Pain in the appendages
Last reviewed: 23.04.2024
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Pain in the appendages can 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 between the ages of twenty-five and thirty. The most negative impact of adnexitis on the state of childbearing function. In case of complications and untimely treatment, the risk of infertility and violation of sexual functions increases.
[Causes of pain in appendages
The causes of pain in the appendages often lie in the formation of an inflammatory process caused by a disease such as adnexitis, or in another way - salpingoophoritis. With the development of such pathology, fallopian tubes and ovaries become inflamed as a result of ingestion of staphylococci, streptococci, gonococci and other pathogenic elements into the body. The most common pathogens also include chlamydia, ureaplasmas, mycoplasmas, trichomonads, etc. Provocative inflammation of the appendages can often overwork, weaken the immune system, prolonged hypothermia, for example, with a long stay in cold water. Also, the cause of pain in the appendages can be the presence of cysts or polyps and other neoplasms, polycystic ovaries. To the causes of pain in the appendages is also 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 an insufficient production of progesterone in the process of ovulation. To provoke pain in the appendages, such a disease as cervicitis can be an inflammation of the cervix, which in turn can be caused by traumas and ovulation of the cervix, sexual infections, erosion, endometritis, colpitis, etc.
How does the pain in the appendages show up?
Symptoms of pain in the appendages, in addition to uncomfortable and painful sensations in the fallopian tubes and ovaries, include increased temperature, pain in the head, muscles, and during sexual contact, including the lower abdomen. In some cases, concomitant symptoms of the disease may include problems with urination, functioning of the gastrointestinal tract, and a monthly cycle. Bloody discharge from the genital tract can also be a sign of the inflammatory process in the appendages of the uterus.
Pain in inflammation of the appendages
Pain in inflammation of the appendages varies depending on the form of the disease that causes them. Stitching and cutting pains are typical for acute inflammation of the appendages, blunt and aching occur in the chronic form of the disease. In both cases, pain in inflammation of the appendages can irradiate in the lower back, arise during intercourse, increase with stress, exercise, accompanied by violations of the menstrual cycle. At the same time in the acute phase of the disease there is a sharp rise in body temperature, chills, nausea or vomiting, tension of the abdominal muscles. Such pain can be caused by infectious agents that get into the body during sexual intercourse, or by infections of a different nature. Influence on the development of inflammation may be a malfunction in the work of the immune system, hypothermia, frequent fatigue, etc.
What are the pains with inflammation of the appendages?
The disease that causes inflammation and pain in the appendages can be acute and chronic. To differentiate what pains with inflammation of the appendages occur in the acute form of adnexitis, it is possible by the following signs: a sharp increase in temperature to thirty-eight or thirty-nine degrees, pain and tension in the abdomen, including during palpation, general weakness, chills, increased sweating, pain in the head and muscles, irradiation of pain in the lumbar region, difficulty with urination. Attachments with acute adnexitis enlarged, swollen and painful, can disturb the discharge from the vagina. In the chronic form of the disease, the pains in the lower abdomen are aching, they can be felt in the groin and in the vagina, changes in the monthly cycle occur as a result of abnormal functioning of the ovaries. Menstruation can be abundant, accompanied by pain, secretions of individual bloody clots. However, there are also opposite situations: the number of secretions is insignificant, the period of menstruation is reduced, the sexual function fails, the libido decreases, and pain occurs during sexual intercourse. Provoke an aggravation of stress, persistent overwork, prolonged hypothermia. Also, the disease can worsen against a background of some other disease.
Pain in the appendages during pregnancy
The pain in the appendages during pregnancy can be caused by different reasons. These include inflammation of the ovaries or fallopian tubes, the provoking factor is neural stress, overfatigue, hypothermia and disturbances in the functioning of the immune system. Such pain can appear in the form of attacks or bother constantly. With inflammation of the ovaries, often decreases ability to work, there are problems with sleep, there is weakness, 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 arise as a result of the adaptation of the pregnant body to a new period. The ovaries and the uterus may change their position slightly, so that the resulting pains can relate to the ligaments that support the uterus. If the pain in the appendages worried a woman before the onset of pregnancy, this may indicate a chronic disease of the appendages, which can adversely 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, can result from an inadvertent gynecological examination, termination of pregnancy, insertion into the uterine cavity of the spiral, and after childbirth, due to impaired immune functions, untreated gynecological diseases, non-observance of intimate hygiene and frequent changes of sexual partners. The pain in the right appendage is combined with the pain in the lower abdomen on the right, it may be similar to the symptom of an appendix inflammation. With pain in the right appendage the temperature rises, there are vaginal discharge, uterine bleeding, there are failures of the monthly cycle, a decrease in sexual desire, pain in the process of sexual intercourse. With the advanced form 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 if there are any accompanying pathologies. The causes of the disease include promiscuous sexual intercourse, the artificial termination of pregnancy, traumatism with gynecological examination, the establishment of an intrauterine device, the presence of other diseases of the gynecological sphere, the weakening of immunity, etc. The main symptoms in pain in the left appendage are pain in the lower abdomen on the left, high temperature, which can persist even when taking antipyretics, discharge from the genital tract, pallor of the skin, deterioration of appetite, with libido, the violation of sexual functions, the failure of the monthly cycle. Complication with such conditions can be the spread of inflammation to the right side of the appendages and the development of infertility.
Diagnosis of pain in appendages
Diagnosis of pain in the appendages includes a general blood test, as well as ultrasound to determine the presence or absence of tumors. PCR diagnostics (polymerase chain reaction) can detect sexual infections, to detect inflammation from the vagina, a smear is taken. In some cases, a colposcopy (examination of the vagina and vaginal walls with a special instrument), tomography, laparoscopy, and bakopose can be prescribed.
Treatment of pain in appendages
Treatment of pain in the appendages primarily depends on the cause that it provoked. Complex treatment, competently selected by an experienced doctor, is aimed primarily at eliminating the infection and eliminating the inflammatory process. In the treatment possible use of antiviral drugs, antibacterial agents, as an auxiliary therapy prescribed immunostimulants, physical therapy procedures - mud and ultrasound treatment, diathermy. Physiotherapy is usually done after the onset of improvement. When inflammation of the appendages are often prescribed antibiotics group of penicillins or cephalosporins. Duration of treatment is from ten to fourteen days. With chronic inflammation of the appendages recommended intake of vitamin-mineral complexes, antiallergic drugs. Anesthetics, acupuncture, psychocorrection, acupressure are also prescribed. In the period of improvement, mud tampons, suppositories are used, magnetotherapy practices are practiced, electrophoresis with iodine, zinc or copper is used. Treatment of the disease should only be qualified, self-diagnosis and self-medication can harm your health and aggravate the course of the disease.
Prophylaxis of pain in appendages
Prophylaxis of pain in the appendages includes the following recommendations:
- Avoid hypothermia, overwork and stress.
- Do not neglect the means of contraception, especially in the absence of a regular sexual partner.
- Maintain the proper functioning of the immune system - lead a healthy lifestyle and eat well.
- Do not allow artificial termination of pregnancy.
- Observe the rules of intimate hygiene.