Adnexitis treatment. Modern candles in the treatment of adnexitis Is it possible to cure adnexitis with antibiotics

Inflammation of the uterine appendages (adnexitis or salpingoophoritis) is an inflammatory disease of the ovaries and fallopian tubes. In Latin, the appendage is adnex, so inflammation, with the prefix -it, turns out to be adnexitis. Or in Greek: salpinx - fallopian tube, and oopron - ovary; inflammation is called salpingo-oophoritis.

Inflammatory diseases of the pelvic organs, in particular, of the uterine appendages, occupy the first place among all gynecological diseases. Their frequency reaches 65%. Every fifth woman who has had inflammation of the appendages is threatened with infertility, due to a significant adhesive (adhesive) process in the fallopian tubes, which can disrupt their patency; and dysfunction of the ovaries, as a result of inflammation. This is usually a violation of the process of maturation of the egg.

Among those factors that contribute to inflammation of the appendages, it is worth highlighting:

• the presence of several sexual partners, a high risk of infection with STIs (sexually transmitted infections);
• the presence of an intrauterine device, which leads to a condition chronic inflammation in the uterus and appendages, causing the formation of adhesions inside the uterus and tubes. No copper, silver, or even platinum wire will save you from infection;
• surgical abortion, which is a kind of “champion” in terms of the number of inflammatory complications caused in the uterine appendages;
• another provoking factor is the operation to remove the appendix and the subsequent adhesive inflammation, involving the right appendages.

The causative agents of salpingo-oophoritis are not individual microbes, but entire communities of microorganisms. Among them, STDs, predominantly sexually transmitted diseases, play a leading role. These infections have now become one of the main problems of obstetrics and gynecology. These infections are insidious, they are located inside the cells of the genital organs, eyes, mouth and throat.

When inflammation occurs, swelling of the fallopian tube is immediately formed, it thickens and lengthens. The multiplied microbes, together with the inflammatory fluid, pour out of the tube, infecting the ovary and peritoneal membrane. The inflammatory fluid contains a high content of sticky substances. They "glue" the fringed end of the tube, form adhesions with the ovary, intestine, pelvic wall, which turns the tube and ovary into a single complex. Depending on the contents, it is a water tumor (hydrosalpinx) or purulent (pyosalpinx). Further development the inflammatory process can lead to rupture of the bag with pus and the occurrence of inflammation in the small pelvis.

How to treat

First of all, a woman diagnosed with inflammation of the appendages should adjust her sex life, eliminating promiscuity and unprotected sex. You should also observe complete physical and mental rest, normalize nutrition. How do doctors suggest treating inflammation of the appendages? The main directions in the fight against the inflammatory process are:

• To relieve pain - non-steroidal anti-inflammatory drugs (ibuprofen, intomethacin and others);
• To strengthen the immune system - vitamins B, C and E;
• Physiotherapy - UV blood (blood detoxification, immunity activation and bactericidal effect), electrophoresis.

A separate place in the question of how to treat inflammation of the appendages is occupied by antibiotic therapy. Based on the fact that the root cause of the inflammatory process is the bacterial flora, antibiotics have the most effective effect on the source of infection. At the moment, the following groups of drugs are widely used:

• Inhibitor-protected penicillins, third-generation cephalosporins, macrolides that affect the aerobic flora;
• Nitroimidazole derivatives in anaerobic flora;
• Antifungal drugs.

The effectiveness of these antibiotics is evaluated on the first day of admission. If a positive effect is not achieved, the doctor may replace the antibiotic with another drug, and subsequently prescribe a surgical operation.

Candles

They are used to eliminate viral and bacterial diseases, with a course of no more than 10 days. The most effective time of administration is at night, the suppository is administered at bedtime, lying down, after the administration it is advisable not to get out of bed. They contain a drug that dissolves easily and is absorbed through the mucous membrane.

• Terzhinan. Treatment of infectious diseases, has antimicrobial and anti-inflammatory effects. It has great side effects that adversely affect the microflora.
• Polygynax. It has bactericidal, antimicrobial and antifungal effects. There are also great side effects.
• Klion-D. It gives a quick and effective treatment for infectious diseases of an inflammatory nature, plus an antibacterial and antifungal effect. Does not affect the microflora of the vagina.
• Pimafucin. They are used for antifungal treatment, for example, mycosis, candidiasis (thrush). It belongs to low-toxic drugs, but they remain very effective and do not give an overdose. Does not cause allergies, there are no contraindications for pregnant and lactating mothers.
• Betadine. They contain iodine, which has an active effect in the treatment of appendages. It is used as an antifungal treatment, as well as prophylaxis before and after surgery.
• Ketoconazole. Antifungal drug, helps with any fungal diseases.
• Livarol. To fight antifungal infections. Well suited for primary use, respects the microflora.
• Travogen. A broad-spectrum drug that treats fungal and mixed infections.
• Hexicon. Candles with its content are prescribed to fight infections of the appendages, sexually transmitted (STI). It is advisable to use them also for prevention purposes after unprotected sexual contact.
• There are no contraindications during pregnancy.
• Movalis. NSAIDs, has anti-inflammatory, analgesic, antipyretic effect.
• Candles with indomethacin. They are rectal and vaginal. They are non-steroidal anti-inflammatory drugs.

Active active ingredients that are part of various vaginal preparations for the treatment of appendages.

• Clotrimazole.
• Nystatin.
• Natamycin.
• Ketoconazole.
• Metronidazole.

Rectal suppositories
Rectal suppositories are basically all systemic (non-local) use, since drugs are better absorbed into the blood through the intestines, respectively, the recovery process will come faster. In the treatment of gynecological problems, rectal suppositories, unlike vaginal ones, should not go outside and remove microbes through the liquid. The drug should dissolve well and enter through the walls of the intestine into the blood and, accordingly, into the genitals.

The most popular rectal suppositories for the treatment of appendages belong to the category of NSAIDs - a non-steroidal anti-inflammatory substance (NSAID), fights the inflammatory process, lowers the temperature and dulls pain syndromes.

• Voltaren.
• Diklak.
• Ortofen.

For the female reproductive system, non-steroidal anti-inflammatory suppositories are prescribed, the active substance is:

• Diclofenac.
• Indomethocin.

Non-steroidal anti-inflammatory drugs have not only a literal effect (removal of inflammation), but are also a good pain reliever and antipyretic.

Antibiotics

In case of inflammation, doctors prescribe treatment with cefazolin - these are beta-lactam antibiotics, a group of cephalosporins that have a wide range of antimicrobial, bactericidal action.

Treatment with these antibiotics is performed only if the inflammation of the appendages was provoked by staphylococci, gram-negative microorganisms, pneumococci, etc. This drug is inactive against protozoan viruses, fungi and rickettsia, and indopositive strains of Proteus P.

The action of this agent is reduced to the fact that it inhibits the synthesis of cell membranes of the walls of bacteria.

Antibiotics "cefazolin" are prescribed after testing, during which the pathogen is determined. The dosage of the drug depends on the sensitivity of the bacteria to its action. Treatment with these antibiotics is performed when they are administered intravenously (drip or jet). The duration depends on the severity of inflammation of the appendages.

Ceftriaxone has a bactericidal effect by inhibiting cell membrane synthesis. In chronic inflammation of the appendages, ceftriaxone is injected into the body intravenously (that is, injections) once a day. The duration of treatment with the drug "ceftriaxone" is 7 days. Then the doctor may stop ceftriaxone and continue treatment with other medicines.

When taking ceftriaxone, you may experience malaise, nausea.

Azithromycin and sumamed
Antibiotic "azithromycin" with inflammation of the appendages with active action in the focus of infection, has a bactericidal effect in high concentrations. Treatment with this drug is not prescribed if the inflammation of the appendages was provoked by gram-positive bacteria that are resistant to erothromycin.

This drug can cure infections genitourinary system such as gonorrheal non-gonorrheal urethritis or cervicitis (this is an inflammation of the cervix). Before treating inflammation, it is necessary to determine the sensitivity of bacteria to its components. If the bacteria die under their action, then azithromycin is prescribed. Treatment is as follows: the drug should be drunk one hour before meals or 2 hours later, usually two tablets per day at a dosage of 0.5 g.

Antibiotics "Sumamed" also have a bactericidal effect in the focus of inflammation. Sumamed is prescribed for inflammation of the urethra and inflammation of the cervix. Sumamed is taken orally at a dose of 10 mg per 1 kg of body weight once a day. To cure the disease, three days of taking the drug "Sumamed" is enough.

Amoxiclav and amoxicillin
Amoxiclav is an antibacterial drug of combined action. The composition of the drug "amoxiclav" is amoxicillin, which is an antibiotic of the penicillin group, and clavulanic acid, an inhibitor of beta-lactamase microorganisms. Amoxiclav (particularly amoxylicin) is effective only against bacteria that are sensitive to it.

Amoxiclav is prescribed in the presence of infections urinary tract, in the presence of genital infections in women.

You can cure inflammation with the drug "amoxiclav" if you take pills, as follows: you need to dissolve one tablet in half a glass of water, then stir it in a glass until dissolved. You can also amoxiclav - a tablet to chew and drink.

Usually, daily dose the drug "amoxiclav" taken does not exceed 375 mg, that is, you need to drink 1 tablet every 8 hours (or three times a day). It should be noted that when acute inflammation severe, the dose may be increased to 625 - 2000 mg per day. Maximum daily rate for adults - no more than 6000 mg.

You can treat the disease if you administer the drug intravenously, for which amoxiclav is dissolved in water for injection (for 600 mg of the drug - 10 ml of water). The content is injected slowly over 4 minutes.

Also, the drug is called "Amoxiclav kvitkab." Before use, read the instructions.

Treatment can be carried out if you drink the drug "amoxicillin", which also has a bactericidal effect. Before prescribing treatment with the drug "amoxicillin", the patient takes the tests that are necessary in order to determine the degree of sensitivity of the flora that provoked the disease.

The dosage of the drug "amoxicillin" is assigned to each patient individually, taking into account the severity of the disease and the degree of sensitivity of the pathogen. That is why, before drinking "amoxicillin", you need to consult a doctor.

Doxycycline - tetracycline antibiotics
Doxycycline - available in capsules, active against a wide range of bacteria, has a bacteriostatic effect. Doxycycline is prescribed in case of inflammatory diseases of the pelvic organs in women (with endometritis), with infections urinary tract with chlamydia, mycoplasmosis, syphilis, gonorrhea.

The drug can be drunk after a meal, and then drink it with plenty of water. The daily dose is 2 tablets (100 or 200 mg), which must be drunk every 12 hours.
Also, the drug is administered intravenously, for which the contents of the ampoule are mixed with water for injection.

Tablets

Metronidazole belongs to the group of antiprotozoal and antimicrobial drugs. Given medicine effective against trichomonas, gardnerella, giardia and anaerobic bacteria (those bacteria that live and multiply in an oxygen-free environment). Metronidazole is not advisable to prescribe in isolation without the addition of antibiotic treatment, since it does not act on other microorganisms. In the treatment of inflammation of the ovaries, metronidazole in combination with antibiotics acts synergistically (that is, the detrimental effect on anaerobes is enhanced).

Metronidazole is available in solutions for intravenous infusion, in suppositories and in tablets. The package contains ten tablets, each containing 0.25 mg of the active substance. With inflammation of the ovaries, metronidazole is prescribed one to two tablets three times a day for seven to ten days.

Do not use the drug in the first trimester of pregnancy. In later pregnancy and during lactation, metronidazole is prescribed with caution.

TO side effects the drug include nausea, vomiting, headache, convulsions, fainting and other reactions from the central nervous system.

While taking metronidazole, you should refrain from drinking alcohol.

Nitrofurans often used in the treatment of inflammation of the ovaries in combination with antibiotics. Compared to antibiotics, nitrofurans are less effective, but have a detrimental effect on protozoa (Trichomonas), bacteria and large viruses. The mechanism of action of nitrofurans is based on the violation of cellular respiration of microorganisms and the suppression of the synthesis of nucleic acids. Preparations of the nitrofuran group are active against gram-negative (E. coli) and gram-positive bacteria, as well as some anaerobes and fungi of the genus Candida.

