Left-sided oophoritis of the ovary. Treatment of oophoritis - drugs and methods

Oophoritis is an inflammatory process in the tissues of the ovary in the female body. The pathology affects absolutely all women, can be unilateral or bilateral, and differs from other gynecological diseases in its high rates of persistent infertility. The ovaries are glands of mixed secretion and are responsible for the hormonal background of the female body, as well as for the formation of eggs. The organs have good protection from infections and mechanical damage in the form of the pelvic bones.

Therefore, the inflammatory process occurs in them when pathogens enter from the underlying organs of the reproductive system (most often oophoritis occurs together with salpingitis, that is, inflammation of the fallopian tubes). The disease can be of either a specific or non-specific nature. When a pathogen enters to the ovarian zone, it is introduced into the gland from the outside. Then, during ovulation, when the mature follicle leaves the ovary, the infectious agent enters the organ, where it causes inflammation. Protective mechanisms that prevent the onset of the disease:

Vaginal microflora;
The presence of mucus blocking the lumen of the cervical canal;
Monthly renewal of the epithelium;
Peristalsis of the fallopian tubes (prevents the movement of particles to the ovaries).

Predisposing factors due to which oophoritis may occur on the right or left:

Miscarriage;
Surgical abortion;
Curettage of both therapeutic and diagnostic nature;
Invasive diagnostic interventions;
Pathological delivery;
Hormonal imbalance;
Chronic inflammation in the body (especially in the genitourinary system);
Oncology of the genital organs;
Infectious process in nearby formations (peritoneum, intestines, appendix).

The causes leading to pathology are infectious agents. A nonspecific type of disease is caused by:

Escherichia coli;
Proteus
Streptococcus;
Enterococcal pathogens;
Klebsiella.

A specific type of oophoritis is caused by:

Chlamydia;
Trichomonas;
Gonococci;
Ureaplasma and mycoplasma;
The causative agent of tuberculosis;
Anaerobes.

Depending on the type of inflammatory process, the symptoms of oophoritis differ.

Acute inflammation

Signs of oophoritis appear suddenly. The disease begins with fever, and the temperature rises to febrile and is accompanied by chills and general malaise in the form of dizziness, severe weakness and sometimes fainting. Then pain appears in the lower abdomen. If the oophoritis is bilateral, then the pain is localized throughout the entire groin area; if it is unilateral, it is on the affected side. The pain is cutting and gradually increases, and also intensifies when turning the body. Irradiation is observed in the area of the coccyx, perineum, lower back, and anus. Additional signs of bilateral oophoritis (as well as unilateral):

Purulent vaginal discharge;
Stool disorders;
Oliguria;

Subacute inflammation

The clinical picture is less bright. There is no fever or a low-grade fever is observed. The pain is pulling, aching, and even with a unilateral process it is difficult to determine the location. Additional symptoms include purulent and bloody discharge, and menstruation is also disrupted (in advanced cases, it stops completely). In addition, the woman may experience heavy bleeding.

Chronic oophoritis

The disease is considered chronic if its duration exceeds six months. The clinical picture of this pathology is weakly expressed, but during exacerbations the intensity increases sharply. Pain in the lower abdomen with chronic salpingitis and oophoritis is moderate, and the discharge is scanty and mucous in nature. The menstrual cycle in such women is disrupted and infertility develops. It is precisely because of the inability of such girls to get pregnant.

There is also a difference between the symptoms of bilateral oophoritis and pathology localized on one side. In addition to the localization of pain, which is either universal or bothers the patient on a certain side, there are other differences. A sign of right-sided oophoritis is. Left-sided oophoritis is characterized by diarrhea.

