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Chronic oophoritis: symptoms, therapy and the ability to become pregnant


Good time! Theoretically, with oophoritis, you can still become pregnant, but this may not say the best thing about the health of the fetus. For full conception, the ovaries need to function properly, since they produce the sex hormones necessary for the correct release of the egg from the follicle.

Chronic oophoritis will not allow you to carry a child without complications, so you should definitely consult a doctor for further treatment. If this is not done, then you can face unpleasant complications.

What is dangerous oophoritis?

  1. Ectopic pregnancy. Inflammation of the ovaries is usually combined with inflammation of the fallopian tubes, in which adhesions form in the small pelvis. They contribute to the fact that fertilization can occur not in the uterus, but in the tube,
  2. Infertility. Pregnancy does not come, because with inflammation the maturation of a full-fledged egg is impossible,
  3. Fetal disease during pregnancy with chronic oophoritis. Inflammation is always accompanied by foci of infection. The fetus becomes infected, and irreversible disturbances occur in its development,
  4. Uterine myoma. After conception, the development of tumors is possible during oophoritis.

Taken together, all the above negative factors can be concluded that pregnancy is undesirable in chronic oophoritis. Before planning a pregnancy, it is imperative to undergo treatment.

Treatment of oophoritis is made depending on the type of the disease and the pathogen. For example, acute oophoric oophoritis is treated only in stationary conditions, since the patient's condition may deteriorate very dramatically.

It is not necessary to go to the hospital for the treatment of chronic oophoritis, but the struggle with the ailment should be no less intense. During the treatment of oophoritis, the doctor always prescribes antibiotics. Refusing to accept them is not worth it, because this is the way to eliminate this ailment. In the chronic form of oophoritis, physiotherapy is performed in parallel, the expectant mother is usually sent to a sanatorium.

In the absence of positive dynamics and an increase in appendages, an operation is performed. This allows you to save the ability to conceive and prevent intoxication of the body.

With the timely treatment of chronic oophoritis, the chances of a successful conception increase significantly.

What is pathology

The disease often flows into the chronic form, for the treatment of which will have to spend a lot of time and effort. Note that oophoritis does not appear independently. Due to the depth of the ovaries, the primary causative agents of infectious diseases are not able to penetrate there by themselves.

The usual way of penetration of infection passes through the fallopian tube, which is always accompanied by its inflammation (salpingitis). Two diseases form a common form - salpingoophoritis or adnexitis (inflammation of the uterine appendages). The disease can affect either one of the ovaries, or both.

The causative agents of this disease are various sexually transmitted infections, for example, as gonococci, Trichomonas, chlamydia, etc. Sometimes inflammatory processes are transferred to the ovaries from other sources, for example, inflammation of the appendix.

Causes of chronic disease

The disease can occur for the following reasons:

  • infectious genital diseases,
  • inflammations that occur in other parts of the body, such as a swelling of a cesarean section or the above inflammation of the appendix,
  • hypothermia
  • abortion in late gestation,
  • hormonal disbalance,
  • use of spirals from unwanted pregnancy,
  • various stresses and depressive states.

Symptoms and signs of pathology

The disease is divided into acute, subacute and chronic forms. Acute pathology is characterized by the following symptoms:

  • significant increase in body temperature
  • disorders in the digestive processes,
  • manifestation of weakness, chills, headache and muscle pain,
  • purulent and bleeding from the genitals,
  • cutting and pulling pains in the lower abdomen,
  • pain when urinating,
  • pain during intercourse.

The chronic course of the disease does not have clearly expressed symptoms, but the disease is no less detrimental to the female body than its acute form. The main manifestations of this stage are as follows:

  • aching pain in the groin, both at rest and during sexual intercourse,
  • scanty or too heavy discharge during menstruation,
  • reduced or increased menopause
  • regular slight discharge of light or white color.

Timely detection of the disease is hampered by the weakness and implicitness of its symptoms. Often, such a stage of the disease can be determined when the patient visits the doctor about problems with conception.

Palpation gynecologist in such cases may draw attention to a marked increase in swollen ovaries, and the woman at this time experiencing pain.

The psychological condition of the patient is deteriorating. Appears insomnia, irritability, there is a constant feeling of fatigue, decreased appetite, decreases work capacity.

