Ovary and Fallopian Tube Inflammation (Adnexitis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate salpingitis or oophoritis (adnexitis/ovary and fallopian tube inflammation):

Main symptoms

  • General feeling of illness
  • Fever – in moderate to severe illness.
  • Fluor genitalis (vaginal discharge; new onset), which is often purulent (pus-like)
  • Lower abdominal pain, bilateral (can also be unilateral).

Secondary symptoms

  • Cycle abnormalities/bleeding abnormalities: postcoital bleeding, intermenstrual bleeding (metrorrhagia) and prolonged (> 7 days and < 14 days) and increased bleeding (menorrhagia).
  • Meteorism (bloated abdomen; flatulence).
  • Constipation (constipation)
  • Painful defecation (bowel movement)
  • Painful micturition (urination)
  • If necessary, also ileus symptomatology (symptoms as in an intestinal obstruction).

Frequent symptom onset after menstruation. Notice:

  • Adnexitis can be symptomatic or asymptomatic (“without the appearance of symptoms”.
  • Adnexitis may also occur in postmenopausal patients (menopause: time of the last spontaneous menstrual period in a woman’s life, postmenopause: after menopause).