Diagnosis of oophoritis

The clinical picture of ovarian oophoritis is similar to acute abdomen and some other diseases, and therefore requires diagnostic confirmation. Diagnostic methods that are used for suspected oophoritis include:

Anamnesis collection. The doctor must find out whether the girl has had a miscarriage, had an abortion, or been examined by a gynecologist. You should also clarify the presence of inflammatory processes in the organs of the reproductive system.
Inspection. Carried out to detect discharge. Using the palpation technique, the gynecologist identifies pain in the area of the fallopian tubes and appendages, and can also determine the presence of adhesions.
Bacterial culture. To determine the type of pathogen, a smear is taken, after which sensitivity to antibiotics is additionally determined in order to prescribe effective drugs for the treatment of oophoritis.
Serological tests, as well as polymerase chain reaction, are used when a viral etiology of the disease is suspected.
Ultrasound diagnostics of the pelvic organs is the most informative. You can identify signs of an inflammatory process directly in the ovary, as well as detect purulent effusion.

Complications of oophoritis

If the symptoms of oophoritis are not identified in a timely manner and treatment is prescribed that does not correspond to the disease or type of pathogen, complications may develop. The main ones:

Intestinal damage (due to close proximity);
Infertility (difficult to treat or irreversible);
Spread of the process to the organs of the urinary system;
The development of an ectopic pregnancy, as well as painful menstruation;
Formation of adhesions;
Development of tumor processes in the woman’s reproductive system;
Hormonal imbalance due to loss of ovarian function.

To ensure that oophoritis does not end badly, at the first signs of pathology you should contact a gynecologist. And in order for the inflammation not to reach the ovaries at all, you need to carefully monitor the condition of the organs of the reproductive system and consult a doctor even at the stage of vaginal infection.

How to treat oophoritis?

First of all, therapy for this disease should be aimed at eliminating the pathogen, that is, antibacterial agents are used. However, there is a difference between treating the inflammatory process in the acute stage and the chronic one. Treatment of oophoritis in the acute stage:

Diet. During the fever stage, a woman should drink plenty of fluids. During illness, you should limit fatty, smoked and overly spicy foods. Nutrition should be balanced and contain as many substances necessary for recovery as possible: vitamins, minerals, amino acids.
Anesthesia. It is recommended to apply an ice pack to the affected area for a quarter of an hour at intervals of an hour. In severe cases, painkillers are used.
Etiological therapy. The basis of treatment is getting rid of the pathogen. For a bacterial infection, a woman is prescribed antibiotics (usually broad spectrum), for a fungal infection - antifungal (Ketoconazole), for a herpes virus - antiviral (Acyclovir). The course of treatment can range from a week to three, depending on the severity of the process.
Desensitization. It is carried out to prevent the disease from becoming chronic, as well as to avoid the development of autoimmune processes. Antihistamines are used.
NSAIDs. To eliminate all signs of inflammation, a woman should take non-steroidal anti-inflammatory drugs. They will also reduce pain and alleviate the general condition.
Vitamin therapy. To increase the body's immune strength and more effectively fight infection, a course of vitamins is prescribed.
Resorption. To prevent the formation of dangerous adhesions that will lead to infertility, you should take special medications, for example, Lidaza.
Local therapy. Treatment involves the use of NSAIDs and antiseptics, which are applied using irrigation, tampons or ointments into the vagina.

Treatment of chronic right-sided (or bilateral) oophoritis also involves fighting the pathogen, but special attention is paid to physiotherapeutic procedures:

Massage;
Electrophoresis (administration of drugs);
UHF (warming);
Plasmapheresis (blood purification);
Gymnastic exercises;
Trips to sanatoriums and resorts.

Also, a woman should regularly undergo a course of vitamin therapy as prescribed by a doctor, and, if necessary, take immunomodulators.

Treatment of oophoritis with folk remedies

In no case should you treat oophoritis using alternative medicine methods, as this can even be life-threatening. If a woman wants to have children and recover without consequences, she should contact a qualified gynecologist. However, folk remedies can be used in addition to the main therapy. Applicable:

Inside, an infusion of coltsfoot, sweet clover and centaury herbs;
An infusion containing oak bark, chamomile, sage and mallow is used topically;
Juniper is used for medicinal baths.

All remedies must be agreed with the attending physician and cannot replace full-fledged drug treatment. If you strictly follow all the doctor’s instructions and contact him early, the disease can be cured quickly and without consequences.

