What’s Pyosalpinx and How Might it Have an effect on Fertility?
Pyosalpinx. If you haven’t experienced this often painful condition, you have probably never heard of it.
As you deepen your knowledge of reproductive health, it is an important disease to be aware of as it can not only be painful but also affect your fertility.
What is pyosalpinx?
Pyosalpinx is simply the collection and accumulation of pus in the fallopian tubes, causing them to swell. Ouch!
This is most common in people between the ages of twenty and forty, but it can occur in younger and older People too.
Typically, this is a response to an infection in the body that may or may not be caused by a Sexually Transmitted Disease. The body responds to an infection by increasing the production of white blood cells. Pus is caused by the build up of these white blood cells, a natural part of the body’s immune response and healing process. When this pus builds up in fallopian tubes, it leads to pyosalpinx, causing them to swell and expand.
What causes pyosalpinx?
As mentioned earlier, pyosalpinx is a complication of the body’s immune response to infection.
What infections can you ask?
Pelvic inflammatory disease is the main culprit, with 16 percent of cases resulting in pyosalpinx. PID is diagnosed in more than a million women Every year in the US alone, which means pyosalpinx is more common than you think.
PID is usually caused by two main STIs. gonorrhea and Chlamydia. It can also be caused by non-sexually transmitted infections such as bacterial vaginosis, BV. In rare cases, pyosalpinx can result from a Pelvic tuberculosis infection.
There are several other documented cases of pyosalpinx that develop for other reasons.
In one rare housesA woman who swam in tropical waters while on vacation was infected with the bacteria Plesiomonas shigelloides. The patient had been through Tube sterilization Twenty years before the infection and while swimming, the bacteria probably went up the fallopian tubes to the sterilization scar and caused pyosalpinx. She recovered from laparoscopic surgery and antibiotic therapy.
In another rare housesA woman was diagnosed with pyosalpinx after her copper intrauterine device (IUD) migrated, resulting in an infection. A rare complication of this popular contraceptive.
What are the symptoms of pyosalpinx?
While some people mIf they don’t show symptoms, others can range from uncomfortable to extremely painful.
Symptoms possible are those that would occur if you were infected, including fever, fatigue, and body pain – especially in the pelvic area.
Pyosalpinx often includes constant or intermittent pain in the lower abdomen, a painful lump in the lower abdomen, abnormal pain before your period and Pain during sex.
Another rare but dangerous complication is that Crack fallopian tubeswhat can lead to it Pelvic peritonitisan infection of the membrane that lines the pelvic area.
One discouraging complication of pyosalpinx is difficulty conceiving, or infertility.
Pyosalpinx and Infertility
Because pyosalpinx damages or blocks the fallopian tubes with pus, it is difficult or impossible for an egg to migrate down before it is implanted in the uterus.
Pyosalpinx can increase the chance of one Ectopic pregnancy, a potentially life-threatening complication in which the fertilized egg is implanted outside the uterus.
If surgical treatment is required to treat pyosalpinx, it can damage or remove the organs necessary for conception and termination of pregnancy.
How is pyosalpinx diagnosed?
Pyosalpinx can be diagnosed using a variety of methods, including imaging and possible surgery.
Your doctor may do a pelvic MRI, pelvic ultrasound (either abdominal or transvaginal), or a CT scan.
Because of the location of the infection, a diagnostic laparoscopy may be necessary to make a correct diagnosis. This minimally invasive surgery uses small incisions to examine the abdominal organs with a camera at the end of the instrument. Your provider can also take a small sample of tissue to perform a biopsy to help rule out possible cancer or other diseases.
How do you treat pyosalpinx?
Treatment for pyosalpinx depends on the severity of the case. Typically, antibiotics, which are used to treat the initial infection, help rid the fallopian tube of its pus.
In chronic or more severe cases, treatment may require surgery in addition to antibiotics.
Laparoscopy surgery is the least invasive surgical option and helps preserve the reproductive organs.
Bilateral (both) salpingectomy or one-sided (one) Salpingectomyis the removal of the ovary (s) and fallopian tubes.
Oophorectomy removes one or both ovaries. A bilateral oophorectomy will remove both ovaries, while a unilateral oophorectomy will only remove one.
In some cases, a provider may recommend a hysterectomy or removal of the uterus. You can also remove the fallopian tubes and / or ovaries and possibly the cervix.
All of these procedures are associated with an increased risk or increased infertility security.
Given that pyosalpinx is most commonly caused by sexually transmitted diseases, the best way to prevent it is to practice safe sex practices like using condoms and discussing each other’s STI status with sexual partners.
While it’s always a good idea to get tested for STIs, including chlamydia and gonorrhea at least once a year, you should get tested more often if you have multiple sexual partners.
If you test positive for any of these infections don’t worry, being human includes and you haven’t done anything wrong.
The most important thing is to start treatment right away and share your status with the youngest sexual partners.
They can also help prevent pyosalpinx and other infections by maintaining a healthy pH level and maintaining your pH level Vaginal flowera healthy and flourishing one. Simple things like wiping front to back, peeing after sex, eating a balanced diet, and avoiding toxic chemicals near your vagina and vulva all help keep your reproductive organs happy.
Natasha’s passion for reproductive health began at the age of fourteen when she was present at the birth of her youngest sister. Her incredible experiences as a birthing doula gave her insights into the magical realm of childbirth, pregnancy and everything in between. Your role as an obstetrician is her way of serving as an activist. She uses writing as an important educational tool to bring about changes in our view of reproductive health as a whole.