Diagnostic features

Inflammation of the uterine appendages can spread not to both organs at once, but to any of them separately. Most of the symptoms for both ovaries are similar, but, nevertheless, there are some differences.

Chronic right-sided oophoritis causes sharp and severe pain on the right side. There is a possibility of medical error in determining the disease - the nature of the pain may indicate an inflammation of the appendix, therefore, you should initially exclude the possibility of this option.

In the event that an operation to remove an appendix in a patient has already been performed before, an inflammation of the right ovary can be immediately clearly diagnosed.

The fact that the patient has a chronic left-sided oophoritis can be understood by the pains in the left lower abdomen. In most cases, this disease spreads over time to both paired organs. When such inflammation has passed into two uterine appendages, the pain is given to the lower back, tailbone and lower abdomen. In addition to studying the symptoms, modern methods are used for diagnosis:

    Lab tests. With their help, the indicators associated with the described ailment are determined: in the analysis of blood, urine and smears on the vaginal flora and urethra, an increase in the level of leukocyte cells is observed.

Features of treatment

How to treat chronic oophoritis is determined by a gynecologist, because this disease is included in his area of ​​medical knowledge. Pathology therapy is prescribed only after a full examination of the patient and the establishment of a final diagnosis. The scheme and course of treatment are dictated by the stage of the disease caused by the symptoms and causes of inflammatory processes.

Therapy of acute oophoritis is performed only in a medical hospital in a state of bed rest and involves medication with groups of drugs:

  • antibiotics
  • sulfonamides,
  • painkillers
  • microelement complexes.

Good effect is given by the methods of local treatment of chronic oophoritis - tampons, douching, baths, candles. These types of therapy relieve tension and prevent the spread of infection.

Also, the patient in the first days of the course of the disease shows attachment of cold objects or ice to the lower abdomen. Subacute inflammation of the appendages is treated with the help of the medicines listed above. In addition, these women are prescribed physiotherapy.

In chronic oophoritis, treatment is also performed with antibiotics. In addition to them, various dosage forms are used in various concentrations, which are also used in the acute course of the disease, as well as physiotherapy. With advanced inflammation and the presence of concomitant diseases of the reproductive system (salpingitis, adnexitis), the woman is shown a balneological spa treatment.

When surgical treatment is indicated

Surgical intervention is usually used at advanced stages of the disease, when treatment of chronic oophoritis with various medications does not bring the desired effect.

The operation is necessary in three cases:

  1. Congestion of pus in the area of ​​appendages. Complete removal of pus with drugs is not possible. Typically, laparoscopy is used for such interventions as a rather gentle but effective method to avoid large incisions.
  2. Peritonitis. When the inflammatory process spreads from the ovaries to the abdominal cavity, there is a high reality of death. When peritonitis is no longer up to aesthetics, therefore, a classical operation is performed with a section of the anterior abdominal wall.
  3. Rupture or risk of organ rupture. If there is too bulky inflammation, the risk of rupture or rupture of the ovary, an operation is performed to remove it. In the most difficult cases, it may be necessary to remove the fallopian tube or even the entire uterus.

Treatment of oophoritis folk methods

Traditional methods do not help to fight with infectious agents, therefore the treatment of chronic oophoritis with folk remedies does not have a special effect. Here it is more correct to speak about additional, restorative and preventive measures with the help of funds from the "green pharmacy".

Most popular methods of treating a disease consist in the use of infusions of various plants for douching, plugging, drinking or taking baths. With all the variety of herbal preparations recommended for use of traditional medicine, it should be borne in mind that all the decoctions of them are used in a slightly warm form for local use.

If the infusion is taken in the form of a drink, then keep it in the refrigerator, and before use, the broth is heated to room temperature.

Various complications

Digestive organs in diseases of the genitourinary system can also fail. Most of all disorders subject to intestines, suffering from the intake of numerous dosage forms that adversely affect its microflora.

Inflammation of the uterine appendages adversely affects the adjacent urinary organs, where cystitis or pyelonephritis can be triggered. The endocrine and nervous systems can also suffer from oophoritis suffered by the patient — namely, the “nerves” can be the consequences of the ailment.

Due to excessive emotionality in such periods, women develop menstrual disorders, which can be expressed very diversely:

  • frequent delays of the menstrual cycle
  • pain during menstruation,
  • extra secretions other than natural.