Oophoritis is an inflammatory process in the ovaries that causes damage to the woman’s genitourinary system. Let's consider the main causes of the disease, symptoms, diagnostic methods, methods of treatment and prevention. Oophoritis is a very dangerous disease for the female reproductive system. Due to the inflammatory process in the ovary, inflammation of the fallopian tubes is possible. Pathology occurs both in one ovary, causing unilateral oophoritis, and in both (bilateral inflammation of the ovaries).

If the inflammatory process is common to the ovaries and uterine appendages, then this indicates the development of salpingoophoritis or adnexitis.

The disease may have a specific etiology and is caused by pathogens such as gonorrhea, chlamydia, tuberculosis, and trichomoniasis. In some cases, inflammation is caused by nonspecific or conditionally pathogenic microflora, that is, streptococci, staphylococci, E. coli or candida. The disease can be triggered by hypothermia, the menstrual cycle, abortion, surgical manipulation of the genitals, or the use of an intrauterine device.

Often, inflammation of the ovaries is of a secondary nature, that is, it develops due to an infection arising from the uterus, fallopian tubes or cervical canal. In rare cases, pathogens of oophoritis penetrate the gonads through lymph and blood. Without timely treatment, the infection spreads to the fallopian tubes, causing them to thicken. Pathological changes in the ovaries negatively affect periadnexitis, and the accumulated inflammatory exudate causes the accumulation of pus and forms pyovar. Further spread of the infection extends beyond the ovary and is accompanied by pelpioperitonitis.

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The gonads are a paired organ; they are located in the pelvic area and perform a secretory and reproductive role. Inflammation of the ovaries on both sides is called bilateral oophoritis. The disease mainly affects young women who lead a free lifestyle. The lack of adequate therapy for oophoritis causes adhesions, and this is the main cause of female infertility.

Description of the pathology

Inflammation of the ovaries rarely occurs in isolation. More often, the fallopian tubes are involved in the process, then the disease is called salpingo-oophoritis. The pathology is acute and chronic, and with aggressive inflammation it can lead to purulent melting of tissues.

The disease rarely begins as a bilateral process. Usually, damage to one ovary creates conditions for the infection to spread throughout the pelvis. Then the other ovary also undergoes pathological changes.

The inflammatory reaction causes a disruption in the structure of the organ, and as a result, the function of the gonads - menstrual, endocrine, reproductive - also suffers. Bilateral oophoritis is a dangerous pathology that causes severe complications.

Causes

The main cause is infection from the fallopian tubes and vagina. The main causative agents of the disease are bacteria transmitted through sexual contact. These include:

In addition to sexually transmitted diseases, the cause can be common microorganisms - pathogenic cocci, E. coli. The inflammatory process is transmitted to the gonads from nearby parts - the intestines, the bladder. In addition to bacteria, 2-sided oophoritis can be caused by viruses. There are 2 types of sexually transmitted viral agents - cytomegaloviruses and herpes infection.

The disease is a consequence of medical gynecological interventions. During childbirth, curettage of the uterus there is an aggressive effect on the genital organs, which leads to their trauma and the development of local inflammation.

Predisposing factors are:

promiscuity;
taking antibiotics;
chronic stress;
hormonal disruptions;
vaginal douching;
chronic inflammatory diseases.

Kinds

The disease occurs in 2 forms:

Acute bilateral oophoritis. It begins with pronounced symptoms against a background of high fever. Intense pain syndrome appears, copious discharge of a predominantly purulent nature appears, and uterine bleeding often occurs.
Chronic bilateral oophoritis. It has similar symptoms that are less pronounced, but the disease is dangerous in terms of the development of complications.

Symptoms and signs

An acute process can be suspected based on the following signs:

Intense pain in both sides of the abdomen;
Fever;
Pathological discharge of mucous, bloody and purulent nature;
General symptoms of intoxication – chills, weakness, headache;
Urinary problems;
Frequent urge to defecate.

On examination, tension in the anterior abdominal muscles is observed, so the disease resembles an acute surgical pathology. It is necessary to exclude appendicitis, renal colic, and peritonitis.

