Salpingitis & ovarian inflammation (pelvic inflammatory disease) therapy
In an oviduct and ovarian inflammation (pelvic inflammatory disease) therapy is primarily conservative with medication and supportive methods. Surgical procedures are necessary if there are complications, such as abscesses (encapsulated pus) in the pelvic area.
As soon as the suspicion of a fallopian tube and ovarian inflammation has confirmed the attending physician initiates a course of antibiotics. They usually begin with a Broad-spectrum antibiotic, Thus a against several pathogens effective preparation. Are the causative pathogens and resistance management known, the doctor selects the best effective preparation.
In addition to antibiotics the doctor prescribes so-called anti-inflammatory drugs that counteract the inflammatory process and have a pain-relieving (analgesic) effect. These include the NSAIDs such as diclofenac.
The treatment usually lasts up to 20 days and should also after the acute symptoms Not be interrupted, so that pelvic inflammatory disease can fully heal and the woman concerned does not lose its fertility. In addition, a sufficient period of treatment is important to prevent any pathogens multiply that to the antibiotic resistant are.
Around Irregularities of the menstrual period treat hormone preparations can be used. In acute pelvic inflammatory disease, it makes sense to refrain from sexual intercourse - even after taking pain-relieving drugs. Often it is also useful for an ovarian inflammation or tubal inflammation (pelvic inflammatory disease) to treat the sexual partners of those affected so that they do not re-infect after therapy with their partner.
To support the drug therapy, women should comply with a fallopian tube and ovarian inflammation in the acute phase of bed rest. Often it makes sense that patients stationary hospital stay. This is especially true if:
The diet should be minimal impact. Women who are erkrant to a pelvic inflammatory disease, should also pay attention to empty the bladder and bowel regularly.
Especially with fever, it is important that sufferers take plenty of fluids - as drinks or if necessary as infusions.
Surgical treatment of pelvic inflammatory disease is necessary if complications occur, which can not be treated with conservative measures.
An operation of a fallopian tube and ovarian inflammation in the acute stage is necessary if complications in the form of a so-called acute abdomen occur. These include peritonitis (peritonitis), a bowel obstruction (ileus) or an accompanying appendicitis (appendicitis). Have collections of pus (abscess) formed in the abdominal cavity, it can be removed through a puncture. A preferred location for collections of pus is called the Douglas space between the uterus and rectum. then one speaks of a Douglas abscess.
In the chronic stage of pelvic inflammatory disease, surgery may be appropriate when there are always complaints. Then eventually, the doctor needs to remove the ovaries and the uterus one or both fallopian tubes.