The problem of pregnancy in chronic oophoritis

Any health problems of the future mother adversely affect the ability of conception and the further development of the fetus. It is necessary and whether it is possible to become pregnant with chronic oophoritis, it is necessary to determine with your doctor. Independent resolution of this issue may lead to the fact that it will cause miscarriage or infertility.

Is pregnancy possible?

When inflammation of the uterine appendages, the egg may not leave the ovary, or come out with a delay - often before the start of the menstrual cycle. After the release in its place a corpus luteum forms, producing hormones (progesterones) that support the onset of pregnancy.

In case of untimely release of the egg, the corpus luteum works, so to speak, idle, without producing the necessary amount of hormones. This situation is not conducive to the normal course of pregnancy, leading to its termination.

Pregnancy complications

Their negative impact on the natural processes of fetal development in the female body can be manifested in various ways and at different stages of pregnancy.

Typically, these pathologies are determined in pregnant women with inflammation of the appendages:

  • anembryony (no embryo in the fruit egg),
  • missed abortion (there is an embryo, but he died),
  • miscarriage (regardless of gestational age),
  • early childbirth
  • fetal death before birth,
  • fetal infection.

Internal infection of the fetus can occur at the time of exacerbation of inflammatory processes in the appendages. If miscarriage does not occur, such children can be born with pathologies.

Thus, the possibility of becoming pregnant with the described disease exists. To do this, in no case should not carry out the treatment of chronic oophoritis at home, or tolerate the disease, overcoming pain.

It is necessary to conduct a quality treatment of the disease and consult with a gynecologist. Then there is a high probability that a baby will be born healthy, and the joy of motherhood will not be overshadowed by congenital pathologies or the pain of a baby.

Causes of the disease

The disease develops only if the infection can overcome the protective barrier of the genital organs below. To provoke an inflammatory process can such factors:

  • surgical or spontaneous abortion,
  • constant overwork or being in a state of stress (quite often these very causes provoke a breakdown in the reproductive female system),
  • constant change of sexual partners (increased risk of infection),
  • endocrine disruption,
  • surgical intervention (poorly performed surgery provokes infection in the ovaries),
  • hysteroscopy, as well as diagnostic or therapeutic curettage of the walls of the uterus,
  • complicated births that are accompanied by ruptures of the birth canal,
  • hormonal imbalance,
  • tumors localized in the uterus (gradually expanding, they also provoke the development of the inflammatory process),
  • chronic inflammatory pathologies of the internal or external genital organs of a woman.

It is also important to know why oophoritis becomes chronic. This contributes to:

  1. Postponement of treatment due to untimely treatment of the patient to a specialist. If antibiotics do not start taking at the initial stage of development, then over time the disease will progress, and it will be more difficult to cope with it. Sometimes pathological changes become irreversible.
  2. The use of insufficient doses of antimicrobial drugs.
  3. Incorrectly prescribed treatment regimen. Here the treatment of chronic oophoritis causes great harm.
  4. Local or local hypothermia, too much physical exertion, nervous shock.
  5. Reduced immune protection of women.

Symptoms of oophoritis

There is an acute, subacute and chronic form of oophoritis.

In the acute form of oophoritis, the patient complains of severe pain in the lower abdomen and in the lumbar region, headaches, joint and muscle pain, dysuria, discharge from the genital tract, intermenstrual bleeding, pain during sexual contact. Possible increase in body temperature, fever.

Subacute form of oophoritis is detected quite rarely and is characterized by the same, but less pronounced symptoms.

In the chronic form of oophoritis, exacerbations alternate with periods of remission. Chronic oophoritis is characterized by pains of a dull character in the lower abdomen and in the groin, the increase of which is provoked by hypothermia, a cold, the onset of menstruation. Discharge from the genital tract (leucorrhoea) is constantly present. Patients with chronic oophoritis note menstrual disorders, pain during sexual intercourse. One of the dangerous complications, developing on the background of a chronic inflammatory process in the ovaries, is infertility.

In most cases, chronic oophoritis develops after suffering acute in the absence of adequate treatment, but sometimes the disease passes the acute stage.

Depending on whether one or both ovaries are inflamed, one-sided and two-sided oophoritis is isolated. The patient complains of pain, localized on the part of the affected ovary, or on both sides.