• Furadonin is prescribed 0.1-0.15 grams three to four times a day. The course of treatment is ten days.
• Furazolidone is taken orally after meals, 0.1-0.15 grams four times a day. The duration of treatment is seven to ten days.
• Furazolin is prescribed 0.1 gram 15-20 minutes after meals three to four times a day. The course of treatment lasts ten days.

Preparations of the nitrofuran group are not used in the third trimester of pregnancy and in the presence of allergic reactions. Side effects of nitrofurans include: nausea, vomiting, dizziness, headache, weakness, drowsiness and allergic reactions(rash).

injections

Usually, injections for inflammation of the uterine appendages are prescribed in case of severe symptoms of the disease. In a hospital, injections for inflammation of the appendages are given intravenously to quickly eliminate the infection.

Folk remedies

If a decision is made to be treated in a hospital, the drugs are prescribed by a doctor. If the woman is not pregnant, she will be prescribed antibiotics. The doctor may also prescribe additional treatment - physiotherapy. To remove an additional infection in the uterus and in the vagina, suppositories are prescribed.

There are also folk remedies treatment. They are painless and well remove the symptoms of inflammation. It is possible to treat the disease with folk remedies only together with antibiotics. They must destroy the causative agent of the disease, and folk remedies will remove the symptoms and prevent complications from developing.

• Bilateral inflammation of the ovaries can be cured with an infusion of juniper berries. To do this, pour 15 berries into a glass of water and let it brew for four hours. The infusion is taken in a tablespoon three times a day.
• Two tablespoons of Potentilla goose pour two cups of boiling water and leave for an hour. Take half a glass half an hour before meals. In this case, there should be four meals.
• Mix 20 g of sweet clover, centaury, coltsfoot flowers. Pour boiling water at the rate of a tablespoon of collection per glass of water and let it brew for an hour. Take a third of a glass for a month 6 times a day.
• The most delicious infusion is made from rose hips and blackcurrant berries. They need to be mixed in equal proportions and pour a glass of boiling water per 20 g of the mixture. Infuse for an hour, then strain and add a teaspoon of sugar. Take half a glass 3-4 times a day.
• Grind a tablespoon of dried leaves walnut. Pour a glass of boiling water and leave for 4 hours. Divide into 5 servings and drink throughout the day.
• Brew and drink wintergreen leaves like tea. St. John's wort can be added to wintergreen and brewed with regular black tea. It is necessary to drink for several months 3-4 cups a day. Such teas are taken for chronic inflammation of the ovaries.
• Grind a tablespoon of ortilia lopsided and pour a glass of boiling water. Let it brew for two hours, then take a third of a glass half an hour before meals.
• The stone-leaved femur copes well with women's problems. A tablespoon of the thigh is poured with a liter of water and boiled for 10 minutes. Add honey and drink throughout the day. Make this decoction every day for a week. Next, you need a break, and if the pain is still bothering you, continue the course.
• Grind 50 g of Mary root and pour half a liter of vodka. Place the tincture in a dark bottle or jar and infuse for 10 days in a dry place. Take 40 drops three times a day half an hour before meals.
• Pumpkin - good medicine. It must be included in the diet. But it is more useful to drink freshly squeezed juice. To treat inflammation, this is best done in the morning on an empty stomach.
• Douching is not the best The best way cure the disease: the liquid will not reach the ovaries, but it will damage the microflora of the vagina. This also applies to tampons soaked in decoctions - at best, there will simply be no effect.
• It is not recommended to sit over any decoctions: the “healing” steam will not reach inflammation, but you can easily get burns of the vagina and uterus. And then the problem will be not only gynecological.

douching

• A decoction of bergenia rhizomes: Pour 10 g of crushed rhizomes with 1 cup of boiling water, boil for 30 minutes in a water bath, strain hot, cool. Douche daily. .
• A decoction of chamomile, nettle, oak bark, cinquefoil, knotweed: mix 20 g of chamomile flowers, 10 g of oak bark, 10 g of Potentilla root, 30 g of nettle leaf, 50 g of knotweed (knotweed). 2 tbsp. l. collection, pour 1 liter of water, boil for 15 minutes.
• A decoction of yarrow, sage, rosemary, oak bark: mix 20 g of yarrow herb, 20 g of sage leaves, 20 g of rosemary leaves, 40 g of oak bark. Pour the mixture with 3 liters of water, boil for 30 minutes in a water bath, strain. Douche twice daily.
• Infusion of calendula flowers: pour 3 g of calendula flowers with 1 cup of boiling water, leave for 1 hour, strain. Use for daily douches.
• Infusion of nettle, St. John's wort, oak, mistletoe, chamomile, roses, lungwort: mix 10 g of nettle, 10 g of St. John's wort, 5 g of mistletoe, 5 g of oak bark, 5 g of chamomile flowers, 5 g of rose petals, 5 g of lungwort root. Pour the mixture into 1.5 liters of boiling water, boil in a water bath for 20 minutes, leave for 30 minutes. Do hot irrigation 2 times a day.
• Mix 20 g of oak bark, 20 g of daisy leaves, 20 g of mistletoe, 20 g of nettle, 10 g of shepherd's purse, 10 g of water pepper. 2 tbsp. l. mixture, pour 1 liter of boiling water, leave for 2-3 hours. Douche 3-4 times a day.
• 2 tbsp. l. hypericum perforatum pour 1 l cold water, on low heat bring to a boil under the lid. Then also boil on low heat for 15 minutes without removing the lid, cool, let it brew for 1 hour. Strain the liquid. Use for douching in the evenings.

One of the most common and at the same time dangerous for the reproductive function of women is a disease that everyone knows as It is also known as adnexitis. What is adnexitis and how does this pathology occur? Is it possible to fight it and how does it generally threaten women's health?

Disease Definition

Adnexitis is pathological changes microflora of the internal genital organs of a woman. If treatment is not started in time, then this may threaten that in the future the carrier of this disease will be deprived of the opportunity to become pregnant, bear and give birth to a child. Antibiotics for adnexitis are the most effective drugs.

Why does the disease occur?

An interesting fact is that this disease not quite healthy women are exposed. If immunity is reduced, the body is weakened, then this is one of the main causes of pathology. What is the disease? What is adnexitis? This is a pathology in which infections such as streptococcus, tubercle bacillus, gonococcus, fungus or E. coli enter the internal genital organs. If a woman is completely healthy and immunity is not weakened, then the penetration of these dangerous organisms is prevented by some barrier that performs a protective function.

Only such an aggressive organism as gonococcus can penetrate inside, all other infectious pathogens can get there only if malfunctions in the work of the woman's body are detected. What kind of violations can become one of the factors contributing to the development of the disease, we will consider further. To do this, we will study the causes of this disease.

The main causes of pathology

In order to better understand what this disease is, it is worth understanding the main reasons that lead to the fact that an infection spreads in the internal genital organs of a woman, which can result in infertility. The main causes of the development of the disease can be caused by a number of factors:

• weakened immunity, hypothermia or seasonal beriberi, as well as other concomitant diseases that were treated with antibiotics;
• chronic pathologies;
• destabilization of metabolic processes in the body - the presence diabetes, extra pounds and other pathological changes;
• if available positive reaction for HIV;
• surgical interventions, especially in the abdominal region;
• therapeutic measures, including diagnostics, - hysteroscopy, endometrium, curettage and abortion, as well as intrauterine type contraception.

One of the factors that contributes to the spread of infection within the body can be sexual contact or menstruation. This is due to the fact that during the opening of the fallopian tubes, microorganisms can freely penetrate there.

Forms of pathology

What are the options for the course of the disease? Two main forms of the disease are known, which can be divided according to the area of ​​\u200b\u200bthe infection.

• The unilateral form of the disease is characterized by inflammation of one of the appendages, left or right. This form of the disease is milder, because depending on how advanced the disease was and whether the prescribed treatment is effective, there may be different outcomes. So, if the pathology is not treatable, then when one of the appendages is removed, the second will allow the woman to become a mother in the future.
• The bilateral form of the disease is a more severe stage. In such situations, the chances of a full recovery are less, but this is influenced by many factors. With bilateral exposure, the left and right appendages are simultaneously exposed.

In what situations can severe forms of the disease occur? This happens when a woman ignores the first symptoms of the disease and continues her usual rhythm of life. As a result, the defeat can be carried out by several infections.

Symptoms of adnexitis

If there is a mild form of the disease, then the symptoms will not be pronounced. They will consist in the fact that there is pain in the abdomen. With a unilateral course of the disease, the pain will bother from two sides, and with a one-sided course, therefore, only on the left or right, depending on which side the inflammation occurred.

If the form of the disease is acute or close to this condition, then the symptoms will be more pronounced and they will be as follows:

• Often there is a fever, in which there is an increased body temperature up to 38-40 degrees.
• When pressing on the abdomen, a strong feeling of pain occurs.
• Pus may be discharged from the genital tract.
• There are pains in the abdomen, which can be similar to contractions.
• Increased sweating.
• The muscles in the abdominal cavity are tense.
• Headaches.
• Pain in the muscles.
• Sometimes the process of urination becomes painful.

This describes the symptoms of a pathology that is not chronic.

Chronic form of the pathology

If chronic adnexitis occurs, then the symptoms can be supplemented by such characteristic features:

• During intercourse, discomfort and severe pain are felt.
• Defecation is painful.
• The cycle of menstruation is disturbed.
• During menstruation, severe pain is felt.
• The discharge contains pus.

Chronic forms of the disease threaten to occur with untreated adnexitis or in situations where therapy has not been effective. Time is the most important factor, which affects the complexity of the disease, the outcome and effectiveness of treatment. Therefore, do not hesitate if you suspect something is wrong with your health. During treatment, sexual intimacy is not recommended, as it to some extent affects the spread of infection.

Treatment of adnexitis

If the pathology is detected in time, then there will be a much greater chance of successful treatment. For this, complex measures are used, but this is done exclusively under the supervision of a specialist who will constantly monitor the results. Treatment procedures and their effectiveness largely depend on the type of adnexitis and its course. Antibiotics are often used for adnexitis, since there is practically nothing to replace them with. Metronidazole is also prescribed. Why this drug is prescribed, we will understand further.

As for the treatment of pathology, the measures are applied in a complex manner. They consist in dietary nutrition, the absence of nervous strain, psychological and healthy sleep is recommended, and it is also necessary to strictly adhere to the recommendations of the attending physician.

It is strictly forbidden to make an independent adjustment of treatment or replacement of drugs without the knowledge of the doctor. If the dosage is indicated by a specialist, then in no case should it be reduced, since this may subsequently threaten that the disease will acquire chronic form.

Antibiotics for adnexitis

What treatment is appropriate? The main drugs are antibiotics for adnexitis. You also need to get acquainted with what pills are, the price - all this will be discussed below.

• Metronidazole is widely used for treatment. Why this drug is prescribed can be understood after we understand its effect on the body. And it is used in order to influence microbes, that is, to protect the body from exposure to unwanted protozoa.
• How does the drug "Erythromycin" position the instructions for use? Tablets, the price of which is low (only 97 rubles) are a universal remedy that is prescribed for children from the first months of life and adults. With the help of this medication, many different diseases are treated. And the affordable price allows it to be used by people with different income levels.
• Tablets "Co-Trimoxazole" are prescribed with caution, especially to those who have a lack of folic acid in the body. While taking this drug, you should drink a sufficient amount of plain, clean, non-carbonated water.

• One of the most effective broad-spectrum antimicrobial drugs are Cefotaxime, Gentamicin. They are excreted by the kidneys within 6 hours after ingestion.
• If you have been prescribed drugs such as Clindamycin, Chloramphenicol, then it is important to know that these are effective drugs, but they are very strong and can cause anemia. Therefore, during treatment, it is advisable to use drugs that compensate for the lack of vitamins and iron.
• Antibiotics "Furadonin", "Doxycycline" are prescribed in combination. These are effective remedies that allow you to cure adnexitis, provided that the dosage is correct.

