What causes adnexitis

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What Causes Adnexitis?

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Adnexitis is a condition that causes inflammation of the adnexa, which are the structures that surround the uterus. These structures include the fallopian tubes, ovaries, and ligaments that support the uterus. Adnexitis can be caused by a variety of factors, including infection, endometriosis, and pelvic inflammatory disease (PID).

Infection

Infection is the most common cause of adnexitis. Bacteria can enter the adnexa through the vagina, cervix, or uterus. This can happen during childbirth, abortion, or other gynecological procedures. Sexually transmitted infections (STIs), such as chlamydia and gonorrhea, are also common causes of adnexitis.

Symptoms of adnexitis caused by infection include:

Pelvic pain

Fever

Chills

Nausea

Vomiting

Diarrhea

Abnormal vaginal discharge

Endometriosis

Endometriosis is a condition in which the tissue that lines the uterus (the endometrium) grows outside of the uterus. This tissue can implant on the ovaries, fallopian tubes, or other pelvic organs. When the endometrial tissue implants on the adnexa, it can cause inflammation and pain.

Symptoms of adnexitis caused by endometriosis include:

Pelvic pain

Painful periods

Infertility

Heavy bleeding

Irregular periods

Pelvic Inflammatory Disease (PID)

PID is a serious infection of the female reproductive organs. It can be caused by a variety of bacteria, including chlamydia and gonorrhea. PID can spread to the adnexa and cause inflammation.

Symptoms of adnexitis caused by PID include:

Pelvic pain

Fever

Chills

Nausea

Vomiting

Diarrhea

Abnormal vaginal discharge

Diagnosis

Adnexitis is diagnosed based on a physical examination and a medical history. Your doctor will ask you about your symptoms and perform a pelvic exam to check for any abnormalities. Your doctor may also order blood tests or imaging tests to confirm the diagnosis.

Treatment

The treatment for adnexitis depends on the underlying cause. If the adnexitis is caused by infection, your doctor will prescribe antibiotics. If the adnexitis is caused by endometriosis, your doctor may recommend surgery to remove the endometrial tissue. If the adnexitis is caused by PID, your doctor will prescribe antibiotics and may also recommend surgery to remove the infected tissue.

Complications

Adnexitis can lead to a number of complications, including:

Infertility

Ectopic pregnancy

Pelvic abscess

Sepsis

Prevention

There are a number of things you can do to prevent adnexitis, including:

Practice safe sex by using condoms

Get regular Pap tests and pelvic exams

Treat STIs promptly

Maintain a healthy weight

Exercise regularly

Eat a healthy diet

Get enough rest

Outlook

The outlook for adnexitis depends on the underlying cause and the severity of the condition. Most cases of adnexitis can be treated with antibiotics and surgery. However, some cases of adnexitis can lead to infertility or other complications.

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