How to check for adnexitis

Adnexitis is usually diagnosed through a combination of gynecological examination, laboratory tests, and imaging studies.

Gynecological examination is the first step in diagnosing adnexitis. The doctor can detect tenderness or thickening in the adnexal area through bimanual or trimanual examination. Laboratory tests include blood routine, C-reactive protein and procalcitonin testing, and elevated inflammatory indicators support the diagnosis. Examination of vaginal secretions can reveal pathogens, such as Neisseria gonorrhoeae and Chlamydia trachomatis. Ultrasound examination can reveal abnormalities such as thickened fallopian tubes and pelvic effusion, and transvaginal ultrasound has a higher resolution. Laparoscopy may be required for complex cases, which can directly observe fallopian tube congestion, edema and pelvic adhesions.

In daily life, you should keep your vulva clean and dry and avoid unclean sex. Bed rest is required in the acute stage, and a semi-recumbent position is beneficial to the localization of inflammation. The diet should be light, and proper protein and vitamin supplementation should be provided to enhance immunity. During the treatment period, bathing, swimming and sexual intercourse are prohibited, and antibiotics should be used in accordance with the doctor's instructions. Regular re-examination is required until the symptoms completely disappear. Patients with chronic adnexitis need to prevent recurrence. If symptoms such as lower abdominal pain and fever occur, they should seek medical treatment in time.