Drugs may also be used to treat local action- these are candles that normalize the microflora of the internal genital organs of a woman. If you are prescribed antibiotics, then you need to take care to prevent dysbacteriosis. To do this, it is reasonable to use special medications that can eliminate side effects that are incredibly difficult, even impossible, to avoid during antibiotic treatment.

As soon as a gynecologist has diagnosed a woman with adnexitis (inflammation of the ovaries) or inflammation of the fallopian tubes, she should immediately start taking antibacterial drugs.

Moreover, the type of pathogen may still be unknown at this stage, but this does not play a role at the beginning of the inflammatory process.

Inflammation of the appendages is a fairly common disease in gynecology. It can be triggered by various factors. Meanwhile, most often the infection is transmitted sexually, so women should use condoms in casual relationships.

It is very important to follow the basic rules of hygiene of the genital organs.

There are other reasons for the development of inflammation of the ovaries and fallopian tubes:

• weak immunity;
• inflammation of the organs adjacent to the appendages;
• stress and chronic overwork;
• abortions and intrauterine diagnostics;
• hypothermia;
• sexual intercourse during menstruation;
• penetration of infection from the mucous membranes of the nose or mouth.

If inflammation of the ovaries occurs in an acute form, antibiotics are indispensable, however, these drugs are sometimes prescribed during exacerbation of chronic inflammation of the appendages.

Adnexitis and salpingitis should be treated with broad-spectrum antibiotics. These drugs destroy a number of pathogens that harm the genitourinary system.

Inflammation is most often provoked by the following bacteria:

1. Chlamydia.
2. Mycoplasmas.
3. Ureaplasma.

Therefore, the treatment of women with inflammation of the appendages should be aimed at the destruction of these particular pathogens.

After the doctor receives the results clinical research, he can adjust the treatment if it turns out that the identified microorganism requires a different drug.

In addition, dose adjustment is also necessary if the woman's condition has not changed for the better after a few days of treatment, which can be judged by the patient's complaints and the results of the tests.

What antibiotics are prescribed for inflammation of the uterine appendages

Most of the pathogens that are present in inflammation of the appendages in women have, over time, acquired resistance to the most popular tetracyclines.

In addition, this group of drugs has an extensive list of side effects. Therefore, gynecologists prefer to treat the inflammatory process of the uterine appendages with Doxycycline.

Doxycycline is effective, has few side effects and is rapidly eliminated from the body. In addition, it is interesting that Doxycycline is effective in chlamydia, as well as in adnexitis.

The next group of antibiotics are macrolides. They do not break down in the gastrointestinal tract, have a long half-life, which contributes to their accumulation in tissues and accelerates recovery.

The most effective drugs in this regard are Klacid and Sumamed. Antibiotics of the macrolide group act on intracellular pathogenic microorganisms directly at the site of inflammation.

Inflammation of the uterine appendages (ovaries, fallopian tubes) in women is treated with drugs from the fluoroquinolone group. Pathogen resistance to these drugs develops very slowly. In this regard, the antibiotic does not require frequent changes.

If a woman does not have concomitant diseases, due to which fluoroquinolones may be contraindicated for her, such drugs for adnexitis and salpingitis are best.

The doctor may prescribe any of these drugs or even two, since monotherapy for diseases of infectious diseases of the genitourinary system is not recommended.

• Norfloxacin.
• Pefloxacin.
• Ofloxacin.
• Lomefloxacin.

Why is it better to take two drugs at once in the treatment of uterine appendages? Most often, this disease is provoked by two or even three pathogens (aerobes, anaerobes).

Aerobes respond well to destruction with Tinidazole and Metronidazole.

When to Take Antibiotics

With adnexitis and salpingitis, that is, with inflammation of the ovaries and fallopian tubes, antibiotics must be taken.

Medicines will work best if they enter the body by injection - intramuscularly or intravenously.

When the treatment begins to give results, the gynecologist prescribes antibiotics to the patient in tablets, in the form of suspensions and vaginal suppositories.

Most often, doctors prescribe the following drugs:

1. Cedex, Ceftributen - these antibiotics are available in the form of capsules and have a detrimental effect on enterococci, gonococci and streptococci.
2. Broad-spectrum drugs - Zoomax, Azithromycin.
3. Ofloxacin is a second-generation fluoroquinolone drug.
4. Metronidazole is an antiprotozoal and antimicrobial drug.
5. Erythromycin - destroys chlamydia and mycoplasmas, is prescribed as an additional therapy.
6. Ciprolet, Ceftriaxone, Ciprofloxacin - these drugs are substitutes for all of the above.

Group of nitroimidazoles: Trichopolum, Metrogyl, Metronidazole.

Expert opinion

Rymarenko Vitaly Borisovich

manager antenatal clinic, obstetrician-gynecologist of the highest category

In severe inflammation of the appendages (ovaries and fallopian tubes), doctors prescribe antibiotics of the aminoglycoside group. They are also relevant if the disease has passed to other organs.

Inflammation of the ovaries and fallopian tubes during pregnancy

Bearing a child is a contraindication for tetracyclines, due to the fact that these drugs easily overcome the placental barrier and accumulate in the tissues of the embryo or already fully developed fetus. This can negatively affect the formation of the child's skeleton.

During pregnancy, some macrolides are also contraindicated, for example, the harm of Clarithromycin has been proven by clinical studies. From the action of macrolides during pregnancy, a woman will receive the least harm if she is treated with the following drugs:

• Erythromycin.
• Spiramycin.
• Josamycin.

If the inflammatory process of the appendages is very difficult, and the woman is pregnant, she may be prescribed Azithromycin.

Antibiotics of the fluoroquinolone group during pregnancy are not prescribed at all.

When are antibiotics contraindicated?

With an overdose of antibiotics, their side effects are manifested to a greater extent. In this case, treatment should be symptomatic.

With an overdose of macrolides, stool disorders are observed, changes heart rate and nausea, but these symptoms are minor and the condition is not life threatening.

The same applies to fluoroquinolones. Everything side effects can be eliminated independently at home.

Epileptic seizures with an overdose of antibiotics are extremely rare. However, exceeding the dose of the drug can adversely affect the condition of the liver, heart and joints.

drug interaction

1. When treating with fluoroquinolones, drugs containing calcium, aluminum, magnesium, bismuth should not be taken. The action of the latter weakens the therapeutic effect of fluoroquinolones.
2. When taken simultaneously with NSAIDs, there is a high likelihood of seizures and disorders of the central nervous system.
3. Tetracycline antibiotics should not be given to patients taking barbiturates. This is due to the fact that the toxicity of the latter increases.
4. Tetracycline drugs inhibit the effect of oral contraceptives.
5. The combination of aminoglycosides and macrolides is unacceptable.
6. When taken orally, tetracyclines cannot be treated with antacids and calcium, iron, magnesium preparations.

On other features of the interaction of drugs of the antibiotic group, women should be informed by a gynecologist.

With inflammation of the ovaries, the doctor takes into account the nature of the course of the inflammatory process, the presence of other diseases.

Ofloxacin

Ofloxacin is a broad-spectrum antibiotic.

Its effect on inflammation of the appendages in women is mainly directed to gram-negative bacteria.

Ofloxacin is effective where other antibiotics and sulfonamides are powerless.

When taken orally, the drug is absorbed quickly and almost completely. The bioavailability of Ofloxacin is very high.

Ofloxacin is prescribed by doctors for the following diseases:

• with inflammation of the fallopian tubes and ovaries;
• with respiratory tract infections;
• with diseases of the urinary tract;
• with gonorrhea;
• with inflammation of the prostate in men.

The list of diseases in which Ofloxacin is indicated can be continued further. And now about the side effects of the drug. It must be emphasized right away that the majority of women to whom the doctor prescribes Ofloxacin for inflammation of the ovaries and fallopian tubes tolerate such treatment well.

But some patients may experience the following side effects:

1. skin itching, rash;
2. lack of appetite;
3. swelling of the face;
4. depressed state;
5. nausea, vomiting;
6. change in the blood picture.

Treatment with Ofloxacin does not tolerate exposure to ultraviolet radiation, otherwise photosensitivity of the skin may occur.

In the treatment of adnexitis and salpingitis, an integrated approach to the problem is required. The best treatment a woman will receive in a hospital, where she will be under the constant supervision of doctors. Before starting therapy with a particular drug, physicians should conduct a sensitivity test.

Until the results of clinical trials are available, broad-spectrum antibiotics are used.

If the causative agent is known, treatment can begin, focusing on a specific pathogen.

The appendages of a woman are called the uterine (fallopian) tubes and ovaries. They are located in the pubic area, above the pubic bone. These organs are responsible for the growth and development of the egg, as well as for its release into the uterine cavity.

The maturation of female germ cells occurs inside the ovary. In the middle of the cycle, a mature egg leaves it in the cavity of the fallopian tube, goes to the uterus. At this point, the egg can be fertilized by the male germ cell (sperm). Then, when it hits the uterine mucosa, it will attach to its surface, pregnancy will begin. If the egg remains unfertilized, then it leaves the uterine cavity along with the mucous epithelium. This is how menstrual bleeding occurs.

All the internal hollow organs of a person are lined with mucous epithelium. Inflammation of the appendages is expressed in redness and swelling of their mucous surface. More often, inflammation affects the fallopian tubes, but it can also spread to the ovarian mucosa.

The action of the inflammatory response is aimed at limiting the spread of infection. With redness and swelling, a number of biochemical processes are triggered that stop the further spread of the pathogen and cause its death. Thus, inflammation of the uterine appendages is a response to the penetration of bacteria or viruses inside.

Local inflammation of the ovaries and appendages in women in medical terminology is called adnexitis.

Factors and causes of adnexitis

The cause of adnexitis is an infection. Inflammation is caused by pathogenic organisms (so-called bacteria) or pathogenic particles (viruses). At the same time, they can get into the appendages in different ways, during intercourse or during medical procedures (installation of a spiral, curettage of the uterus during an abortion). Internal infection is also possible - with blood flow from another inflamed organ. More often than others (in 80% of cases), the causative agents of inflammation are cocci, chlamydia.

In order for pathogens to enter the appendages from the outside, they must overcome the protective barrier of the vaginal mucosa. Healthy vaginal flora protects the appendages from pathogens. If the microflora of the vagina is disturbed for some reason, then infection becomes possible.

The following factors lead to a decrease in immunity, a violation of the vaginal flora, and the appearance of inflammation:

• Hypothermia - banal situations such as “caught a cold”, “badly dressed”, “wet her feet”, “sat in the cold”.
• Stress - forms a general muscle and vascular spasm, disrupts blood circulation, becomes the cause of congestion. Therefore, against the background of constant stress, various infections often appear.
• Unsatisfied sexuality (forms stagnant processes).
• Hormonal disorders - more often hormonal imbalance is formed against the background of taking contraceptives.
• Sexual life with several sexual partners often causes the transmission of sexual infections to each other, the appearance of acute and chronic inflammation.

Note: the human bacterial flora contains pathogens in certain quantities. At the same time, their vital activity is controlled by immunity. With a persistent decrease in protective reactions (against the background of private psychoses, stress, with poor nutrition, for other reasons), inflammation internal organs can form on its own, without the presence of a source of infection.

How to determine the presence of inflammation in the accessory organs? What are the signs of inflammation of the appendages in women if the process has acquired a sluggish chronic form?

Symptoms of inflammation of the appendages in women

The main symptom of inflammation is pain. With adnexitis, it occurs in the lower abdomen, lower back and may be accompanied by additional symptoms - unpleasant mucous secretions (leucorrhoea), failure in menstruation.

In acute adnexitis - severe pain. They are accompanied by painful urination and pain. And they can also give in the leg. Acute adnexitis is often accompanied by fever. Possible indigestion.

