Pain in the appendages

Pain in the appendages may bother women with inflammation of the uterus, ovaries or fallopian tubes, both together and separately. The most common gynecological disease associated with inflammation of the appendages is adnexitis.

According to statistics, more than half of women face this disease. Most of them are young women aged twenty-five to thirty years. Adnexitis has the greatest negative impact on the state of reproductive function. With complications and untimely treatment, the risk of infertility and sexual dysfunction increases.

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Causes of pain in the appendages

The causes of pain in the appendages are often rooted in the formation of an inflammatory process caused by a disease such as adnexitis, or in other words - salpingo-oophoritis. With the development of such a pathology, the fallopian tubes and ovaries become inflamed as a result of staphylococci, streptococci, gonococci and other pathogenic elements entering the body. The most common pathogens also include chlamydia, ureaplasma, mycoplasma, trichomonas, etc. Inflammation of the appendages can be provoked by frequent overwork, weakening of the immune system, prolonged hypothermia, for example, when staying in cold water for a long time. Also, the cause of pain in the appendages can be the presence of a cyst or polyps and other neoplasms, polycystic ovary disease. The causes of pain in the appendages also include oophoritis - inflammation of the ovaries and salpingitis - inflammation of the fallopian tubes. If the pain in the appendages depends on the menstrual cycle, it may be an ovulatory syndrome associated with insufficient production of progesterone during ovulation. Pain in the appendages can be provoked by such a disease as cervicitis - inflammation of the cervix, which in turn can be caused by injuries and prolapse of the cervix, sexually transmitted infections, erosion, endometritis, colpitis, etc.

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How does pain in the appendages manifest itself?

Symptoms of pain in the appendages, in addition to discomfort and painful sensations in the fallopian tubes and ovaries, include fever, headache, muscle pain, and pain during sexual intercourse, including in the lower abdomen. In some cases, accompanying symptoms of the disease may include problems with urination, gastrointestinal tract function, and the monthly cycle. Bloody discharge from the genital tract may also be a sign of an inflammatory process in the uterine appendages.

Pain due to inflammation of the appendages

Pain during inflammation of the appendages varies depending on the form of the disease that causes it. Stabbing and cutting pains are typical for acute inflammation of the appendages, dull and aching pains occur in the chronic form of the disease. In both cases, pain during inflammation of the appendages can radiate to the lower back, occur during sexual intercourse, increase with stress, physical exertion, and be accompanied by menstrual irregularities. At the same time, in the acute phase of the disease, a sharp rise in body temperature, chills, nausea or vomiting, and tension in the abdominal muscles are noted. Such pains can be caused by infectious agents that enter the body during sexual intercourse, or by infections of a different nature. Problems with the immune system, hypothermia, frequent fatigue, etc. can affect the development of inflammation.

What kind of pain occurs with inflammation of the appendages?

The disease that causes inflammation and pain in the appendages can be acute or chronic. It is possible to differentiate what kind of pain with inflammation of the appendages occurs in the acute form of adnexitis by the following signs: a sharp increase in temperature to thirty-eight to thirty-nine degrees, pain and tension in the lower abdomen, including when palpating, a general state of weakness, chills, increased sweating, pain in the head and muscles, pain radiating to the lumbar region, difficulty urinating. The appendages in acute adnexitis are enlarged, swollen and painful, and vaginal discharge may bother. In the chronic form of the disease, pain in the lower abdomen is aching in nature, can be felt in the groin and vagina, changes in the monthly cycle occur as a result of impaired functioning of the ovaries. Menstruation can be heavy, accompanied by pain, discharge of individual blood clots. However, there are also opposite situations: the amount of discharge is insignificant, the menstrual period is shortened, there is a failure of sexual function, a decrease in libido, pain occurs during sexual intercourse. Stress, constant fatigue, prolonged hypothermia can provoke an exacerbation. The disease can also worsen against the background of some other disease.

