Is tubal cystitis dangerous? Common Complications

The article was professionally consulted by Specialist Doctor II Tran Thi Mai Huong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital. The doctor has 25 years of experience in examination and treatment in the field of Obstetrics and Gynecology, lower line surgery, laparoscopic surgery.

Tubal inflammation is a dangerous gynecological disease in women. The disease, if not treated in time, can affect a woman's fertility. So how dangerous is tubal inflammation? What are the common complications of this disease?

Fallopian tubes have a long tubular structure, one side connects to the uterus, the other side connects to the ovary. At the time a woman ovulates, the fallopian tubes pick up an egg (from the ovary) and transport it to the uterus. This is also where the egg is fertilized.
Tubalitis is an inflammation of the fallopian tubes. Tubal inflammation usually occurs due to an infection upstream, from the vagina, cervix, or uterus. The most common infectious agents are Chlamydia, gonorrhea (both of which are sexually transmitted). Some other bacteria that can cause tubal inflammation are: Mycoplasma, Staphylococcus, and Streptococcus. In addition, bacterial peritonitis or tuberculous bacilli can also cause inflammation of the fallopian tubes.

The manifestations of tubal inflammation are often atypical, similar to other gynecological diseases:
Abdominal pain Back pain Heavy discharge, increased vaginal discharge (turbid yellow, thin, foul smell...) Irregular menstrual periods Fever, nausea or vomiting a lot Urinary urgency, painful urination Painful intercourse However, many women do not have any symptoms in the early stages, only occasionally feeling discomfort in the lower abdomen . By the time the disease is discovered, the disease is already advanced and requires urgent treatment.

Tubal inflammation is not a directly life-threatening disease. However, the disease can affect a woman's fertility. Tubal inflammation often narrows the lumen of the fallopian tubes, causes scarring, shrinks the fallopian tubes, and easily leads to an ectopic pregnancy.
However, in the case of tubal inflammation is detected early, treated actively and effectively, the possibility of cure is very high, the woman can still reproduce as normal. Treatment of tubal inflammation is mainly with broad-spectrum antibiotics, supportive measures, reasonable rest and monitoring of drug response.

If not detected and treated early, tubal inflammation can cause the following complications:
Widespread infection: Long-term infection of the fallopian tubes is at risk of spreading to nearby organs such as the ovaries. or uterus. Adnexal abscess: About 15% of women with tubal inflammation develop an adnexal abscess. If not treated promptly and properly, it can lead to pelvic peritonitis, generalized peritonitis, sepsis and even death. Ectopic pregnancy: A blocked fallopian tube due to inflammation prevents the fertilized egg from entering the uterus, but implanting elsewhere in the abdomen or the embryo begins to develop in the confined space mechanism of the fallopian tube. Infertility: The most unfortunate consequence of fallopian tube disease is a blockage of the fallopian tubes or fluid retention that causes loss of function of the fallopian tubes on both sides. This makes it impossible for the sperm to pass through the blockage to reach the egg, leading to difficulty conceiving. After an episode of fallopian tube inflammation in a woman, the risk of infertility is about 15%. This risk increases to 50% if tubal inflammation is repeated three times.

The simplest way to prevent tubal infection is to clean the private area, especially during menstruation. If you are not ready to have a baby or have had enough children, you must implement safe methods of contraception to avoid unwanted pregnancy, leading to unsafe abortion, causing serious consequences for your health. future reproductive health. Build a healthy lifestyle, avoid promiscuous sex, maintain hygiene before and after sex. Women should be proactive in having regular health check-ups and gynecological exams. When there are symptoms of gynecological diseases such as: lower abdominal pain, back pain, vaginal discharge, menstrual disorders, painful urination, painful intercourse, etc., it is necessary to boldly visit a doctor for examination and treatment. best treatment.