Oophoritis and pregnancy

A long-term pathological process in the ovarian tissue negatively affects the function of the organ and reduces the chances of successful conception. When the normal hormonal regulation changes, the menstrual cycle is disturbed, ovulation does not occur (the release of a mature egg from the ovary), which means that fertilization cannot occur.

In the acute form of the disease or in the exacerbation of chronic oophoritis, ovarian tissue suppuration (pioovarius) is possible, which requires urgent surgical intervention.

As we wrote above, oophoritis is rarely an independent disease. As a rule, not only the ovaries, but also the fallopian tubes are involved in the pathological process, that is, salpingo-oophoritis (adnexitis) develops. Infertility in this case may be due not only to dysfunction of the ovaries, but also the adhesive process in the pelvic organs, obstruction and dysfunction of the fallopian tubes. With this pathology, the risk of ectopic pregnancy also increases significantly.

The course of treatment of infertility in oophoritis is prescribed individually by a gynecologist and reproductologist after a thorough examination. If fertility cannot be restored, IVF may be recommended.

If you have any questions related to the treatment of infertility due to oophoritis, you can ask them to the doctors of Nova Klinik. You can make an appointment with a doctor by calling the phone number listed on the website or using the record button.

To make an appointment

The causes of the disease

A disease such as chronic right-sided oophoritis can easily begin as a result of illiterate examination of a doctor, eating disorders, constant diet, poor quality spiral installation, abuse of drugs or alcoholic beverages, untimely or incomplete treatment of gynecological diseases, frequent changes of sexual partners, poor quality or incomplete hygiene.

Infections in the form of pathogenic microflora such as viruses or bacteria, streptococci, escherichia, staphylococci, Escherichia coli, Mycobacterium tuberculosis and others can also contribute to the appearance of inflammation.

In the normal state, the female genitals are reliably protected from such an impact, but with a decrease in immunity, the defenses weaken, and bacteria have more chances to get into the appendages, uterus, ovaries, fallopian tubes and cause inflammation.

Symptoms of the disease

Chronic bilateral oophoritis can manifest as pain in the lower back or lower abdomen, chills, fever, menstrual disorders, deterioration of general condition and pathological secretions from the genital tract. In case there is a breakthrough of pus in the abdominal cavity, such a serious complication as inflammation of the peritoneum (peritonitis) can form.

At the first symptoms, the patient is taken to hospital as the acute form can be life-threatening. After examination and examination, the doctor may prescribe drugs and painkillers. Outpatient treatment and recovery begins after the acute stage, and the patient will feel much better.

Oophoritis and the ability to get pregnant

Chronic oophoritis and pregnancy are mutually exclusive concepts, since the disease itself can easily cause infertility, and it is rather difficult to become pregnant during its course. Before planning a pregnancy, all measures should be taken to eliminate the disease or its manifestations. This requires the mandatory consultation of a specialist and his ongoing monitoring.

Treatment of the disease

Based on the results of the analysis, the specialist may prescribe treatment depending on the type of pathogen. If chronic oophoritis is exacerbated, then rest must be taken. Painkillers should be used in combination with antimicrobial agents. Most often, they are prescribed at least two at once. If treatment and therapy do not have the desired effect, then bilateral chronic oophoritis requires surgical treatment.

Oophoritis and infertility

Treatment of gynecological diseases can never be neglected under any circumstances. Especially when it comes to diseases such as chronic salpingitis and oophoritis. They can cause serious complications and cause infertility. In addition to the constant pain and exacerbations, they threaten the woman’s health and exclude the possibility of conceiving a child.

Such a problem as chronic left-sided oophoritis or salpingitis should be reviewed by a doctor and prescribed the necessary treatment. Independent measures in this case will not only be useless, but in some cases very harmful. If the patient wants to preserve the fertile function and continue to have a chance to bear and give birth to the child, then this disease is better to prevent and constantly take preventive measures to eliminate the possibility of infection with pathogenic microflora.

Causes of fertility decline

The infection in the ovary with the development of the inflammatory reaction has a negative impact on the endocrine organ. An acute process creates conditions for the following problems:

  • decrease in hormonal function,
  • lack of a dominant follicle from which the future egg cell is formed,
  • lack of ovulation
  • insufficiency of the corpus luteum with progesterone deficiency,
  • cystic changes of the ovary,
  • the formation of a functional cyst (follicular or luteal),
  • suppuration at the point of rupture of the follicle with the formation of an abscess.