Pain in the appendages during pregnancy

Pain in the appendages during pregnancy can be caused by various reasons. These include inflammation of the ovaries or fallopian tubes, the provoking factor in this case is nervous strain, overwork, hypothermia and disorders in the immune system. Such pain can appear in the form of attacks or bother constantly. With inflammation of the ovaries, work capacity often decreases, problems with sleep appear, weakness occurs, irritability increases. However, pain in the appendages during pregnancy does not always signal the development of inflammation. There is an opinion that such a disorder can occur as a result of the adaptation of the pregnant woman's body to a new period. The ovaries and uterus can slightly change their position, as a result of which the pain that occurs can relate to the ligaments that support the uterus. If pain in the appendages bothered a woman even before pregnancy, this may indicate the presence of a chronic disease of the appendages, which can negatively affect its course and should be cured as soon as possible.

Pain in the right appendage

Pain in the right appendage, or right-sided oophoritis, may occur as a result of a careless gynecological examination, termination of pregnancy, insertion of an IUD into the uterine cavity, as well as after childbirth, due to impaired immune functions, gynecological diseases not treated in time, failure to observe intimate hygiene standards and frequent change of sexual partners. Pain in the right appendage is combined with pain in the lower abdomen on the right, and may be similar to the symptoms of appendicitis. With pain in the right appendage, the temperature rises, vaginal discharge, uterine bleeding appear, menstrual cycle failures, decreased sexual desire, pain during intercourse occur. In advanced forms of the disease, the inflammatory process can cover the left ovary and provoke other complications.

Pain in the left appendage

Pain in the left appendage, or left-sided oophoritis, occurs with inflammation of the left ovary. The inflammatory process develops when bacteria enter the body during sexual intercourse or in the presence of any concomitant pathologies. The causes of the disease include promiscuous sexual intercourse, artificial termination of pregnancy, trauma during a gynecological examination, the installation of an intrauterine device, the presence of other gynecological diseases, weakened immunity, etc. The main symptoms of pain in the left appendage are painful sensations in the lower abdomen on the left, high temperature, which can persist even when taking antipyretic drugs, discharge from the genital tract, pale skin, loss of appetite, decreased libido, sexual dysfunction, and menstrual cycle failure. A complication in such conditions can be the spread of inflammation to the right side of the appendages and the development of infertility.

Diagnosis of pain in the appendages

Diagnosis of pain in the appendages includes a general blood test, as well as an ultrasound examination to determine the presence or absence of neoplasms. PCR diagnostics (polymerase chain reaction) allows you to identify sexually transmitted infections, a smear is taken from the vagina to detect inflammation. In some cases, colposcopy (examination of the vagina and vaginal walls with a special instrument), tomography, laparoscopy, and bacterial culture may be prescribed.

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Treatment of pain in the appendages

Treatment of pain in the appendages primarily depends on the cause that provoked it. Complex treatment, correctly selected by an experienced doctor, is aimed primarily at eliminating the infection and eliminating the inflammatory process. During treatment, it is possible to use antiviral drugs, antibacterial agents, immunostimulants are prescribed as an adjunctive therapy, physiotherapy procedures are carried out - mud and ultrasound treatment, diathermy. Physiotherapy is carried out, as a rule, after the onset of improvement. In case of inflammation of the appendages, antibiotics of the penicillin or cephalosporin group are often prescribed. The duration of treatment is from ten to fourteen days. In case of chronic inflammation of the appendages, it is recommended to take vitamin and mineral complexes, antiallergic drugs. Painkillers, acupuncture, psychocorrection, and acupressure are also prescribed. During the improvement period, mud tampons, suppositories are used, magnetic therapy methods are practiced, electrophoresis with iodine, zinc or copper is used. Treatment of the disease should only be qualified, self-diagnosis and self-treatment can harm your health and worsen the course of the disease.

Prevention of pain in the appendages

Prevention of pain in the appendages includes the following recommendations:

• Avoid hypothermia, overexertion and stress.
• Do not neglect contraception, especially if you do not have a regular sexual partner.
• Maintain a healthy immune system by maintaining a healthy lifestyle and eating a balanced diet.
• Do not allow artificial termination of pregnancy.
• Observe the rules of intimate hygiene.