Patient's question:
Recently, I've been feeling lower abdominal pain, a low-grade fever all over, soreness and a heavy sensation in the lower back, and severe pain during sexual activity. The condition keeps recurring.Doctor's answer:
Hello, ovarian inflammation is a type of female pelvic inflammation. It is caused by infection leading to inflammation of the ovaries, resulting in severe sequelae such as ovarian adhesion, fallopian tube, abscess, and obstruction, which can cause infertility. Generally, non-specific ovarian inflammation is divided into acute and chronic types. In acute cases, symptoms such as fever, abdominal pain, and a sense of fullness or pressure in the rectum may occur; while in chronic cases, signs like general weakness, poor mental state, menstrual disorders or changes in menstrual volume, or the presence of masses in the lower abdomen may be observed. It is usually accompanied by pelvic inflammation. The treatment method is typically medication. During the acute phase, antibiotic treatment is administered. If there is aspirated fluid or pus culture and drug sensitivity testing, the use of antibiotics is more effective. If there is adhesion around the ovaries or fallopian tube, surgical options such as laparoscopic adhesion resolution may be considered. If ovarian inflammation with ovarian abscess or fallopian tube abscess does not respond well to antibiotic treatment, surgical intervention may be considered, involving the removal of the affected adnexa while preserving the healthy adnexa to maintain fertility. In summary, surgical treatment should aim to preserve and establish fertility.