Chronic form, sluggish inflammation of the appendages in women does not cause fever. Pain is felt as mild, moderate or may be absent altogether. The appearance of mild pain in chronic adnexitis can be felt against the background of an increase in temperature during a cold infection. Pain during intercourse is also possible, especially with deep penetration.

Note: often pain during intercourse is the only sign of sluggish chronic adnexitis.

Mucous discharge from the vagina (leucorrhoea) during an acute process may have a sharp unpleasant odor, yellow or green hues. They can also be plentiful, create some discomfort throughout the day for a woman. In chronic adnexitis, the discharge is weak or absent altogether.

Also, the presence of chronic inflammation in the appendages may be accompanied by disorders menstrual cycle. The reason for this is that the ovaries perform the function of producing sex hormones - estrogens, progestins. In inflamed tissues, hormonal synthesis is disrupted, which causes deviations in the timing of menstruation, their profusion, duration, and other cycle disorders.

Often chronic adnexitis occurs imperceptibly. However, it needs to be treated. A long chronic process is dangerous with complications.

Consequences of inflammation of the appendages: adhesions and infertility

What threatens adnexitis to a woman? Why is a sluggish inflammatory process harmful if it does not create pain, is not a source of discomfort? Why is it important to know about the presence of inflammation?

We list what processes occur in the appendages during a long-term sluggish inflammatory process:

1. The mucous membrane of the fallopian tubes swells, increases in size, the lumen in the tubes narrows, they become impassable for the eggs. This condition is called "tubal" infertility.
2. The result of a long inflammatory disease are spikes. They are cord-like growths connective tissue on the inflamed mucosa. This is a kind of "bridge" that separates the area of ​​inflammation from healthy cells. In the future, the presence of adhesions may cause the fertilized egg to stop as it moves towards the uterus. And that means - to cause infertility, the inability of a woman to become pregnant. The use of antibiotics can also be the cause of adhesions.
3. With a difficult or impossible passage of the egg through the fallopian tube, the fertilized zygote may linger in it or go the other way - to the abdominal cavity. This is how an ectopic pregnancy is formed.
4. The process of synthesis of female sex hormones is disrupted. Which leads to menstrual irregularities, unstable egg maturation.

Conclusion: chronic inflammation of the appendages often causes a violation of the reproductive function of a woman, a violation of the reproductive processes, which can be defined in a more understandable word - infertility.

How to treat inflammation of the appendages

Treatment of inflammation of the appendages in women depends on the strength of the inflammatory process and the nature of the infection. If the cause of the disease is a pathogenic microorganism (bacterium), then antibacterial drugs(antibiotics). If the cause of the infection was a virus, then antiviral measures and means are needed - specific antiviral drugs and immunomodulators.

Acute stage: we treat the pathogen infection

More often, the causative agent of the inflammatory process in the female genital organs are pathogenic bacteria (anaerobes), the reproduction and vital activity of which occurs in an oxygen-free environment. Antibacterial drugs are prescribed for their treatment. The choice of antibiotic is determined by the type of pathogen. Antibacterial agents have a wide spectrum of action, but are unable to equally counteract all pathogens. Therefore, for effective treatment determine the pathogen - take a smear from the vaginal flora.

If it is impossible to sow the pathogen, then antibiotics of the widest and most general spectrum of action are prescribed. These are drugs of the cephalosporin and penicillin groups (Ceftriaxone, Amoxiclav). May also prescribe milder antibacterial agents- Erythromycin, Metronidazole. With non-extensive inflammation, they are prescribed in the form of tablets. With severe adnexitis - in the form of injections (shots), which are done under the supervision of a doctor in a hospital.

What antibiotics for inflammation of the appendages and ovaries are prescribed for home treatment:

• Macrolides - Azithromycins (Summamed), Erythromycins (international version - Clindamycins). These pills for inflammation of the appendages are most often prescribed in the treatment of adnexitis. They are considered the least toxic antibacterial drugs with a minimum of side effects and contraindications.
• Fluoroquinalines - Norfloxacin, Ofloxocin, Lomefloxacin. They represent one of the latest generations of antibacterial drugs, they are almost not addictive.
• Nitromidazoles - Metronidazole, Ornidazole, Ternidazole. This group acts against pathogens of the nitro group.

Note: often for the treatment of genitourinary diseases, two types of antibiotics are prescribed simultaneously. One is against anaerobic bacteria (those that breed in an oxygen-free environment). And the second - against aerobes (reproducing in the presence of oxygen).

Remission stage: we treat the remnants of the inflammatory process

After limiting the growth and development of the pathogen, a period of remission begins. It is characterized by the presence of residual signs of inflammation in the cells of the mucous epithelium. That is, there is still inflammation, but the cause-causative agent is no longer there.

Often, many women end treatment at this stage, believing that the residual effects will pass on their own. This is indeed possible, but only in a healthy female body with strong immunity. Often the opposite happens. Residual inflammation becomes the basis for re-infection and relapse (return) of the disease. Therefore, treatment must be completed. What is prescribed in the remission stage?

For the final recovery, measures are prescribed to resolve the focus of inflammation. They speed up the elimination of toxins. As a rule, those means are used that stimulate blood circulation inside the abdominal cavity, accelerate local blood flow in the area where the ovaries and fallopian tubes (appendages) are located.

These include:

• Physiotherapy (magnetotherapy, electrophoresis).
• Warm-ups and compresses.
• Paraffin treatment.
• Mud cure.
• Massage - special gynecological, on the lower back and lower abdomen.

They also prescribe treatment with mineral waters at a balneological resort.

Means for raising immunity

In addition to "direct-acting" drugs, which are directed directly against the causative agent of infection, the treatment of adnexitis uses drugs and drugs to increase immunity. They are also necessarily used in the treatment of viral inflammation caused by foreign particles (for example, in the treatment of genital herpes). Immunity boosters include:

• Vitamin-mineral complexes - necessary to ensure active protective reactions. They are prescribed for any diseases, infections, inflammations.
• Prebiotics - preparations for the normalization of the bacterial flora, provide the action of local immunity of the internal cavity of the vagina, intestines. Be sure to be prescribed in the treatment of antibacterial substances.
• Specific drugs for stimulating immunity - antiviral drugs, immunomodulators. They are required to be assigned viral infection. For example, against herpes - tablets and ointments with acyclovir, famvir, panavir. And for any viral infections - suppositories with interferon.

Often, treatment with absorbable drugs, taking funds for immunity is prescribed from the first days of the disease. If the inflammation is caused by a bacterial pathogen, then immunity agents are an additional treatment that shortens the time antibiotic therapy. With a viral pathogen, immunostimulants provide the main treatment for the disease.

The duration of antibiotic treatment takes from 7 to 10 days. The duration of treatment with vitamins, prebiotics, as well as the use of physiotherapy is 3-4 weeks (almost a month).

Note: also severe pain prescribed analgesics.

Treatment of chronic inflammation of the appendages differs in duration and uses various drugs- tablets, injections, vaginal suppositories, as well as physiotherapy. The most convenient for home treatment and very effective vaginal suppositories.

Anti-inflammatory suppositories for inflammation of the appendages

The introduction of drugs into the vaginal cavity ensures the rapid penetration of the drug into the inflammation zone, a high therapeutic effect of its use. What anti-inflammatory suppositories are used in gynecology for inflammation of the appendages?

Candles with NSAIDs

NSAIDs or nonsteroidal suppositories for inflammation of the appendages with anti-inflammatory action:

• Indomethacin.
• Diclofenac.
• Voltaren.

Also, with adnexitis, hemorrhoidal suppositories with belladonna are prescribed. They are anti-inflammatory and analgesic at the same time.

These drugs are referred to as drugs for the treatment of joint diseases and inflammation. They are also successfully used in the treatment of any internal inflammatory processes.

Suppositories with absorbable action

These drugs prevent the formation of adhesions. They stop adhesions during inflammation, dissolve adhesions after treatment of adnexitis.

• Terrilitin suppositories - dilute blood clots and pus, break down necrotic (dead) tissues.
• Longidaza - also promotes the resorption of adhesions, the adhesive process stops.

Candles with antiseptics

Vaginal suppositories with antiseptics of antifungal and antibacterial action for the treatment of appendages are ineffective. They are prescribed if, in addition to adnexal inflammation, there is inflammation of the vaginal cavity (colpitis).

Candles with antifungal action:

• Gynomax.
• Myconalosis.
• Guino-Pevaril.
• Nystatin.
• Primafungin.
• Terzhinan.

Candles with antibacterial action:

• Dalacin.
• Clindamycin.
• Metrovagin.
• Betadine.
• Hexicon.
• Iodoxide.
• Fluomizin.
• Terzhinan (complex preparation with antibacterial and antifungal action and hormonal prednisolone).

Treatment with candles, the introduction of medicinal substances into the cavity of the vagina or rectum is indicated for various diseases. Medicinal substances enter the bloodstream, bypassing the digestive tract, without partial destruction in the liver. Which reduces the frequency of allergic reactions, increases the effectiveness of treatment.

Rectal suppositories with immunomodulating action

Preparations with interferon exhibit antiviral action. They are broad-spectrum immunomodulators. The most famous of them are Viferon, Genferon, Kipferon.

Note: The drugs listed are rectal suppositories, that is, they are introduced into the rectum through the anus.

Candles to normalize the microflora of the vagina

Also during and after the treatment of andexide, suppositories are used to normalize the vaginal flora - Acylact, Lactobacterin. They are essential for antibiotic treatment. Desirable - in the treatment of viral forms of infections.

Treatment of inflammation of the appendages with folk remedies

How to treat inflammation of the appendages without pharmaceutical drugs? Traditional medicine offers a number of measures that are aimed at limiting the development of inflammation and the spread of infection.

To stimulate the immune system is taken orally:

• Onions, garlic are sources of sulfur and popular natural immunomodulators.
• Citrus juices are sources of vitamin C.
• Freshly squeezed vegetable juices are sources of digestible vitamins.

For local antiseptic therapy - they do vaginal douching, put tampons with natural antibiotics and antiseptics.

In doing so, they use:

• aloe;
• warm infusions of antiseptic herbs;
• tampons with ichthyol ointment.

Also warm baths essential oils, steaming with wormwood, salt, salt compresses on the lower abdomen.

Facilities traditional medicine do not always cure inflammation to the end. In order to prevent its transition into a chronic form, after treatment it is necessary to take tests and check that there are no foci of inflammation left.

Treatment of appendages in women should be carried out with inflammatory processes in them.

It is considered a very serious task due to the involvement in it other than the ovaries and fallopian tubes.

Treatment of appendages in women, general concepts:

In medicine, inflammatory processes of the appendages are called:

• Adnexitis: (in addition to the ovaries, the uterine (fallopian tubes) also suffer from inflammation.
• Oophoritis:(inflammation only in the ovaries).
• Salpingitis: inflammation of the uterine (fallopian tubes).

Together, these diseases can cause many changes in a woman's health, not for the better. For this reason, they need to be treated seriously, competently.

Treatment of appendages in women symptoms and treatment:

You will notice changes in your health almost immediately after infection. It won't even be three days.

• Every woman will understand that she has problems with the female genital organs due to pain in the lower abdomen. Sometimes pain in one half of the abdomen or on both sides at once.
• The pain extends to the groin area.
• Affects the area of ​​the sacrum.
• Pain is felt even in the vagina.
• Gas formation.
• Rise in temperature, chills, fever.
• Frequent pulse.
• In the chronic form of the development of the disease, vaginal discharge with a bad odor is observed. It is not uncommon for purulent discharge with ichor.
• Menstruation becomes very painful, plentiful.
• Bleeding or spotting between cycles.
• Often headaches, nausea, sometimes vomiting.
• Frequent urge to urinate.
• Complete impotence, malaise.

Residual pain can haunt a woman for a long time after treatment. There is a high risk of developing a chronic form of the disease with improper treatment.

Diagnosis before treatment of appendages in women:

• Obligatory examination by a gynecologist.
• Vaginal smear for flora.
• Transvaginal ultrasound.
• If necessary, colposcopy, biopsy.

