How to determine if there is inflammation in the fallopian tubes? There are four characteristics of salpingitis

Salpingitis is a common gynecological inflammation, and its appearance also causes special distress for many women. It not only affects normal life, but also endangers health. It must be immediately checked and judged.

Types of salpingitis

1. Hydrosalpinx and fallopian ovarian cysts: Hydrosalpinx is caused by endometritis of the fallopian tubes, resulting in atresia of the fimbria and fluid accumulation in the lumen. Some cases involve the accumulation of pus in the fallopian tubes, while on other days, the pus is absorbed and liquefied into a serous state, evolving into the accumulation of fallopian tubes. In addition, follicular cysts are formed due to the rupture of inflammatory follicles around the ovaries, or when follicles rupture, bacteria enter the space to form inflammatory fluid accumulation, which then intersects with hydrosalpinx to form tubal ovarian cysts. Hydrosalpinx generally has a thin membranous cord that adheres to the pelvic peritoneum, but is isolated and free. Due to the severe enlargement at the distal end, occasionally the proximal (isthmus) is used as the axis, resulting in hydrosalpinx torsion, which is more common on the right side.

2. Chronic interstitial salpingitis: Chronic inflammatory lesions left by acute interstitial salpingitis often coexist with chronic ovarian inflammation. Bilateral fallopian tubes can be seen to be thickened and fibrotic, with residual small pus lesions in the muscular layer and under the peritoneum.

3. Attachment inflammation mass: Chronic inflammation of the fallopian tubes and ovaries, which can present as inflammatory fibrosis and proliferation, forming a relatively solid inflammation mass. Generally, it is small and can form a large lump if it adheres to the intestines, omentum, uterus, pelvic peritoneum, bladder, etc. Pelvic inflammation can also form lumps after surgery. At this point, with the ovaries or part of the fallopian tubes, pelvic connective tissue, or remnants of the fallopian tubes as the center, the intestines, omentum, and other adhesions occur. If it becomes a chronic inflammatory mass, it is difficult to completely dissipate or eliminate the inflammation.

4. Fallopian tube discharge, fallopian tube ovarian discharge: Fallopian tube discharge lasts for a long time and can cause repeated acute attacks. Especially closely related to the intestinal tract in the pelvic cavity, mixed infection occurs after the infiltration of Escherichia coli. When the body's resistance weakens, the remaining pus in the fallopian tubes can also be provoked by external stimuli. If the patient experiences acute attacks due to overwork, sexual activity, gynecological examination, etc. Recurrence can also occur before and after menstruation due to local congestion.

Symptoms of salpingitis

1. Pain: There is a certain degree of pain in the lower abdomen, mostly dull pain, lumbosacral pain, and falling sensation.

2. Physiological pain: Pelvic congestion, abdominal pain starting one week before menstruation, getting heavier as it approaches the physiological day, until menstruation begins.