Signs of chronic oophoritis:

Weak, non-intense pain in the lower abdomen;
Menstrual irregularities – scanty discharge, metrorrhagia;
Endocrine imbalance - decreased synthesis of estrogen and progesterone;
Pain during sexual intercourse;
Frigidity;
Infertility.

Signs of bilateral oophoritis in a chronic course are scant. A woman is periodically bothered by mild nagging pain in the abdomen, which gains strength before menstruation. Sometimes the disease is detected during an examination of a woman who comes to see her for infertility.

Is it possible to get pregnant and give birth?

Having heard the diagnosis of “inflammation of the appendages,” women begin to worry about their ability to conceive a child. Oophoritis and pregnancy do not go well together.

The disease is really dangerous in terms of the development of infertility, since inflammation of the appendages is accompanied by narrowing of the fallopian tubes. They become impassable for the egg. The chronic process leads to the growth of fibrous tissue inside the gonads, as a result of which they cease to produce eggs. The situation is aggravated by hormonal disorders, which can cause spontaneous abortion.

You can plan to conceive a child only after complete recovery. If pregnancy occurs due to an untreated disease, it may result in an ectopic pregnancy or miscarriage. Since the infection persists in the body, the woman risks the health of the child.

Pathogenic microbes can penetrate the uterus and cause intrauterine infection of the fetus. Ways of infection of a child with chronic oophoritis:

Hematogenous - with a viral infection, when pathogens penetrate the placenta along with the blood;
Ascending - microorganisms reach the embryo, moving through the woman’s reproductive tract;
Descending - with oophoritis, pathogenic organisms pass through the fallopian tubes;
During childbirth, the child comes into direct contact with the pathogen, or infection occurs by ingesting amniotic fluid.

The doctor prescribes courses of antibacterial drugs, you should not ignore them. If there is no positive dynamics and the appendages are enlarged in size, surgical treatment is performed. This helps maintain reproductive function and avoid intoxication of the body.

Diagnostics

The doctor will suspect the disease based on the following signs:

Pain on both sides of the abdomen;
Pathological vaginal discharge;
Swelling in the area of the inflamed ovaries;
Palpation of the ovaries causes pain.

To diagnose oophoritis, additional studies will be required - pelvic ultrasound using a vaginal sensor. During the examination, enlarged ovaries are found, devoid of the characteristic lumpy surface due to inflammation. Obstruction of the tubes, proliferation of fibrous tissue inside the gonads, and inflammation of the uterine body are often detected.

A laparoscopic examination will give a complete picture of the disease. During the manipulation, you can examine the condition of the gonads and other organs, as well as carry out some medical operations.

A microbiological analysis of mucus from the vagina and cervical canal is required. It helps to identify the causative agent of the pathology and select the necessary antibacterial medications.

Treatment methods

The acute form of oophoritis requires hospital treatment. The woman is prescribed complete rest and cold applied to the sore area. A combination of antibiotics is required, and they are used as early as possible - before test results are received.

Chronic bilateral oophoritis can be treated at home. Since the disease is fraught with serious complications, the woman is examined in detail and an individual treatment plan is selected.

Main groups of drugs:

Non-steroidal anti-inflammatory drugs - to eliminate pain and inflammation. Diclofenac, Ametotex, Indomethacin are prescribed.
Metronidazole is widely used in gynecological practice for the treatment of bilateral oophoritis. The drug acts on both bacteria and protozoa and is administered orally or by injection.
Painkillers are prescribed if necessary - Aspirin, Spazmalgon.
Enzymatic preparations are used for chronic bilateral oophoritis for the prevention and treatment of adhesions - Longidase.
Antibiotics to which microorganisms are sensitive - Amoxiclav, Tsiprolet, Doxycycline.
Anti-inflammatory suppositories - Hexicon, Terzhinan.

Possible complications

Consequences of acute inflammation of the appendages:

Diseases of the intestines and urinary organs;
Endocrine disorders;
Purulent melting of one ovary;
Irregular or heavy periods;
Development of peritonitis.

For chronic oophoritis:

Adhesions in the tubes that impede the passage of the egg, resulting in the development of infertility;
Chronic pelvic pain;
Sactosalpinx is a purulent cyst of the uterine appendages. A serious complication requiring immediate surgical intervention.

