Patient's question:
I have been experiencing left abdominal pain recently. The doctor initially diagnosed it as thickening of the adnexa. Now, I always have lower back pain, bloating, prolonged periods, and feel like my abdomen is cold every day. I've seen a traditional Chinese medicine practitioner and taken a few herbal prescriptions, but there hasn't been much improvement. I plan to visit the gynecology hospital this week to get an ultrasound first to determine what the problem is. Do you think that's a good idea? What do you think the condition might be? What exactly does adnexitis include?Doctor's answer:
Hello: It should be diagnosed. In the female internal reproductive organs, the fallopian tubes and ovaries are called uterine appendages. Therefore, strictly speaking, adnexitis refers to the inflammation of the fallopian tubes and ovaries. However, fallopian tube and ovary inflammation are often combined with parametritis and pelvic peritonitis, and it is also difficult to distinguish during diagnosis. As a result, pelvic peritonitis and parametritis are also included in the scope of adnexitis. Adnexitis is a common disease that causes infection of the fallopian tubes and ovaries after pathogenic microorganisms invade the reproductive organs. It is divided into acute and chronic types. Bacteria can invade the reproductive organs during childbirth or when undergoing artificial abortion. They can also enter during menstruation due to poor hygiene, unclean menstrual supplies, or swimming and sexual intercourse during the period.Acute adnexitis has obvious symptoms, such as fever, chills, and severe lower abdominal pain. Chronic adnexitis has varying degrees of abdominal pain, or a sense of heaviness and pulling in the lower abdomen, which may fluctuate in severity and is accompanied by symptoms such as increased vaginal discharge, lower back pain, and menstrual disorders.