Any of these factors will not allow a woman to become pregnant, so it is extremely important, with minimal signs of inflammation in the uterus, to identify the causative factors of oophoritis in time and to begin an effective treatment.

Contraindications for conception with oophoritis

Any attempt to become pregnant against the background of the following diseases is strictly unacceptable:

  • ovarian abscess,
  • purulent oophoritis,
  • acute adnexitis,
  • tubo-ovarian tumor,
  • ovarian cyst caused by inflammation,
  • complicated course of salpingoophoritis.

The optimal method of protection from pregnancy - hormonal contraceptives, which will perform 2 functions:

  • therapeutic (restoration of hormonal disorders caused by inflammation),
  • contraceptive (protection from conception).

The doctor will prescribe the safest and most effective drug, which must be taken about 3 months. Mandatory condition of therapy is discipline (it is necessary to drink a pill every day at the same time, not forgetting and not missing a drug intake).

Complications of pregnancy that occurred on the background of oophoritis

Under unfavorable circumstances, when, against the background of the first episode, oophoritis turns out to become pregnant, the following unpleasant and dangerous complications can be obtained:

  • tubal pregnancy (extremely rarely oophoritis is not combined with salpingitis),
  • missed abortion (the embryo dies due to infection),
  • spontaneous miscarriage (violation of embryo attachment to the uterine wall against the background of inflammatory changes),
  • the threat of early termination of the desired pregnancy in 1-2 trimester with a long stay in the hospital and preserving therapy,
  • impaired blood flow between the fetus and the uterus with the formation of placental insufficiency,
  • intrauterine infection with oligohydramnios,
  • underdevelopment of the fetus,
  • premature delivery,
  • lack of breast milk due to hormonal disorders.

It is possible to get pregnant against the background of chronic oophoritis, but the risk for a successful completion of pregnancy and the birth of a healthy baby is very high, so it is very important to hear the doctor and protect yourself during the whole period of therapy.

Salpingitis and oophoritis: what is it?

The history of diseases of salpingitis, which in translation means (salpingos "pipe") and oophoritis (oophoron "ovary") goes back to the Middle Ages, when fallopian pipes were first discovered and described. This is one of the few gynecological ailments inherent in humans and animals with similar anatomy.

In the event that acute inflammation develops, the whole epithelial cover of the tube is disturbed, therefore uncharacteristic microorganisms seep inside, which leads to soldering with the ovaries into one holistic formation. The disease is accompanied by recurring painful sensations in the lower abdomen, in the lumbar region, accompanied by spasms before stool, leading to a failure of menstruation or their cessation.

Often, women seek help from the Internet, read forums, watch Wikipedia, trying to determine the diagnosis. The consequences of self-treatment with folk remedies, pills that helped a neighbor - are catastrophic. The lack of competent appointments can lead to hydrosalpinks, purulent complications, and as a result - to the impossibility of becoming pregnant.

  • spontaneously arising one-sided (2-sided) abdominal pain, especially after menstruation,
  • malaise, accompanied by lethargy, headache,
  • subfebrile temperature is above 38.1 ° C and reaches 38.5 ° C,
  • strained stomach cramped with muscle spasms.

    The diagnosis is determined on the basis of anamnesis obtained (complications after abortion or severe childbirth, unprotected sex, tuberculosis): the results obtained as a result of laboratory studies.

    In the event that suspicion falls on a disease such as gonorrhea, then specific pre-examinations are carried out (smear on flora). To identify tuberculous salpingitis, you need to investigate blood cultures during menstruation or the introduction of a special drug of tuberculin, there are also other methods.

    Treatment with medicines and suppositories with anti-inflammatory effects (details), gives positive results and takes the disease to the subacute stage. The condition of the woman is stabilized, the pain disappears, the temperature returns to normal. The blood formula will show a decrease in leukocytes, although the ESR will remain high - 50 mm or more per hour at a rate of 2-15 mm / h.

    Chronic (bilateral) salpingitis and oophoritis

    2-sided salpingitis arises from the fact that the mucous membrane is affected, which progressively, layer by layer, seizes the fallopian tubes, disrupts their motility.

