What are the symptoms of adnexitis?
Asked by:Clay
Asked on:Apr 09, 2026 06:46 PM
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Darby
Apr 09, 2026
Symptoms of adnexitis mainly include lower abdominal pain, fever, abnormal vaginal discharge, irregular menstruation and discomfort with urination. Adnexitis is usually caused by factors such as pathogen infection, spread of inflammation in adjacent organs, uterine cavity operation infection, low immunity or sexually transmitted diseases, and requires timely medical treatment for a clear diagnosis.
1. Lower abdominal pain
Patients with adnexitis often present with persistent dull pain or bloating in the lower abdomen, which worsens after activity or sexual intercourse. The pain may radiate to the lumbosacral region or inner thigh, and may be accompanied by peritoneal irritation in severe cases. This symptom is related to pelvic congestion and inflammatory exudate irritating nerves. Levofloxacin tablets, metronidazole suppositories, cefixime dispersible tablets and other drugs are commonly used in clinical anti-infection treatment. It is also recommended to stay in bed and avoid strenuous exercise.
2. Fever
Acute adnexitis often presents with fever above 38°C, which may be accompanied by systemic symptoms such as chills and headache. Fever is caused by pathogenic toxins entering the blood and triggering an inflammatory reaction. Routine blood tests showed elevated white blood cells and neutrophils. Treatment requires the use of intravenous antibiotics such as ceftriaxone sodium for injection and moxifloxacin hydrochloride and sodium chloride injection, supplemented by physical cooling measures.
3. Abnormal vaginal discharge
Increased purulent or purulent leucorrhea is a typical symptom and may have a peculiar smell. Examination of cervical secretions can detect pathogens such as gonococcus and chlamydia. It is necessary to use topical medications such as Baofukang suppositories, nifuratel, nystatin vaginal soft capsules, and oral azithromycin dispersible tablets for systemic treatment. The perineum needs to be kept clean and dry every day.
4. Irregular menstruation
Inflammation that affects ovarian function may lead to menstrual cycle disorders, increased menstrual flow, or worsened menstrual cramps. Those who do not heal for a long time may develop secondary infertility. Treatment needs to be based on infection control, combined with motherwort granules, gynecological menstruation tablets and other drugs to regulate endocrine. If necessary, fallopian tube drainage surgery can be performed to evaluate fertility function.
5. Discomfort in urination
Some patients experience bladder irritation symptoms such as frequent urination, urgency, and tingling during urination, which are caused by inflammation involving the urinary system. Routine urine examination showed leukocyturia. Treatment requires the use of drugs such as Levofloxacin Hydrochloride Capsules and Sanjin Tablets that are sensitive to urinary tract infections, and drinking water every day to maintain adequate urine output.
Patients with adnexitis should avoid spicy and irritating foods, choose light and easy-to-digest foods, and supplement with appropriate amounts of high-quality protein to enhance immunity. During treatment, sexual intercourse is prohibited, and bathing and vaginal douching are avoided. In the acute stage, antibiotic treatment must be completed strictly as directed by the doctor. Chronic patients can cooperate with infrared physiotherapy to promote the absorption of inflammation. If you have persistent high fever, severe abdominal pain or heavy vaginal bleeding, you need immediate emergency treatment. Regular gynecological examinations can help detect complications such as hydrosalpinx or pelvic adhesions early.
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