What causes pain on both sides of the fallopian tube?

There is pain on both sides of the fallopian tubes, which is largely a symptom caused by salpingitis. Although salpingitis is not so common, it is still very painful for patients. Therefore, for women, if they have gynecological diseases such as salpingitis, they must seek timely treatment. Below, we will introduce you to the relevant knowledge about salpingitis in detail!

1. Overview

Salpingitis is the main site of pelvic inflammatory disease, mostly occurring in sexually active, menstruating women, and rarely occurring in premenarche, postmenopausal or unmarried women. If it occurs, it is often the spread of inflammation to adjacent organs. If it is not treated promptly and correctly, it may lead to sequelae such as infertility, tubal pregnancy, chronic pelvic pain, and repeated inflammation due to pelvic adhesions and fallopian tube obstruction. Salpingitis is mostly caused by infection with pathogens, mainly Staphylococcus, Streptococcus, Escherichia coli, Gonorrhea, Proteus, Pneumococcus, Chlamydia, etc. It is divided into acute salpingitis and chronic salpingitis, the latter of which is more common in infertile women.

2. Causes

This disease is prone to occur when there are many bacteria, their virulence is strong, or the body's resistance is reduced. Acute salpingitis is divided into two categories according to the different types of pathogenic bacteria: one is specific gonococcal infection, in which gonococci spread along the cervical mucosa and endometrium to the fallopian tube mucosa; the other is nonspecific purulent bacterial infection, in which bacteria enter the parauterine connective tissue from the endometrium through the lymphatic vessels and blood vessels, and finally lead to perisalpingitis and salpingitis. If acute fallopian tube inflammation develops further, it can lead to acute pelvic peritonitis and acute peritonitis.

3. Clinical manifestations

Salpingitis is the most common site of pelvic inflammatory disease, and is often accompanied by inflammation in other parts of the body. Its clinical manifestations may vary depending on the severity and extent of the inflammation. In mild cases, there are no symptoms or mild symptoms. Common symptoms include lower abdominal pain, fever, and increased vaginal discharge. The abdominal pain is persistent and worsens with activity or sexual intercourse. If the condition is serious, there may be systemic symptoms such as chills, high fever, headache, and lack of appetite. If accompanied by peritonitis, there may be gastrointestinal symptoms. If an abscess is formed, there may be a lower abdominal mass and local compression and irritation symptoms; if the mass is located in front of the uterus, there may be bladder irritation symptoms, such as difficulty urinating and frequent urination. If it causes cystomyositis, there may also be urinary pain; if the mass is located behind the uterus, rectal irritation symptoms may occur. Perihepatitis should be suspected if there are symptoms and signs of salpingitis and right upper quadrant pain.

The physical signs of patients vary greatly. In mild cases, there are no obvious abnormalities or gynecological examination may reveal tenderness in the adnexal area, which is often accompanied by inflammation in other parts of the body, and physical examination may also show positive signs in the corresponding parts. Severe cases present with acute illness, fever, accelerated heart rate, tenderness, rebound pain and muscle tension in the lower abdomen, and even abdominal distension, and weakened or disappeared bowel sounds. During the gynecological examination, if it is simple salpingitis, the thickened fallopian tube can be felt with obvious tenderness; if it is pyosalpinx or tubo-ovarian abscess, a mass can be felt with no obvious tenderness and no movement.