    All this threatens with complications and can lead to the fact that a woman cannot become pregnant or lead to an ectopic pregnancy. Often there is an accumulation of serous fluid in the lumen of the fallopian tube or accumulation of pus, leading to serious complications. The disease is more often chronic, covering not only the tubes, but also the ovaries. Adhesions are formed, which leads to a painful state and the inability to become pregnant. There are certain signs of inflammation of the appendages in women: such.

    The ovaries are a paired organ, they belong to the female reproductive system, and are responsible for a number of functions:

    Causes of disease are commonplace:

  • weak immunity and non-treated infections
  • unprotected sex.


    The active ingredient of the drug Trichopolum is metronidazole. This substance belongs to nitroimidazole derivatives and belongs to the group of antimicrobial agents. All properties of the drug are determined by the characteristics of the active component and its molecule. The nitrogroup is able to integrate into the respiratory chain of microbes, which disrupts their vital activity and leads to death, including by suppressing the synthesis of nucleic acids (DNA).

    Trichopolum has a fairly wide range of antimicrobial action. It is active against many protozoa and various anaerobic bacteria. Metronidazole helps get rid of such microorganisms:

    • Trichomonas.
    • Gardnerella
    • Lamblia
    • Amoebas.
    • Clostridia.
    • Bacteroids.
    • Fuzobakterii.
    • Peptococcus
    • Peptostreptokokk.

    Therefore, this drug is also called antiprotozoal, trichomonacid and antibacterial. In addition, he showed his activity against Helicobacter pylori infection. An additional property of Trichopol can be called an increase in sensitivity to alcohol (antabus-like syndrome), which contributes to the formation of aversion to it.

    Distribution in the body

    After oral administration, the drug is well absorbed in the gastrointestinal tract, reaching peak plasma concentrations in 1.5–3 hours. Its bioavailability is at a fairly high level - not less than 80% of the injected amount. Entered into the plasma, metronidazole is 15% bound to transport proteins, and the rest of the substance is in free form. The drug is able to penetrate well into biological fluids of the body, including the vaginal secretions, passes through biological barriers, being found in breast milk.

    With systemic use, Trichopol is half metabolized in the liver, undergoing conjugation, oxidation and hydroxylation reactions. Moreover, the substance formed after the disintegration of the main molecule also has antimicrobial properties. The half-life of the drug is an average of 8 hours. 80% of it is excreted by the kidneys in the urine, and the rest is through the intestine with feces. Hemodialysis is rapidly removed from the plasma along with its metabolites.

    The state of the liver and kidneys has a great influence on the metabolism of metronidazole in the body. This must be controlled when prescribing it to patients.

    Instructions for use of Trichopol in gynecology suggests that both systemic and vaginal use is permissible. In the latter case, the indications for prescribing the medication will be the following states:

    • Bacterial vaginosis (Gardnerellosis).
    • Trichomonas vaginitis and urethritis.
    • Nonspecific colpitis.
    • Tubo-ovarian abscess.
    • Infections of the vaginal fornix.
    • Pelvioperitonitis.

    In addition, metronidazole is used to prevent complications after gynecological operations and as a complex therapy of adnexitis or endometritis. It can also be prescribed for comorbidities, for example, a peptic ulcer with a confirmed role of Helicobacter pylori infection (together with amoxicillin) or various tumors as a substance that increases the sensitivity of malignant cells to radioactive radiation.

    Method of use

    The drug is used in the form of dosage forms for systemic or topical use. The former are injectable solutions or tablets, and the latter are most often represented by vaginal suppositories. Sexually transmitted diseases, in particular trichomoniasis, are mainly treated with oral forms. Tablets are taken after a meal, without chewing. The treatment regimen may be different:

    • 2 tablets twice a day (5-7 days).
    • 1 tablet three times a day (10 days).
    • 8 tablets once.

    Such a course of treatment is necessary for both partners. Women are also given Trichopolum in vaginal suppositories for a more pronounced local effect. At the time of drug therapy should refrain from sexual intercourse, and after it you need to conduct a control study - a smear from the vagina on the flora during the next three menstrual cycles. In severe infections, the dosage and course of administration vary. But in such cases, injectable forms of metronidazole are used.

