What causes tubal abscess?

Tubal abscesses are mostly caused by factors such as inflammation and pathogens. After various pathogens enter the patient's vagina, they travel along the cervical mucosa and endometrium into the fallopian tubes, causing inflammation of the tubal mucosa. Under the influence of inflammation, the tubal epithelium may shed and become adherent, leading to closure of the tubal lumen and fimbrial end. If pus accumulates within the lumen and cannot be drained, a tubal abscess may form.

Common symptoms of tubal abscess include lower abdominal pain and increased vaginal discharge. The abdominal pain is persistent and worsens with physical activity or intercourse. In severe cases, patients may develop fever or even high fever, chills, headache, and loss of appetite. A palpable lower abdominal mass and local pressure or irritation symptoms may also occur. Patients are advised to seek medical attention at a hospital as early as possible for appropriate examinations and targeted treatment.

In the early stages, tubal abscesses can be treated with oral antibiotics and intravenous antibiotic therapy. If conservative treatment fails, surgical intervention is required. Surgery usually involves laparoscopic removal of the affected fallopian tube. For patients without future fertility plans, removal of the tube has no significant impact. For those who wish to preserve fertility, bilateral salpingectomy may be performed, followed by early in vitro fertilization (IVF) and assisted reproductive technology after surgery.