Treatment of appendages in women, causes:

Where do frequent inflammations in women come from and cause such suffering:

The course of inflammation of the appendages:

• Acute.
• Subacute.
• Chronic.

Treatment of inflammation of the appendages in women:

1. Prescribing antibiotics.
2. Anti-inflammatory drugs.
3. vitamin therapy,
4. Pain relief.
5. Folk means.
6. Physiotherapy.
7. The resorts don't hurt either.

The disease passes with frequent exacerbations.

The main methods of treatment:

• Intrauterine.
• Intravaginal.
• Tableting.
• Injectable.
• Physiotherapy.

No more than five types of drugs are prescribed for treatment.

Treatment of appendages in women with antibiotics:

It is necessary to engage in treatment with these drugs only after examination, identification of the causative agent of the disease. The doctor will then prescribe antibiotics (antibacterial drugs) for you.

Appointed:

1. Gentamicin: (gentosep, garamycin).
2. Amoxiclav.
3. Azithromycin: (Sumamed).
4. Hexamethylenetetramine: (urotropine).
5. Metranidazole: (Flagil, Clion, Trichosol, Trichopolum, Trichobrol).
6. Ofloxacin.
7. Cefotaxime: (taxim, klaforan).
8. Nalidix Acid: (Nebra, Neversman).
9. Roxithromycin: (rulide).
10. Clindamycin: (clinda-fer, dalacin, clinoxin, clindafer, climycin, clindamycin).
11. Doxycycline: (solutab, doxibene, medomycin, doxinate, unidox).
12. Ciprofloxacin: (cypronol, aquacipro, recipro, ciplox, aphenoxin, ceprova, arflox, quipro, microflox, procipro, quintor, proxacin, ificipro, medocyprin, liproquine).
13. Ceftriaxone: (cefaxone, megion, rocefin, oframax).

Assign 7 - 10 days of treatment.

Treatment of appendages in women, drugs:

Painkillers:

1. Metamizole sodium: (spasvin, poppy - sigan, analgin, veralgin, tempalgin, spazmalgon, baralgin, nospaz).
2. Acetylsalicylic acid: (fortalgin, asalgin, aspirin upsa, aspirin, aspilite).
3. To relieve pain, spread the lower abdomen with ichthyol ointment, you can simply replace it with ichthyol. No need to rub. Ichthyol-glycerin tampons in the vagina will help well.

• Immunostimulatory treatment.
• Anti-inflammatory drugs.
• Vitamin therapy.
• Physiotherapy.

Resolving inflammation drugs:

• Aloe.
• vitreous body.
• Pheebs.
• Humisol.

Mud baths:

• Perfectly help with chronic inflammation of the appendages.
• It is necessary during treatment until the complete disappearance of pain to refrain from intimate relationships. The body is sick, it does not need shaking.

Clay treatment:

Another method of treatment is clay.

Recipe:

• In any suitable container, make a liquid clay solution.
• Dip your hands into it, the soles of your feet.
• The procedure lasts up to 20 minutes.
• The solution is suitable for use warm up to three times.

You can do clay baths for the whole body.

• Well treats all sores on the lower abdomen, thighs, legs, kidneys.
• Sitting in the bath, immersed in the whole body, except for the head, for 30 minutes, and more.
• After the bath, wrap yourself well, drink any of the following hot herbal infusions.

Appendages in women treatment with folk remedies:

Steam treatments:

It can be done only after the inflammation subsides. If you do them immediately with a strong malaise, you will make yourself even worse. With severe inflammation, nothing can be heated.

Head of cabbage:

• Boil a small head of cabbage.
• Then fill it with rustic, fresh milk.
• Sit carefully and wrap yourself around the container to warm up well.
• Watch the temperature. Don't get burned.
• Continue the procedure daily until complete recovery.

Meadow hay:

• In the same way, you can prepare yourself a steam treatment from dried meadow grass.
• With the variety of herbs and their effects, you will soon feel better.
• Try to do procedures with steam at night.
• The body is very hot, you can not go outside.
• Carry out steam procedures until the condition is relieved.
• Time: 30 minutes.

Black radish:

• Black radish works for steam procedures no worse.
• Boil the fruit four and pour a little olive oil.
• Wrap up on all sides.
• It is very convenient to carry out the procedure while sitting on a bucket.
• Get into bed after 30 minutes of steaming.

Products:

Curdled milk:

• Very useful for women's health.
• Removes all internal and external inflammation.
• Drink all year round.

Pumpkin:

• No less useful and pumpkin.
• Especially fresh juice.

Potato juice:

• In the morning, after waking up, until they ate.
• Squeeze juice from one potato.
• Mix well and drink immediately.
• It is better to start treatment in the fall, when there will be fresh potatoes.
• Continue treatment throughout autumn, winter until March.

Tampons:

Sea buckthorn oil:

• It is not uncommon to use tampons with sea buckthorn oil.
• It is better to buy in pharmacies.

Aloe juice:

• Its leaves older than three years should lie in the refrigerator for two weeks (to activate the substances).
• Mix aloe juice with honey.
• Make a tampon, wet it and insert it into the vagina.

For oral administration:

St. John's wort:

Traditional decoction:

• One teaspoon of herbs per cup of boiling water.
• Keep covered for 15 minutes, then hold in a water bath.
• Drink strained for exactly a week, dividing a glass of broth into three times.

Corn silk:

• This is the name given to the hairs on ripe corn.
• The cobs must be completely ripe.
• Prepare a traditional decoction.
• Divide the glass for the day.
• Take until relief.

Kalina:

• It is enough to take a tablespoon of berries.
• Insist, filled with a glass of boiling water.
• Drink three doses 30 minutes before meals.
• It helps with all female inflammations.

Licorice:

It is necessary to prepare an alcohol tincture of licorice root.

• We take 100 grams of dry, ground roots.
• Pours 500 grams of vodka.
• One month we insist.
• Shake sometimes.
• We squeeze and squeeze.
• We drink in the morning, then in the evening, 30 drops.
• A very good remedy for inflammation of the ovaries.

Nettle:

• Its juice is necessary for treatment.
• Squeeze one teaspoon from the leaves.
• Dilute in a quarter cup of water.
• It is necessary to drink 30 minutes before eating. Reception: three times / day.

Herbal collections:

First collection:

• Potentilla grass goose: up to 50 gr.
• Sporish: up to 10 gr.
• Grass, horsetail: up to 10 gr.
• Centaury grass: up to 30 gr.

Mix all components.

• Brew a glass of boiling water one tablespoon.
• To insist only one hour, no more is needed.
• Strain.
• And drink a little all day.

Second collection:

• Sweet clover.
• Centaury.
• Mother and stepmother flowers.

We take the ingredients by weight.

• We prepare a traditional infusion: one tablespoon, calculated on 1 cup of boiling water.
• Let it brew for one hour.
• Drink: 1/3 cup up to 6 times / day.
• To be treated for a month with inflammation of the appendages.

Third collection:

• Calendula flowers.
• Centaury.
• Sweet clover grass.
• Chamomile flowers.
• Leaves mother - and - stepmother.

We take everything in equal quantities.

• Dose: 2 tablespoons, put in a jar, pour 500 gr. boiling water.
• Wrapped insist two hours.
• Strained drink up to a third of a glass six times / day.
• Take between meals for up to two months.

Douching:

Badan rhizomes:

For douching prepare a decoction:

• 10 grams of rhizomes, finely chopped.
• Keep half an hour in a water bath, filled with a glass of boiling water.
• Strain hot.
• Cool for douching.
• The douching procedure is daily.

Calendula:

• A glass of boiling water pour 3 gr. calendula flowers.
• They insist on an hour.
• Filter.
• Perform daily douching.

Treatment of appendages in women, prevention:

• Protect yourself during sex, especially if your partner is unfamiliar.
• Avoid sexual activity until everything is healed.
• If you are diagnosed with a sexually transmitted infection, make sure your partner is also treated.
• Always wash from front to back.
• Wear clean cotton underwear. This is the guarantee of health.
• Avoid silk, nylon.
• Get treated on time. Lost treatment time is lost health.
• Remember - an untreated disease of the appendages is the risk of treating an ectopic pregnancy or infertility, a large number of adhesions, obstruction of the fallopian tubes.
• Eliminate sweets, chocolate, egg whites, mushrooms, salt.
• Do not fry, better stew, boil.

Treatment of appendages in women is a long-term, responsible procedure. It must be remembered that there is nothing irreparable. Many women get sick, are treated, live.

It all depends on your perseverance, the desire to be healthy as soon as possible. I helped you a little.

I always look forward to seeing you on the site.

Watch the video, treatment of appendages in women with folk remedies:

Adnexitis or salpingoophoritis is an inflammation of the fallopian tubes and ovaries (uterine appendages). The cause of the disease is pathogenic microorganisms that have penetrated into the appendages from the vagina or other organs, including staphylococci, gonococci, Escherichia coli, streptococci, Mycobacterium tuberculosis, and fungi.

The doctor must prescribe antibiotics to a woman for inflammation of the appendages, especially if she diagnoses an acute form of the disease. If adnexitis is not treated, then complications may occur, for example, fusion of the fallopian tubes, adhesions in the appendages, ectopic pregnancy, infertility.

The main signs of inflammation of the appendages

The main symptoms of acute salpingo-oophoritis are:

1. Severe pain in the lower abdomen.
2. Increased body temperature, chills.
3. General malaise.
4. Muscle and headaches.
5. Purulent, bloody or mucous discharge from the vagina.
6. Pain and burning when urinating.
7. Bloating.

In chronic adnexitis, the pains are pulling in nature, there is a violation of the menstrual cycle and discomfort during intercourse.

Indications for use

Indications for the use of antibiotics for salpingo-oophoritis are:

1. Acute form of the disease. In this case, an antibiotic is prescribed for at least 2 weeks.
2. Subacute form of adnexitis.
3. Exacerbation of chronic inflammation of the appendages.

Antibiotics for adnexitis

If a doctor diagnoses inflammation of the appendages in a woman, he must first do a test for the sensitivity of the infectious agent to antibiotics.

During the week until the result of the study is ready, the woman drinks broad-spectrum antibiotics, and then, if they do not help, after receiving the result of the analysis, the patient is prescribed the drug to which the bacterium is sensitive.

In the treatment of salpingo-oophoritis, antibiotics of the following groups are used:

1. Penicillins: Oxacillin, Amoxicillin.
2. Tetracyclines: Tetracycline, Doxycycline. Doctors often prescribe doxycycline for adnexitis. This effective drug broad spectrum of action, which is quickly excreted from the body.
3. Macrolides: Roxithromycin, Azithromycin, Klacid, Erythromycin. These antibiotics are suitable for those who have stomach problems because they are enteric. In addition, they have a cumulative effect, which helps them cope with bacteria faster. Pregnant women with inflammation of the appendages are prescribed Erythromycin.
4. Fluoroquinolones: Ofloxacin, Norfloxacin, Lomefloxacin, Pefloxacin, Ciprofloxacin. The advantage of this group of antibiotics is that bacterial resistance to them is developed slowly, which means that they do not have to be changed often.
5. Aminoglycosides: Kanamycin, Gentamicin, Amikacin. The doctor prescribes these medications if the infection has passed from the appendages to other organs. In addition, aminoglycosides are effective against Mycobacterium tuberculosis.
6. Nitroimidazoles: Metronidazole, Metrogil, Trichopol. Metronidazole is often used to treat the organs of the genitourinary system. This antibiotic can be given intravenously or taken orally.
7. Lincosamides: Clindamycin. Effective against chlamydia, but has a limited spectrum of action.
8. Cephalosporins: Cefotaxime, Ceftriaxone. They are most effective if inflammation of the appendages is associated with gonococcal infection.

If the disease is severe, there is a risk of sepsis, or studies have revealed the presence of several types of infection, 2 or more types of antibiotics are prescribed. For example, Levomycetin with Gentamicin, Chloramphenicol or Lincomycin with Clindamycin. In addition, aminoglycosides are effective in combination with penicillins.