    Side effects

    There is no such drug that would be free from side effects. These are phenomena that are undesirable, but can still occur in patients during treatment. At Trikhopol the following are the most common:

    • Gastrointestinal: nausea, vomiting, flatulence, diarrhea, abdominal pain, dryness and unpleasant taste in the mouth.
    • Neuropsychiatric: headaches and dizziness, coordinating disorders, anxiety, disturbances of consciousness, depression, insomnia, peripheral neuropathy.
    • Dysuric: increased urination, cramps, incontinence.
    • Allergic: rash, itching, urticaria, skin redness, rhinitis.

    With vaginal use, local reactions in the form of burning, itching and dryness are likely. There may appear mucous discharge from the vagina (white or transparent, odorless). Probably the appearance of candidiasis after the cessation of the use of suppositories. Similar signs are and have a sexual partner.

    Do not be afraid of side effects Trikhopol. The doctor will try to minimize the effect of the drug on the body.


    Before prescribing metronidazole, it should be determined whether the patient has any factors that limit its use. This can be done only after a preliminary diagnosis, the results of which will make it clear what kind of concomitant states a woman has and what should be done to eliminate the risks.

    Precautionary measures

    Given the antabusic effect of metronidazole, in its treatment is not allowed to use alcohol. If this is not known, then nausea and vomiting, abdominal pain, facial flushing may occur. Treatment should take place under the control of the blood picture. If you experience severe side effects, stop taking the drug and consult your doctor.

    General characteristics of the drug

    Trichopolum is a drug with a wide spectrum of action. It can be used not only for the treatment of trichomoniasis. This drug inhibits the vital activity of many of the simplest microorganisms that are causative agents of protozoal infections.

    The active ingredient of the drug Trihopol - metronidazole. Potato starch, gelatin are used as excipients for the production of tablets, and purified water is used for infusion solutions.

    Metronidazole affects the DNA of the simplest microorganisms, as a result of which the pathogens die. Trichopolum has several forms of release, among which are:

    • pills,
    • vaginal candles,
    • solution for infusion.

    When choosing a particular dosage form, you must focus on the nature of the disease, especially its localization, stage of development. Some diseases require the simultaneous use of Trichopol in the form of tablets and suppositories.

    Trichopol prescribed for the following diseases:

    • protozoal infections (amebiasis, giardiasis, trichomoniasis),
    • adnexitis, pelvic inflammatory disease,
    • gastritis or duodenal ulcer caused by the reproduction of pathogenic microorganisms.

    Adnexitis is an inflammatory disease of the ovaries and fallopian tubes. Pathology has another official name - salpingo-oophoritis. Chronic or acute inflammation of the ovaries is an oophoritis. All indicated diseases can occur with acutely pronounced symptoms. При появлении первых признаков патологии нужно обратиться к врачу, т. к. промедление может привести к осложнениям, к числу которых относят и бесплодие.If adnexitis is not treated, adhesions form on the fallopian tubes, which subsequently can become an obstacle to conceiving and carrying a fetus.

    Application scheme

    Chronic inflammation of the appendages or acute illness requires proper treatment. For home use, the most convenient is Trichopol in the form of tablets. With adnexitis and other types of inflammatory diseases of the appendages, it is recommended to take 500 mg of the drug, which corresponds to 2 tablets. Drink the drug should be 2 times a day. The duration of treatment is 10 days. It is best to use the pill during or after a meal, without chewing, but washing it down with plenty of water.

    The standard regimen for treating inflammation of the appendages involves the additional use of Trihopol in the form of vaginal suppositories. Each vaginal tablet contains 500 mg of metronidazole. Candles must be inserted into the vagina 1 time per day. It is better to do this in the middle of the day, between oral pills. Before use, the candle must be freed from the shell.

    If the inflammatory process is mild, the duration of treatment can be reduced to 7 days. A week after the start of taking Trikhopol, you need to re-consult a doctor to assess the result of therapy. If recovery does not occur, another remedy may be prescribed.

    If adnexitis is acute and is accompanied by bacterial vaginosis, you should consult a doctor. Simultaneous treatment of the sexual partner is not always required. It depends on which microorganisms caused the disease.

    Trichopolum in the form of a solution for infusion is used quite rarely in a hospital. Manufacturers of the drug give average recommendations, so self-treatment of inflammation should not be involved. Inflammation of the appendages is a complex disease, and its treatment requires a competent approach. Only a gynecologist can correct the scheme of using Trikhopol and supplement the complex therapy with the use of other drugs, physiotherapy.


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