Inflammation of the uterus (adnexitis or salpingo-ophoritis) is a major cause of infertility in women
The causes of infertility in women - and the main predisposing factors
. Therefore, it is important timely diagnosis of inflammation of the appendages, which is conducted on the basis of identifying the main causes and symptoms of the disease, confirmed by lab tests.
What may reveal gynecologist
First of all, the gynecologist is interested in women's complaints. Can alert one- or two-sided lower abdominal pain, painful menstruation, heavy menstruation long, acyclic bleeding and so on. If you suspect a adnexitis, he deliberately asks her about her past infectious-inflammatory processes of sexual sphere (including sexual infections), as well as possible colds, stress, heavy loads, abortion, gynecological procedures (including the introduction of an intrauterine device with for contraception), and so on.
Further gynecological examination
Gynecological examination: an important component of women's health
can confirm the diagnosis - to identify a single or bilateral painful increase in the uterus.
In order to detect the presence of an inflammatory process, blood is taken from a woman in the overall analysis. Elevated blood levels of white blood cells, a large number of granular white blood cells (granulocytes), accelerated ESR indicate the presence of inflammation.
ALWAYS microscopic examination of vaginal smears, cervical canal and the urethra, as well as microbiological examination of secretions (bakposev on nutrient media) to identify the infectious agent and its sensitivity to various drugs. Material bacterial inoculation test for the better by taking puncture posterior vaginal vault or during laparoscopy. A study taken from the vaginal secretions is not always a high degree of certainty.
To detect intracellular pathogens (Chlamydia, Mycoplasma, Ureaplasma) used cytological diagnostic methods (cell tissue taken laparoscopically examined under a microscope) and immunological methods (determination of the type and amount of antibodies to various intracellular pathogens).
To identify complications adneksita from the urinary tract is performed urinalysis, which revealed characteristic changes in these diseases.
With transabdominal (through the abdominal wall) ultrasound can detect inflammation of the fallopian tubes and ovaries, the presence of abscesses, hydro or piosalpinks and establish the nature of fluid in them. Difficulties during ultrasound occur in a slight increase in the fallopian tubes, adhesions and significant development for a large amount of fat in the anterior abdominal wall.
Transvaginal ultrasound sensor (the sensor is installed in the vagina) to identify subtle changes in different segments of the fallopian tube. If you suspect a adneksit survey is conducted using transabdominal and transvaginal probes.
Inflammation of the appendages - diagnostics using laparoscopy
In some cases, further diagnosis adneksita and extent of its spread is performed diagnostic laparoscopy - endoscopy of the surface of the ovaries and fallopian tubes using a laparoscope optical apparatus. Diagnostic laparoscopy is an invasive examination method that is associated with the penetration into the body through the skin. At the same time the skin anterior abdominal wall make several mini-incisions through which the input of the optical system, which eliminates then the image on the screen.
The study not only allows a good view of the fallopian tubes and ovaries, but also to take the material for cytological, histological and microbiological studies. After diagnostic laparoscopy, the doctor usually knows all about the state of his patient.
Inflammation of the appendages - diagnostics using hysterosalpingography
Hysterosalpingography - this X-ray of the uterus and appendages with the introduction of a contrast agent. It is used to determine the permeability of the fallopian tubes and the severity of pathological changes in them in chronic adnexitis
Chronic adnexitis: dangerous consequences
The correct diagnosis of inflammation of the uterus
Inflammation of the uterus - is one of the most common gynecological diseases
It can be made only after a comprehensive examination of the patient. That correct diagnosis is a guarantee that a woman will be assigned to appropriate treatment.
- inflammation of the appendages