In addition to antibiotic therapy, the patient is prescribed vitamins, anti-inflammatory and painkillers in the form of tablets and suppositories.

If the patient has intoxication, she is given droppers with glucose or saline.

Contraindications

There are a number of contraindications to the use of antibiotics that must be considered:

1. Tetracyclines: hypersensitivity to the active substance, age up to 8 years, pregnancy, lactation, kidney failure, leukopenia.
2. Macrolides: lactation, pregnancy (clarithromycin, roxithromycin, midecamycin), allergy to macrolides.
3. Fluoroquinolones: allergy to drug components, pregnancy, breastfeeding, deficiency of glucose-6-phosphate hydrosis.
4. Lincosamides: diseases of the gastrointestinal tract (ulcerative colitis, colitis associated with the use of antibiotics, enteritis), pregnancy, lactation, allergic reactions to doxorubicin or lincosamides.
5. Nitroimidazoles: an allergic reaction to antibiotics of this group, organic lesions CNS, 1st trimester of pregnancy, lactation.
6. Penicillins, cephalosporins, aminoglycosides: allergic to active substance.

Side effects

Different groups of antibiotics have the following side effects:

1. Tetracyclines: decreased appetite, gastrointestinal pain, diarrhea, allergic reactions, impaired renal function, nausea, constipation, anaphylactic shock.
2. Macrolides: allergic reactions, nausea, decreased visual acuity, ptosis of the upper eyelid, pain in the stomach and intestines.
3. Fluoroquinolones: pain in the gastrointestinal tract, dyspepsia, loss of appetite, nausea, insomnia, headache, allergic reactions, tremor, convulsions, decreased visual acuity. In addition, rare side effects include tendon ruptures, oral candidiasis, thrush, heart rhythm disturbances, and colon disease.
4. Penicillins: glossitis, nausea, stomatitis, diarrhea, aseptic muscle necrosis, dysbacteriosis, antibiotic-associated diarrhea, fever, increased nervous excitability, delirium, hallucinations, dysregulation of blood pressure, convulsions (most often occur in patients with impaired liver function or in patients who take high dose antibiotic).
5. Aminoglycosides: hearing problems (noise, tinnitus, hearing loss), dizziness, weakness, drowsiness, headache, depression respiratory function, impaired renal function, convulsions.
6. Lincosamides: rash, pruritus, neutropenia, pseudomembranous colitis, vomiting, nausea, diarrhea.
7. Nitroimidazoles: dyspepsia, abdominal pain, unpleasant aftertaste in the mouth, itching, rash, headache, incoordination, epileptic seizures.
8. Cephalosporins: urticaria, anaphylactic shock, phlebitis, dyspepsia, leukopenia, pseudomembranous colitis, vomiting, convulsions, angioedema, bronchospasm, candidiasis.

Adnexitis - inflammation of the appendages (ovaries, fallopian tubes and their surrounding structures). It can occur in acute, subacute and chronic forms. This largely determines the symptoms of pathology, the timeliness and effectiveness of treatment, as well as the likelihood of complications. How to choose the right therapy regimen? What method of treatment is preferable for different forms of adnexitis?

Read in this article

What is dangerous adnexitis

Inflammation almost never goes unnoticed in the body, especially when it affects such delicate, delicate and small structures as the ovaries, fallopian tubes and everything that connects them. Therefore, any adnexitis should be taken very seriously, following all the recommendations and treatment regimens. Otherwise, you may face a number of complications.

Formation of adhesions in the pelvis

This has to be faced in all cases of chronic adnexitis, as well as in the untimely treatment of other forms. cause pain, the intensity of which depends on the severity of the process and concomitant diseases.

Pain can disturb constantly throughout the entire cycle or appear only during menstruation. They can be mild and sometimes unbearable.

Adhesions may involve the fallopian tubes and ovaries, increasing the risk of ectopic pregnancy. They also present great difficulties in IVF. Sometimes the process of egg collection is technically impossible due to a pronounced adhesive process.

Fallopian tube obstruction

It is formed both due to adhesions and due to inflammation of the inner lining of the fallopian tubes. And their clearance is normal - only a few millimeters, so even a slight inflammation can lead to impaired patency and infertility.

Autoimmune disorders

Chronic salpingo-oophoritis can lead to the destruction of part of the ovarian cells. After that, the body begins to "attack" them as foreign objects. As a result, the woman has the following:

• problems with ovulation;
• due to ovarian failure.

Formation of cysts

Inflammation of the ovaries is one of the reasons for the formation of functional cysts. And they affect the overall hormonal status of a woman, the quality of intimate relationships and many other processes.

Formation of abscesses, pyosalpinx

The most formidable complication of inflammation of the appendages is the formation of ovarian abscesses, as well as the accumulation of pus in the fallopian tubes. Without treatment, pelvioperitonitis develops. All these are acute surgical conditions that require urgent surgical treatment, often with the removal of the uterus and appendages.

Diagnosis of adnexitis in women

The assumption about the disease is established based on the complaints of the woman. In the chronic form, symptoms will be minimal.

In order to confirm adnexitis, a routine gynecological examination is sufficient. At the same time, painful areas of the appendages are determined, the ovaries are enlarged and may contain a cyst. A number of other symptoms are also found, for example, pain when moving the cervix and many others.

For the subsequent choice of treatment, examination is not enough; a complex of diagnostic measures is needed. Namely:

• (free fluid is determined, enlarged ovaries, etc.);
• from the vagina and cervical canal (because often the infection is ascending);
• PCR of vaginal and cervical secretion for the main pathogens (chlamydia, myco-, ureplasma, Trichomonas, gonococci and others);
• bacteriological culture of the vaginal flora, including sensitivity to antibiotics.

Watch the video about adnexitis:

Primary treatment of bilateral adnexitis

In most cases, the first episode of adnexitis occurs in an acute form. Therefore, the chances of curing the disease with a minimum number of consequences are higher. The main directions are as follows:

Treatment regimen for chronic adnexitis: drugs, suppositories

Chronic adnexitis is often associated with formation against the background of constant inflammation, which must be taken into account when examining and prescribing treatment. The following is also characteristic of chronic adnexitis:

• moderate pain syndrome;
• adhesive process;
• dysfunction;
• latent course, pathogens are not always immediately detectable.

The severity of certain signs should be taken into account when prescribing treatment regimens. Tactics are as follows:

• It is useful to prescribe, first of all, methods of physiotherapy that will cause an exacerbation of the pathology. And after that, use all other drugs. This way you can achieve the most effective treatment.
• Antibacterial drugs, taking into account crops and sensitivity.
• It is recommended to use absorbable preparations, for example, Wobenzym, Longidaza in the form of suppositories, Lidaza (including physiotherapy with it), Trypsin, Streptokinase and others. They can somewhat reduce the severity of the adhesive process and thereby reduce the pain syndrome.
• Antispasmodic, anti-inflammatory drugs (No-shpa, Ketanov and others).
• Against the background of chronic adnexitis, inflammation often develops in the vagina, so suppositories are used topically. They can be either monocomponent or contain several active substances. These are Hexicon, Clotrimazole, Ginocaps, Terzhinan, Polygynax and others at the discretion of the doctor.
• To restore menstrual function, as well as to normalize the functioning of the ovaries, vitamin complexes, dietary supplements, homeopathic remedies or oral contraceptives. Cyclodinone, Time factor, Cyclovita and others are effective.

Method of treatment for exacerbation of adnexitis: antibiotics as an emergency measure

The reappearance of symptoms of the disease against the background of chronic adnexitis is fundamentally no different from acute form ailment. Therefore, the principles of therapy are the same.

But chronic forms of adnexitis often occur against the background of resistant flora. This means that previously used treatment regimens, in particular, antibacterial drugs, may be of little or no effect. Therefore, the administration of antimicrobials should be approached with particular vigilance after culture and sensitivity results.

Exacerbation of adnexitis is often accompanied by the formation of ovarian abscesses, accumulation of pus or other fluid in the fallopian tubes. Treatment in these situations is only operational, often with the removal of the uterus and appendages.

Treatment of adnexitis during pregnancy

Often women believe that pain in the lower abdomen during pregnancy is associated with adnexitis. In fact, everything is completely different. The pains are very similar, in the same places, they can even match in intensity. But this is not adnexitis, but a threat of interruption, possibly due to infection.

The hormonal background of a woman during pregnancy, as well as all the structural changes that occur at this moment, exclude the appearance of adnexitis.

If there is inflammation of the appendages, either fertilization will not occur, or the fetal egg will not be fixed in the uterine cavity. In the case when pregnancy occurs, the inflammation is in remission or absent.

During gestation, any infection is concentrated in the vagina, cervix, in extreme cases - in the endometrium, which has adverse consequences.

Features of treatment with folk methods

Adnexitis should not be treated only folk methods. Alone, they are ineffective. But if combined with drug treatment, you can get more meaningful results.

With adnexitis, it is effective to use tampons with healing solutions, baths, and it is also recommended to take the formulations inside.

Recipe 1. You should take aloe juice or fresh leaves mixed with liquid honey and let it brew for 10-14 days. Apply to gauze swabs and lay overnight for 7-10 days.

Recipe 2. In equal quantities, you need to take nettle and dandelion root, calendula and cinquefoil flowers, mistletoe and horsetail leaves. Pour all this with hot water, let it brew for several hours, and then use it to warm up in a hot bathroom.

Recipe 3. It is useful to take an infusion of a boron uterus and a red brush. For this, plants should be poured in equal proportions with alcohol or vodka, let it brew in a dark place for two weeks. Take 5-10 drops 3-4 times a day for 10-14 days.

Adnexitis after treatment

Not always adnexitis is easily and smoothly treated, complications are possible, the consequences of non-compliance with the course of taking medications, and much more.

Possible Complications

Adnexitis often requires the appointment of serious medications. Therefore, in some cases, thrush may develop if prophylaxis with antifungal agents is not carried out in time.

Also, various kinds of allergic reactions are not excluded. The presence of hypersensitivity to drugs should warn the doctor in advance.

If there are any problems with the liver or kidneys, it is better to carefully monitor the function of these organs. Antibiotics and other drugs put a significant burden on them.

When can you get pregnant

After suffering acute adnexitis (or activation of a chronic infection), it is recommended to refrain from pregnancy for 2-3 months. Do not forget to treat the sexual partner. It is useful during this period to take contraceptives.

This tactic is due to the following:

• the ovaries and the reproductive system as a whole need time to recover in order for the pregnancy to proceed successfully;
• during this period of time it will become clear whether the infection has completely cured, it will already be possible to pass control tests, including PCR.

Is it possible to relapse

Adnexitis often occurs repeatedly in one girl and can subsequently turn into a chronic form with periodic exacerbations. This can be caused by the following:

• all doctor's recommendations for treatment have not been fulfilled;
• pathogens have already developed resistance to the antibiotics used;
• the sexual partner has not been treated, has not made a recovery control.

Prevention of adnexitis

Prevention of adnexitis primarily includes sexual education. This means that all questionable intimate relationships must be protected.

You should also be regularly examined by a doctor, undergo all the treatment prescribed, if necessary, and follow the recommendations.

Adnexitis is an inflammation of the appendages, which often occurs in a chronic form. Consequently, it entails infertility, menstrual irregularities and many other gynecological diseases. Only timely detection and competent full treatment will avoid all the troubles if the disease could not be avoided.

Similar articles

Adnexitis or salpingo-oophoritis is caused by the activity of bacteria that have entered through the genital tract or with the bloodstream.

The assumption about the disease is established based on the complaints of the woman. In the chronic form, symptoms will be minimal.

For the subsequent choice of treatment, examination is not enough; a complex of diagnostic measures is needed. Namely:

• Ultrasound of the small pelvis (free fluid is determined, enlarged ovaries, etc.);
• a smear on the flora from the vagina and cervical canal (because often the infection is ascending);
• PCR of vaginal and cervical secretion for the main pathogens (chlamydia, myco-, ureplasma, Trichomonas, gonococci and others);
• bacteriological culture of the vaginal flora, including sensitivity to antibiotics.