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Oophoritis is an infectious inflammation of the ovaries, which can occur both acutely and chronically. Regardless of this, it must be treated promptly with effective drugs, as otherwise it can cause serious consequences and unpleasant symptoms. How to treat inflammation of the appendages? This is discussed in this article.

Antibiotics

What to drink for this type of inflammation? The basis of therapy is antibiotics, since the process is infectious. And it is antibiotics that can suppress infection in the pelvic organs. Depending on the pathogen, the specialist selects one or another remedy in each specific case. Sometimes, when the pathogen is known, oophoritis can be treated with a narrow-spectrum agent that helps only against a specific pathogen and has less negative effect on the rest of the body. But most often it is broad-spectrum drugs that are prescribed.

This is especially convenient due to the fact that the results of bacteriological culture, which identifies the pathogen, are ready only 5-7 days after taking a smear. And treatment with antibiotics must be started as early as possible.

Penicillins

Your doctor will tell you how to treat the disease with drugs from this group. They have relatively few side effects but may not be very effective. Therefore, when prescribing such treatment, doctors usually have some backup antibiotic under consideration. This is due to the fact that the group is quite old, and many bacteria have already acquired resistance to it. The most commonly used drugs to defeat infection from this group are:

Ampicillin is taken 1-3 grams per day (but not more than 4 grams), with a single dosage of 250-500 mg;
Oxacillin 0.5 - 1 gram every 4-6 hours for patients weighing more than 40 kg.

These inflammation treatments are affordable, but are not suitable for those who frequently take stronger antibiotics.

Cephalosporins

A fairly modern group of drugs. These are highly effective and have a very wide spectrum of action, which, however, have a number of side effects (which are easily eliminated). The drugs can be administered by injection or orally in tablet form. The most commonly used means are:

Cefazolin injection 0.25 - 1 g, 3-4 times a day, but not more than 6 g, rarely - 12);
Cephalexin 250-500 mg every 6 hours for at least 7 days, in tablet form or by injection.

Another common drug in this group that can be used to treat ovarian inflammation in women is Ceftriaxone. But it is administered only by injection, which is not very convenient in cases where the patient is not hospitalized. The drugs listed above are also highly effective when administered orally.

Tetracyclines

While in general in medicine, drugs of this group are prescribed relatively infrequently, they are widely used in gynecology, due to the fact that they are highly effective against infections on the mucous membranes, and in particular, in the pelvic organs. They help cure not only inflammation of the appendages in women, but also concomitant infections, such as endometritis.

The most commonly prescribed drugs are Doxycycline and Tetracycline. How to use them?

Doxycycline - 200 or 500 mg per day (depending on the severity of the process), and then 100 mg every day for all subsequent days of treatment;
Tetracycline – 250-500 mg for adults, every six hours. The duration of the appointment is as prescribed by the doctor.

Treatment with these drugs is especially effective if they are used as part of complex therapy, in combination with other methods (physiotherapy, immunomodulation, etc.).

Aminoglycosides

Another extremely effective antibiotic for inflammation of the ovaries. This group of drugs is also highly effective in treating diseases of the reproductive system. It is characterized by relatively easy tolerability and few side effects. The most commonly prescribed drugs are Gentamicin or Kanamycin, which are taken as follows:

Gentamicin is taken for at least a week, the daily dosage is up to 500 mg of the active substance. It can be administered by injection or orally (in tablets);
Kanamycin is administered by injection at a dose of 500 mg, every 8-12 hours, for at least 5 days.

Quite rarely it causes dysbacteriosis, since it does not disrupt the microflora of the intestines and vagina as much as other groups.

Sulfonamides

Strong broad spectrum antibiotics. They are highly effective not only for inflammation of the ovaries in women, but also for many other types of inflammatory processes in other systems. They have a fairly significant number of side effects. Most often, one of the following drugs is prescribed:

Sulfasalazine – 500 mg 2-4 times a day, for at least a week. At the same time, the dosage is gradually reduced, reaching a minimum on the last day of administration;
Streptocide for adults: 500 – 1000 mg 5-6 times a day. Duration of treatment is at the discretion of the doctor, depending on the severity of the condition;
Co-Trimoxazole – 960 mg once a day or 480 mg – twice a day.

