can be triggered by the use of intrauterine devices, hypothermia and abortion.

There are factors that increase the risk of inflammation, these are:

overwork and frequent stress;
non-compliance with safety measures during sexual intercourse and promiscuity;
sexually transmitted infections;
complications during childbirth;
reduced immunity and the presence of diseases that contribute to its decrease;
menstruation and premature onset of sexual intercourse after abortion or childbirth;
abdominal surgery;
infectious diseases, such as flu or sore throat.

How does ovarian inflammation manifest?

There are 2 forms of oophoritis - acute and chronic. Each has its own symptoms.

Signs of acute inflammation of the ovaries:

constant pain in the lower abdomen, which resonates in the lower back and sacrum;
the presence of purulent or serous discharge;
pain during sexual intercourse;
presence of high temperature;
malaise and weakness;
frequent and painful urination;
the presence of bleeding between menstruation;
obvious symptoms of intoxication syndrome: loose stools and bloating.

Acute oophoritis has vague symptoms, so it can be confused with other diseases, for example, peritonitis, ovarian cysts, endometriosis and appendicitis. To make a diagnosis, additional diagnostics are required, which includes urine and blood tests, ultrasound, gynecological examination, laparoscopy and bacteriological examination.

ethnoscience

In addition to official remedies, there are many folk methods that promise a cure for oophoritis. They should be used with caution and only as an adjunct to prescribed treatment. Treatment of acute and chronic forms of ovarian inflammation differs:

in the acute form, only cold compresses and washings are used, for example, with arnica tincture;
in the chronic form, it is recommended to take warm baths with a decoction of yarrow or chamomile, mud baths, and also wrap the lower back and abdomen.