What is bilateral adnexitis?
- By narso10
- On 2025-11-14
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Bilateral adnexitis, also known as pelvic inflammatory disease affecting both fallopian tubes and both ovaries simultaneously, is a serious gynecological condition. Indeed, if not treated in time, it can lead to major complications such as infertility, chronic pelvic pain, or even ectopic pregnancy.
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1. Definition of bilateral adnexitis
Adnexitis refers to an inflammation of the uterine appendages, that is:
The Fallopian tubes
The ovaries
When the infection affects both sides, it is called bilateral adnexitis. This inflammation is generally secondary to an ascending infection, meaning that microbes travel from the vagina to the uterus, and then to the tubes and ovaries. Indeed, if not treated in time, it can lead to major complications such as infertility, chronic pelvic pain, or ectopic pregnancy. Therefore, understanding its mechanisms, recognizing its symptoms, and knowing the therapeutic options is absolutely essential to preserve female reproductive health.
Thus, bilateral adnexitis is not just a simple local disease: it often indicates a deep genital infection, sometimes associated with severe pain and a high risk of complications.
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2. Main Causes of Bilateral Salpingitis
Although several factors may be involved, the most common causes include:
a. Sexually Transmitted Infections (STIs)
Remède Contre Hydrosalpinx Salpingite Traitement Naturel Salpingite
This is the most frequent cause. The two main agents involved are:
Chlamydia trachomatis
Neisseria gonorrhoeae (gonococcus)
These bacteria cause severe inflammation that can quickly spread to both sides of the pelvis.
3. Symptoms of Bilateral Salpingitis
Clinical manifestations usually appear suddenly, sometimes a few days after the initial infection. The most common symptoms include:
- Severe pelvic pain, often on both sides
- High fever
- Abnormal vaginal discharge, yellowish, greenish, or foul-smelling
- Bleeding between periods
- Vomiting and nausea
- Pain during sexual intercourse (dyspareunia)
- Painful urination
It should be noted that bilateral pain is often more pronounced than in unilateral salpingitis, as the inflammation affects the entire pelvis.
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