Only a doctor should prescribe such drugs. In fact, treatment of oophoritis with them is carried out quite rarely due to the effectiveness of other, less harmful and more common, remedies for inflammation of the uterine appendages.

Antihistamines

What it is? These drugs block the functioning of histamine receptors and prevent the initiation of an allergic reaction. Why take them for inflammation of the ovary? They prevent the growth of edema and relieve existing ones, which reduces pain and improves well-being.

Cetrin take 1 tablet once a day, or half a tablet every 12 hours;
Suprastin is taken one tablet (in adult dosage) once a day.

The second drug is considered obsolete. It causes quite strong drowsiness, and sometimes lethargy. This is especially important to take into account for those who drive a car. But it also relieves pain symptoms well.

Immune agents

They are especially indicated if autoimmune oophoritis is diagnosed, but are actively used for any other form and cause of the disease. Regular use of the drug helps to increase the body's immunity, which means giving it strength to fight infection. In the presence of these agents, treatment will be more effective.

Likopid - 2 mg 2-3 times a day or 10 mg once a day, depending on the severity of the process;
Interferon is prescribed exclusively by a doctor, depending on the individual reaction of the patient’s body;
Viferon suppositories are used one at a time every 12 hours.

Taking such drugs has a good effect not only on oophoritis, the treatment of which is discussed in this case, but also on the entire body as a whole.

Vascular agents

These tablets for inflammation of the ovaries are necessary because during the pathological process the microcirculation of blood in the pelvis may be disrupted. Taking such drugs leads to the fact that it is normalized, the tissues receive more nutrition, which means they can actively regenerate and recover.

Aescusan – 5-10 mg of active ingredient per day;
Ascorutin, one tablet every 8-12 hours.

Some medications may have a number of contraindications, so you should consult your doctor before taking them.

Means for restoring microflora

Antibiotic tablets for inflammation disrupt the microflora of the vagina and intestines, therefore, by curing ovarian oophoritis, you can get dysbacteriosis. A list of drugs that will help cope with them is given below.

Ketoconazole – 200-400 mg daily, at one time, preferably during meals;
Diflucan is taken one tablet every two or three days throughout antibiotic treatment;
Nystatin - 500 thousand units every 3-6 hours.

Various suppositories can also be used to treat dysbiosis.

It is important to note that the above are only approximate dosages. The doctor will select the most effective and safe treatment.

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Bilateral oophoritis is an infectious inflammatory disease of the ovaries. Oophoritis, along with adnexitis (inflammation of the uterine appendages), occupies a leading position among diseases of the female genital area. Women of childbearing age from 15 to 40 years are at risk; this disease is less common in girls or older women. The greatest danger is represented by double-sided oophoritis, since in case of untimely diagnosis and lack of qualified medical care it can cause secondary infertility.

There are many reasons; it can develop as an independent primary disease of the female genital area, and also be a consequence of other infectious-inflammatory diseases. In this case, they talk about secondary oophoritis.

There are two causes of inflammation:

Infections of the genitourinary system. Most often, the causative agents of 2-sided oophoritis are mycoplasma, ureplasma, chlamydia, gonorrhea, and tuberculosis bacillus. Sometimes bilateral oophoritis can occur due to infection with staphylococcus, streptococcus, E. coli or Candida fungi. Women who have many sexual partners and do not use barrier methods of contraception are at risk. Of course, there are known cases of infection not through sexual contact, but through domestic contact (in swimming pools, saunas, and other public places), but they are extremely rare.
Inflammatory diseases of other pelvic organs and urinary tract can also cause bilateral oophoritis. This occurs because pathogenic organisms spread beyond the primary focus of inflammation through the blood and lymph.
Surgical interventions, including abortions, can cause infection of the abdominal area.
A general decrease in immunity can provoke inflammation in the ovaries. The fact is that pathogenic microorganisms live in the body of a healthy person, but their number is so small (controlled by the immune system) that they are not capable of causing harm to the body. With a decrease in immune barriers, pathogenic microflora begins to actively multiply and causes inflammatory processes. This reason explains chronic oophoritis, which worsens precisely with a decrease in immunity.
Intrauterine contraception (IUD) indirectly affects the occurrence of bilateral oophoritis. When it is inserted or removed, pathogenic bacteria can enter the uterus. The source of inflammation occurs directly in the uterus, from there it spreads to the appendages, and from the appendages it passes to the ovaries. That is why oophoritis caused by this reason is often accompanied.
Lack of hygiene also affects the occurrence of the inflammatory process. In this case, we can talk about infection with staphylococcus or streptococcus, E. coli.

