Patient's question:
I have a friend who has been experiencing dysmenorrhea caused by pelvic congestion recently, mostly with abdominal pain starting about a week before her period. The most common symptoms include excessive menstrual flow, increased leukorrhea, gastrointestinal disorders, fatigue, neurological symptoms, and depression. After examination, it was found that she suffers from salpingitis and oophoritis.Doctor's answer:
Factors leading to oophoritis generally include environmental factors, low immunity, disease factors, and iatrogenic infections. When a pathogen's infection affects the ovaries, causing inflammatory changes in the ovaries, it is referred to as oophoritis. Oophoritis is caused by the inflammatory changes in the ovaries following infection by pathogens. Under normal circumstances, tubo-ovarian abscess, oophoritis, and pelvic peritonitis often coexist and mutually influence each other, rarely occurring in isolation. Due to the close anatomical relationship between the ovaries and fallopian tubes, oophoritis is mostly secondary to fallopian tube inflammation. The main pathogens include Streptococcus, Staphylococcus, Escherichia coli, and others. Simple oophoritis is triggered by infection foci in other parts of the body, especially when suffering from acute mumps, typhoid fever, paratyphoid fever, scarlet fever, and other conditions, as the viruses or bacteria are more likely to spread through the bloodstream to the ovaries, causing oophoritis.