Adnexitis (salpingoophoritis) is an infectious and inflammatory disease of a specific or nonspecific nature, localized in the ovaries and fallopian tubes. In terms of frequency of occurrence, salpingo-oophoritis is the most common infectious and inflammatory pathology of the pelvic organs.

Isolated inflammatory processes in the fallopian tubes (salpingitis) usually do not occur in clinical practice.

As a rule, they develop as a result of inflammation of the ovaries (oophoritis) or are combined with damage to the uterus.

In severe cases, there are purulent processes that simultaneously affect the uterus, ovaries and fallopian tubes. In this case, there is a high risk of developing pelvic peritonitis and sepsis.

Considering high risks the spread of the infectious and inflammatory process, the development of complications (abscess, pyosalpinx, pelvioperitonitis, infertility, adhesions, etc.), as well as the possibility of inflammation becoming chronic (chronic salpingoophoritis), antibiotics for adnexitis should be prescribed immediately after diagnosis.

When choosing antibiotics for the treatment of adnexitis, it is necessary to take into account the spectrum of the main pathogens (gonococci, chlamydia, mycoplasma, anaerobes, gram cocci, enterobacteria), as well as the responses of crops from the cervical canal to the sensitivity of the isolated pathogen to antibacterial drugs.

• inhibitor-protected penicillins (amoxicillin/clavulanate or ampicillin/sulbactam);
• cephalosporins (ceftriaxone, cefoxitin, cefotaxime);
• inhibitor-protected cephalosporins (cefoperazone/sulbactam);
• tetracyclines (doxycycline);
• fluoroquinolone antibiotics (ofloxacin, ciprofloxacin);
• macrolides (azithromycin, clarithromycin, spiramycin, erythromycin, roxithromycin);
• aminoglycosides (gentamicin);
• nitroimidazoles (metronidazole, ornidazole);
• carbapenems (imipenem, meropenem);
• lincosamides (clindamycin).

CefotaximeAzithromycinDoxycycline 100mg

Why does the disease occur?

Adnexitis is a pathological change in the microflora of the internal genital organs of a woman. If treatment is not started in time, then this may threaten that in the future the carrier of this disease will be deprived of the opportunity to become pregnant, bear and give birth to a child. Antibiotics for adnexitis are the most effective drugs.

An interesting fact is that not quite healthy women are exposed to this disease. If immunity is reduced, the body is weakened, then this is one of the main causes of pathology.

What is the disease? What is adnexitis? This is a pathology in which infections such as streptococcus, tubercle bacillus, gonococcus, fungus or E. coli enter the internal genital organs.

Only such an aggressive organism as gonococcus can penetrate inside, all other infectious pathogens can get there only if malfunctions in the work of the woman's body are detected.

Antibiotics for adnexitis (salpingoophoritis)

Antibiotics for adnexitis are an effective way to treat inflammation of the ovaries and fallopian tubes. Another name for the inflammatory process that develops in the uterine appendages is salpingo-oophoritis.

What is dangerous adnexitis

The main manifestations of adnexitis are fever up to 39˚C and a sharp pain in the lower abdomen, which can radiate to the sacrum or lower back.

Other symptoms may also occur:

• menstrual irregularities (for example, longer and more painful periods);
• painful urination;
• watery or purulent discharge;
• intermenstrual bleeding;
• pain during sexual intercourse.

the danger of salpingo-oophoritis is the risk of complications. First of all, it can be an adhesive process in the fallopian tubes, which increases the likelihood of infertility and ectopic pregnancy.

Also, the inflammatory process can move into the peritoneum and contribute to the development of peritonitis. Possible consequences such as disruption of the endocrine system or damage to the joints.

Only a specialist should assess the symptoms of adnexitis and prescribe antibiotic treatment. Therefore, when the first unpleasant manifestations of the disease occur, you should immediately consult a doctor.

After confirming the diagnosis and determining the type of treatment, the specialist selects the most optimal treatment regimen. As a rule, its basis is antibiotics. Initially, they are administered intramuscularly or intravenously, and then replaced by drugs in the form of tablets. In addition, patients are prescribed probiotics that restore the intestinal microflora.

In addition, in the process of treatment, a special role is given to physiotherapeutic procedures that are prescribed after the disappearance acute symptoms diseases. They prevent the formation of adhesions, and also enhance the effect of antibiotics.

Which antibiotics will be prescribed for adnexitis directly depends on the reasons for its development. It is worth noting that different groups of microorganisms can provoke an inflammatory process:

• chlamydia;
• non-spore-forming anaerobes;
• gonococci;
• ureaplasma;
• trichomonas;
• mycoplasmas;
• gram positive bacteria.

After determining the pathogen, selected individual preparations or combinations thereof, to which the identified microorganisms are particularly sensitive.

If there are reasons why empirical treatment of acute adnexitis with antibiotics is required (for example, if there are no test results yet), then specialists prescribe broad-spectrum drugs to patients.

However, in this case, it is important that the selected drugs are not only effective, but also safe.

In addition, there are certain differences in the treatment regimens for different forms of pathology.

If this is acute adnexitis, then antibiotics are administered intravenously or intramuscularly until the patient's leukocyte concentration exceeds 10 × 109 / l for at least two days, and the body temperature is above 37.5˚C.

There are a large number of antibiotics that quickly and effectively treat salpingo-oophoritis. But the best results are:

1. Azithromycin. It has an active effect on the foci of inflammation and has excellent bactericidal properties. It is effective in complex therapy female urogenital area. This antibiotic is especially actively used in the treatment of adnexitis, cervicitis and urethritis. However, it must be borne in mind that Azithromycin is not used if the onset of the disease was provoked by staphylococci or streptococci.
2. Ceftributen or Cedex. Helps fight streptococci, gonococci and enterobacteria. They have antibacterial and bactericidal action, are available in the form of capsules.
3. Erythromycin. The drug is administered intravenously and is used when the causative agents of adnexitis are chlamydia and mycoplasmas.
4. Ceftriaxone. Widely used in infectious gynecological diseases. It is recommended to take it in cases where vaginal pathogenic microflora joins the inflammatory process. In addition, Ceftriaxone can be combined with other groups of antibiotics.
5. Doxycycline. It belongs to the tetraceline series and is able to actively influence many groups of microorganisms. This antibiotic can be taken orally or given intravenously. In the treatment of adnexitis, Doxycycline helps to achieve good results in the first days after the start of use.
6. Metronidazole. The drug acts on the foci of the inflammatory process and is most often used to treat urogenital diseases.
7. Tsiprolet. It is used for gynecological diseases of an infectious nature. He also showed high efficiency, as well as speed of action, with adnexitis. Effectively affects gram-negative microflora, but some gram-positive bacteria are also susceptible to it. Ciprolet can also be prescribed for chlamydia and mycobacteria.
8. Polygynax. Good results give vaginal suppositories polygynax.
   This drug has practically no contraindications, and its components do not enter the bloodstream. It has a long-term effect due to the slow absorption of the drug by the mucous membrane.
9. Terzhinan. It is a combined remedy and is used locally. Produced in the form vaginal tablets that do not violate the natural balance of microflora. The components of Terzhinan have anti-inflammatory and bactericidal effects. This drug is recommended if the inflammation is caused by anaerobic infections, Trichomonas, or when the patient has a mixed pathogenic microflora.

In some cases, when adnexitis is found in women, antibiotics are prescribed, the choice of which is based on the experience of a specialist or his observations. Empiric therapy uses broad-spectrum drugs.

• a combination of amoxicillin with doxycycline or erythromycin;
• Ceftriaxone in combination with doxycillin, clarithromycin or metronidazole.

Alternatively, the specialist may prescribe complex application Ofloxacin with Metronidazole, a combination of Lincomycin with Gentamicin or Doxycilin. In some cases, it may also be a combination of Doxycycline with Ciprofloxacin.

If the patient is diagnosed with gonococcal infection, the main drugs of choice are Ceftriaxone and Ciprofloxacin. However, there are alternative drugs - Spectinomycin and Cefotaxime.

In a situation where adnexitis is caused by chlamydia, the main drugs will be Azithromycin and Doxycycline. Although Erythromycin and Ofloxacin can also be used.

If the patient has a mycoplasma infection, then she needs to take Doxycycline or Azithromycin. Alternative drugs that a doctor may prescribe are Gentamycin, Incomycin, or Ofloxacin.

For pregnant women, standard treatment regimens are used, but the following medications are excluded:

• Roxithromycin;
• Clarithromycin;
• the lincosamide group;
• aminoglycosides;
• tetracycline group;
• fluorochonilones.

The entire course of therapy should be strictly controlled by a specialist. This will help to significantly reduce the risk of complications. Only adherence to the treatment regimen prevents the formation of resistance of microorganisms to the effects of antibiotics.

Remember! It is strictly forbidden to take any antibiotic without consulting a doctor!

How drugs are selected

Adnexitis is an inflammation of the ovaries and fallopian tubes that is quite dangerous for a woman’s health, causing various complications in the medium term, up to infertility, and therefore requires mandatory medical complex treatment.

One of the basic principles of counteracting adnexitis is considered to be the use of anti-inflammatory drugs of focal action.

The most effective in this situation will be voltaren - a non-steroidal, anti-inflammatory, antipyretic and analgesic agent, which is an inhibitor of cyclooxygenase.

Diclofenac is considered to be its closest analogue - both of the above systemic drugs contain an active substance that reduces the level of prostaglandins in the hypothalamus and inflammation. This eliminates not only pain, but also reduces possible blood loss.

Diclofenac and Voltaren tablets are enteric-coated and begin to act a few hours after ingestion. The initial daily dose for adults is 150 milligrams per day, divided into 2-3 doses, then the concentration can be reduced to 100 mg per day.

It is advisable to start the course of antibiotic treatment with intramuscular or intravenous administration drugs, and then you can switch to the tablet form. Be sure to combine the above medicines with probiotics, which will restore the balance of the intestinal microflora in the course of treatment.

Antibiotics for adnexitis cannot be prescribed on their own (only a doctor can do this), as well as abruptly interrupt the course - otherwise you will have a relapse and the disease will go into a chronic phase.

After the acute manifestations of the symptoms of the disease begin to disappear, it is imperative to connect physiotherapeutic procedures to the course - ultrasound, treatment with magnetic alternating and diadynamic current.

1. Zomax and azithromycin are very broad-spectrum antibiotics, quite effective for the complex treatment of diseases of the urogenital area in women. In particular, they are used for urethritis, cervicitis, adnexitis.
2. Cedex and ceftributen - very well destroy gonococci, streptococci and enterobacteria, which induce the appearance of adnexitis. Most often, these antibiotics are found in capsule form.
3. Erythromycin is a powerful intravenous drug for the effective treatment of mycoplasmosis and chlamydia, is used as an additional drug for adnexitis.
4. Metronizadol is a topical antibiotic commonly used in the treatment of genitourinary diseases.
5. Ceftriaxone, ciprolet and ciprofloxacin are the latest generation antibiotics, a good alternative to the drugs proposed above.

It is worth noting once again that the duration of the course of treatment, specific drugs and their combinations, should be determined exclusively by the attending physician, preferably in a hospital setting.

Vaginal suppositories

With adnexitis, a professional doctor always prescribes vaginal suppositories- they are used for extremely effective local treatment and anesthesia, which allows diversifying therapy and significantly reducing the patient's recovery time.

As an additional therapy for adnexitis, it is rational to use immunomodulatory drugs (Interferon), vitamins (groups C and B), classic painkillers (analgin, ibuprofen, paracetamol), drugs that relieve intoxication (calcium chloride, antiallergic complexes) and even a separate homeopathy ( remens).

