Therapy
The therapy of salpingitis focuses on the one hand on the improvement of the existing symptoms, on the other hand on the preservation of the fallopian tube function. In most cases, this requires lengthy inpatient treatment with intravenously administered antibiotics. As soon as the pathogen is detected by the smear, an antibiotic therapy specific to the pathogen is initiated.
If no pathogen can be clearly detected or the antibiotic therapy remains unsuccessful, a broad-spectrum antibiotic is given. If the symptoms improve, the antibiotic administered into the vein can be switched to tablets. Antiphlogistics (anti-inflammatory drugs) can be given to improve the swelling in the inflamed area of the fallopian tubes.
At the beginning of salpingitis therapy, brief cooling in the area of the fallopian tubes helps to improve the symptoms. The vasoconstriction in the area of the cooling helps to relieve the symptoms. Later and in the course of the therapy, warm, moist compresses or mud packs provide good support for antibiotic therapy by stimulating the blood circulation.
Complications
An untreated or insufficiently treated inflammation of the fallopian tubes can develop into chronic salpingitis. In this case, the inflamed tissue is remodeled into scar tissue and connective tissue.This leads to a permanent or temporary closure of the fallopian tubes, whereby fluid collects in the fallopian tubes (= hydrosalpinx). The accumulation of fluid exerts pressure on the fallopian tube tissue and thus leads to tissue shrinkage in the tube.
The risk of sterility (= infertility) thus increases and becomes more and more probable in the course of time without therapy. Possible complaints are alternating dull pain in the lower abdomen area or complaints during sexual intercourse (due to possible adhesions or adhesions).