Forms and symptoms

Bilateral oophoritis can take the form of an acute, subacute or chronic disease.

In acute cases, severe pain is observed in the lower abdomen on both sides (since two ovaries are inflamed), and have a pulling or aching character. Sometimes patients complain of painful swelling in the ovarian area. Body temperature can reach high levels, up to 38 degrees. Unhealthy discharge from the genital tract appears. Depending on the pathogen, their color varies from milky to yellow or greenish. An unpleasant odor may be present. When infected with Candida fungi, the discharge is white and has a cheesy consistency, and patients complain of severe itching in the vagina.

An increase in body temperature to 38 degrees is one of the symptoms of bilateral oophoritis

If acute 2-sided oophoritis is treated incorrectly or untimely, it becomes chronic. Symptoms will differ from the acute course of the disease. Here, the main signs of bilateral oophoritis will be aching pain in the lower abdomen of medium or low intensity; there is usually no increase in temperature. Patients complain of a depressed emotional state, excessive irritability and a feeling of fatigue. Pain may occur during sexual intercourse. Discharge is also present even at the beginning of the cycle. The chronic course of the disease can cause disruptions in the menstrual cycle, as well as change the nature of menstruation (more abundant discharge than usual, or vice versa - very scanty).

The subacute form is rare and combines signs of acute and chronic oophoritis. It occurs suddenly, the temperature may rise and sharp pain in the ovaries may appear, but the next day the intensity of the manifestations is so low that patients do not consult a doctor. This is the insidiousness and danger of the subacute form of oophoritis - it often becomes chronic, the treatment of which is quite complex and lengthy.

Diagnosis of the disease

Diagnosis of 2-sided inflammation of the appendages includes several stages.

To begin with, the gynecologist collects the patient’s medical history, finds out the presence of chronic diseases, whether there have been abortions in the past, and analyzes the symptoms. Then he proceeds to the examination in the gynecological chair. An experienced doctor can already at this stage determine the presence of an inflammatory process in the ovaries - the appendages are enlarged in size, and the patient feels pain during palpation. However, in order to avoid erroneous diagnosis, as well as to exclude other diseases, additional laboratory and hardware diagnostic measures are carried out.

Samples are taken to determine pathogenic microflora, as well as blood from a vein and finger. Once the pathogen is identified, the doctor determines how to treat the oophoritis.

Additionally, an ultrasound examination can be performed to determine whether there are any formations (cysts) on the ovaries, which can also cause inflammation. After the diagnosis is made, the doctor determines what treatment would be appropriate in this case.

Treatment

To cure bilateral oophoritis, you need to carry out a set of measures:

Since inflammation of both ovaries often causes infertility, oophoritis should be treated on time and not wait for complications.

Prevention of 2-sided oophoritis

After the main treatment has been carried out, patients need to follow simple preventive measures to avoid relapse of the disease.

Use of barrier methods of contraception (condom) and avoidance of promiscuity.
Seek medical help in a timely manner to prevent complications and the disease from becoming chronic.
3. An integrated approach to treatment, compliance with all doctor’s recommendations.
4. Preventing hypothermia in the autumn-winter period.
5. Strengthening the immune system with the help of special medications, vitamin complexes, as well as proper nutrition and daily routine.

The above methods will significantly increase the chances of a full recovery and help avoid possible infertility.