Traditional medicine can help with adnexitis. The most effective herbs that help fight this female disease are chamomile, upland uterus and sweet clover.

chamomile

You will need two tablespoons of the dried flowers of the plant. Pour them with a glass of boiling water and leave for 15 minutes. Before douching, make a cleansing enema with plain boiled warm water. Douching with chamomile should be no more than twice a day - in the morning and in the evening.

upland uterus

The world-famous Altai herb, which was used by our ancestors to treat women's diseases. You need to use it internally, making a water tincture.

Take the required amount of dried boron uterus in the proportion of 1 tablespoon per 1 glass of water, fill it with boiled purified water with a temperature of no more than 80 degrees and let stand for about 20 minutes.

sweet clover

This plant has hypotensive, expectorant, anti-inflammatory, anticonvulsant, wound healing, antiseptic and analgesic effects, is widely used in medical practice and is considered to be almost twice as strong from a biostimulating point of view as aloe extract.

Take 10 grams of chopped dried herbs, pour boiling water and put on a small fire for 20 minutes. It is necessary to drink a decoction three times a day for a tablespoon for no more than three months in a row.

One of the most common and at the same time dangerous for the reproductive function of women is a disease that everyone knows as inflammation of the appendages. It is also known as adnexitis.

After determining the pathogen, individual drugs or their combinations are selected, to which the identified microorganisms are particularly sensitive. If there are reasons why empirical treatment of acute adnexitis with antibiotics is required (for example, if there are no test results yet), then specialists prescribe broad-spectrum drugs to patients.

In addition, there are certain differences in the treatment regimens for different forms of pathology. If this is acute adnexitis, then antibiotics are administered intravenously or intramuscularly until the patient's leukocyte concentration exceeds 10 × 109 / l for at least two days, and the body temperature is above 37.5˚C.

Chronic adnexitis is often associated with the formation of cysts against the background of persistent inflammation, which must be taken into account when examining and prescribing treatment. The following is also characteristic of chronic adnexitis:

• moderate pain syndrome;
• adhesive process;
• dysfunction;
• latent course, pathogens are not always immediately detectable.

The severity of certain signs should be taken into account when prescribing treatment regimens. Tactics are as follows:

• It is useful to prescribe, first of all, methods of physiotherapy that will cause an exacerbation of the pathology. And after that, use all other drugs. This way you can achieve the most effective treatment.
• Antibacterial drugs, taking into account crops and sensitivity.
• It is recommended to use absorbable preparations, for example, Wobenzym, Longidaza in the form of suppositories, Lidaza (including physiotherapy with it), Trypsin, Streptokinase and others. They can somewhat reduce the severity of the adhesive process and thereby reduce the pain syndrome.
• Antispasmodic, anti-inflammatory drugs (No-shpa, Ketanov and others).
• Against the background of chronic adnexitis, inflammation often develops in the vagina, so suppositories are used topically. They can be either monocomponent or contain several active substances. These are Hexicon, Clotrimazole, Ginocaps, Terzhinan, Polygynax and others at the discretion of the doctor.
• To restore menstrual function, as well as to normalize the functioning of the ovaries, vitamin complexes, dietary supplements, homeopathic remedies or oral contraceptives are prescribed. Cyclodinone, AEVit, Time factor, Cyclovita and others are effective.

Antibiotics for adnexitis. Types of adnexitis, drugs, drug combinations

The main symptoms of acute salpingo-oophoritis are:

In chronic adnexitis, the pains are pulling in nature, there is a violation of the menstrual cycle and discomfort during intercourse.

In order to better understand what this disease is, it is worth understanding the main reasons that lead to the fact that an infection spreads in the internal genital organs of a woman, which can result in infertility. The main causes of the development of the disease can be caused by a number of factors:

• weakened immunity, hypothermia or seasonal beriberi, as well as other concomitant diseases that were treated with antibiotics;
• chronic pathologies;
• destabilization of metabolic processes in the body - the presence of diabetes, extra pounds and other pathological changes;
• if there is a positive reaction to HIV;
• surgical interventions, especially in the abdominal region;
• therapeutic measures, including diagnostics - hysteroscopy, endometrium, curettage and abortion, as well as intrauterine type contraception.

One of the factors that contributes to the spread of infection within the body can be sexual contact or menstruation. This is due to the fact that during the opening of the fallopian tubes, microorganisms can freely penetrate there.

What are the options for the course of the disease? Two main forms of the disease are known, which can be divided according to the area of ​​\u200b\u200bthe infection.

• The unilateral form of the disease is characterized by inflammation of one of the appendages, left or right. This form of the disease is milder, because depending on how advanced the disease was and whether the prescribed treatment is effective, there may be different outcomes. So, if the pathology is not treatable, then when one of the appendages is removed, the second will allow the woman to become a mother in the future.
• The bilateral form of the disease is a more severe stage. In such situations, the chances of a full recovery are less, but this is influenced by many factors. With bilateral adnexitis inflammation exposed left and right appendage simultaneously.

In what situations can severe forms of the disease occur? This happens when a woman ignores the first symptoms of the disease and continues her usual rhythm of life. As a result, the defeat can be carried out by several infections.

If chronic adnexitis occurs, then the symptoms can be supplemented by such characteristic features:

• During intercourse, discomfort and severe pain are felt.
• Defecation is painful.
• The cycle of menstruation is disturbed.
• During menstruation, severe pain is felt.
• The discharge contains pus.

Chronic forms of the disease threaten to occur with untreated adnexitis or in situations where therapy has not been effective. Time is the most important factor that affects the complexity of the disease, the outcome and effectiveness of treatment.

Therefore, do not hesitate if you suspect something is wrong with your health. During treatment, sexual intimacy is not recommended, as it to some extent affects the spread of infection.

1. Terzhinan is a complex combined preparation containing an antibiotic local application, an antifungal component and imidazole, which suppresses anaerobic microflora.
2. Movalis is a powerful pain reliever, the effect of which lasts for 12 hours.
3. Fluomizin - vaginal antiseptic tablets.
4. Indomethacin - anti-inflammatory, analgesic and antipyretic suppositories.

What is dangerous adnexitis

Inflammation almost never goes unnoticed in the body, especially when it affects such delicate, delicate and small structures as the ovaries, fallopian tubes and everything that connects them.

Adnexitis

This has to be faced in all cases of chronic adnexitis, as well as in the untimely treatment of other forms. Adhesions in the pelvis cause pain, the intensity of which depends on the severity of the process and concomitant diseases.

Adhesions may involve the fallopian tubes and ovaries, increasing the risk of ectopic pregnancy. They also present great difficulties in IVF. Sometimes the process of egg collection is technically impossible due to a pronounced adhesive process.

Adhesions in the pelvic organs

It is formed both due to adhesions and due to inflammation of the inner lining of the fallopian tubes. And their clearance is normal - only a few millimeters, so even a slight inflammation can lead to impaired patency and infertility.

The main danger of salpingoophoritis is the risk of complications. First of all, it can be an adhesive process in the fallopian tubes, which increases the likelihood of infertility and ectopic pregnancy.

Also, the inflammatory process can move into the peritoneum and contribute to the development of peritonitis. Possible consequences such as disruption of the endocrine system or damage to the joints.

Symptoms of adnexitis

If there is a mild form of the disease, then the symptoms will not be pronounced. They will consist in the fact that there is pain in the abdomen. With a unilateral course of the disease, the pain will bother from two sides, and with a one-sided course, therefore, only on the left or right, depending on which side the inflammation occurred.

If the form of the disease is acute or close to this condition, then the symptoms will be more pronounced and they will be as follows:

• Often there is a fever, in which there is an increased body temperature up to 38-40 degrees.
• When pressing on the abdomen, a strong feeling of pain occurs.
• Pus may be discharged from the genital tract.
• There are pains in the abdomen, which can be similar to contractions.
• Increased sweating.
• The muscles in the abdominal cavity are tense.
• Headaches.
• Pain in the muscles.
• Sometimes the process of urination becomes painful.

This describes the symptoms of a pathology that is not chronic.

Primary treatment of bilateral adnexitis

As for the treatment of pathology, the measures are applied in a complex manner. They consist in dietary nutrition, the absence of nervous overstrain, psychological and sexual peace, healthy sleep are recommended, and it is also necessary to strictly adhere to the recommendations of the attending physician.

It is strictly forbidden to make an independent adjustment of treatment or replacement of drugs without the knowledge of the doctor. If the dosage is indicated by a specialist, then in no case should it be reduced, since this may subsequently threaten that the disease will become chronic.

Features of treatment with folk methods

The total duration of antibiotic treatment is at least 14 days. Even if the symptoms become less noticeable before this time, it is very important to follow all the recommendations of the doctor.

After all, if the course of antibiotics taken is abruptly interrupted, this will significantly increase the risk of developing a relapse of the disease, and will also contribute to its transition to a chronic form. In addition, in the process of treatment, a special role is given to physiotherapeutic procedures, which are prescribed after the disappearance of acute symptoms of the disease. They prevent the formation of adhesions, and also enhance the effect of antibiotics.

sweet clover

The reappearance of symptoms of the disease against the background of chronic adnexitis is fundamentally no different from the acute form of the disease. Therefore, the principles of therapy are the same.

But chronic forms of adnexitis often occur against the background of resistant flora. This means that previously used treatment regimens, in particular, antibacterial drugs, may be of little or no effect.

Adnexitis should not be treated only by alternative methods. Alone, they are ineffective. But if combined with drug treatment, you can get a more significant result.

With adnexitis, it is effective to use tampons with healing solutions, baths, and it is also recommended to take the formulations inside.

Recipe 1. You should take aloe juice or fresh leaves mixed with liquid honey and let it brew for 10-14 days. Apply to gauze swabs and lay at night for 7-10 days.

Recipe 2. In equal amounts, you need to take nettle and dandelion root, calendula and cinquefoil flowers, mistletoe and horsetail leaves. Pour all this with hot water, let it brew for several hours, and then use it to warm up in a hot bathroom.

Recipe 3. It is useful to take an infusion of a boron uterus and a red brush. For this, plants should be poured in equal proportions with alcohol or vodka, let it brew in a dark place for two weeks. Take 5-10 drops 3-4 times a day for 10-14 days.

Antibiotics for adnexitis during pregnancy

Often women believe that pain in the lower abdomen during pregnancy is associated with adnexitis. In fact, everything is completely different. The pains are very similar, in the same places, they can even match in intensity. But this is not adnexitis, but a threat of interruption, possibly due to infection.

The hormonal background of a woman during pregnancy, as well as all the structural changes that occur at this moment, exclude the appearance of adnexitis.

If there is inflammation of the appendages, either fertilization will not occur, or the fetal egg will not be fixed in the uterine cavity. In the case when pregnancy occurs, the inflammation is in remission or absent.

During gestation, any infection is concentrated in the vagina, cervix, in extreme cases - in the endometrium, which has adverse consequences.

Adnexitis after treatment

Not always adnexitis is easily and smoothly treated, complications are possible, the consequences of non-compliance with the course of taking medications, and much more.

Adnexitis often requires the appointment of serious medications. Therefore, in some cases, thrush may develop if prophylaxis with antifungal agents is not carried out in time.

Also, various kinds of allergic reactions are not excluded. The presence of hypersensitivity to drugs should warn the doctor in advance.

If there are any problems with the liver or kidneys, it is better to carefully monitor the function of these organs. Antibiotics and other drugs put a significant burden on them.

After suffering acute adnexitis (or activation of a chronic infection), it is recommended to refrain from pregnancy for 2-3 months. Do not forget to treat the sexual partner. It is useful during this period to take contraceptives.

This tactic is due to the following:

• the ovaries and the reproductive system as a whole need time to recover in order for the pregnancy to proceed successfully;
• during this period of time it will become clear whether the infection has completely cured, it will already be possible to pass control tests, including PCR.

Is it possible to relapse

Adnexitis often occurs repeatedly in one girl and can subsequently turn into a chronic form with periodic exacerbations. This can be caused by the following:

• all doctor's recommendations for treatment have not been fulfilled;
• pathogens have already developed resistance to the antibiotics used;
• the sexual partner has not been treated, has not made a recovery control.