Salpingitis

 
Salpingitis is an inflammation of the fallopian tubes, which are long, thin ducts that connect the uterus to the ovaries.

What is going on in the body?

Usually a woman has two fallopian tubes. Their purpose is to carry eggs from the ovaries to the uterus, and sperm from the uterus towards the ovary. The inner lining of the fallopian tubes is very delicate and sensitive to any infection. Fluid, pus, or bacteria can easily cause swelling, infection, and damage in them.

The inflammation is called acute when it occurs suddenly. When it lasts for a long period of time, it is called chronic.

What are the signs and symptoms of the condition?

Symptoms of salpingitis vary, depending on the cause and severity. They may include: · heavy, foul-smelling vaginal discharge ·  abdominal distress, which is often dull or mild, but may become severe ·  nausea, vomiting, or diarrhea · abnormal menstrual bleeding or spotting · urethritis, or swelling of the urethra, which causes painful urination ·  fever of 99 to 104 degrees Fahrenheit ·  chills · body aches and pain ·  back pain that spreads down the legs

What are the causes and risks of the condition?

Often salpingitis is caused by a bacterial or viral infection that rises from the vagina, cervix, or uterus to the fallopian tubes. Possible causes of salpingitis include: ·  pelvic inflammatory disease (PID), or widespread infection in the organs of the pelvis ·  sexually transmitted diseases, often gonorrhea or chlamydia infection · medical procedures, such as laparoscopy, insertion of an IUD, biopsy of the lining of the uterus, or a dilatation and curettage (D&C) · childbirth, miscarriage, or abortion · bacteria that are normally found in the vagina

A woman who has sexual intercourse during adolescence, or who has multiple sexual partners, is at a higher risk.

What can be done to prevent the condition?

Prevention of salpingitis is not always possible. Practicing safer sex may decrease the risk. Early treatment of pelvic inflammatory disease and other infections helps prevent salpingitis.

How is the condition diagnosed?

The diagnosis of salpingitis is based on the symptoms, the medical history, and the personal history. A pelvic exam is usually done to check for tenderness, vaginal discharge, and swelling. The healthcare provider may order additional tests, such as: · an x-ray scan of the fallopian tubes, called salpingography ·  laparoscopy, a procedure in which a thin lighted tube is inserted into the abdomen to allow the doctor to look at the fallopian tubes and other organs · blood tests, including a complete blood count or CBC, to check for infection ·  a culture of the vaginal discharge

What are the long-term effects of the condition?

Salpingitis can cause many long-term effects, including: ·  infertility from blocked fallopian tubes · adhesions or scar tissue in the fallopian tubes ·  ectopic pregnancy, or a pregnancy in which the fetus develops outside the uterus · chronic pelvic pain · recurrent pelvic infections · the need for a hysterectomy

What are the risks to others?

Salpingitis itself is not contagious and poses no risk to others. If the cause is a sexually transmitted disease, such as gonorrhea or chlamydia infection, the infection is contagious.

What are the treatments for the condition?

Early and prompt treatment is needed to prevent serious damage and long-term effects from salpingitis. Treatment usually involves antibiotics, bed rest, and pain medications. The woman is often hospitalized so symptoms and treatment can be monitored. If a woman has an IUD, it may need to be removed once antibiotics have been started. Intravenous fluids and antibiotics may be given into a vein in the arm. Surgery may be needed to remove scar tissue or even the fallopian tube. In severe cases, the uterus, fallopian tubes, and ovaries may need to be removed.

What are the side effects of the treatments?

Antibiotics may cause stomach upset, headache, or allergic reactions. Surgery poses a risk of bleeding, infection, and allergic reaction to anesthesia.

What happens after treatment for the condition?

For some minor cases of salpingitis, no further treatment is needed. For more serious disease, treatment may need to continue.

How is the condition monitored?

Close monitoring of salpingitis is needed because of the possible long-term effects. Any new or worsening symptoms should be reported to the healthcare provider.

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