What are the symptoms of fallopian tube inflammation?

Mar 19, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Salpingitis may be caused by unhygienic sexual practices, pathogen infection, inflammation spreading from adjacent organs, or other similar reasons. Symptoms of salpingitis include lower abdominal pain, abnormal vaginal discharge, menstrual irregularities, fever, and infertility. If related symptoms occur, it is recommended to seek timely medical attention at a hospital for a definitive diagnosis through methods such as hysterosalpingography (X-ray imaging), hysteroscopy, or laparoscopy.

In general, salpingitis (inflammation of the fallopian tubes) may be caused by unhygienic sexual activity, pathogen infection, or the spread of inflammation from adjacent organs. Symptoms of salpingitis include lower abdominal pain, abnormal vaginal discharge, menstrual disorders, fever, and infertility. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

1. Lower abdominal pain

Inflammation may irritate the surrounding tissues, causing lower abdominal pain. The severity of pain varies among individuals, and some patients may experience severe pain that affects normal daily activities and work. This is a primary symptom of salpingitis and is often bilateral, manifesting as persistent dull or aching pain that worsens after physical exertion, sexual intercourse, or around the time of menstruation.

2. Abnormal vaginal discharge

Inflammatory exudates from the fallopian tube inflammation may flow through the fallopian tubes and uterine cavity into the vagina, mixing with vaginal secretions. Additionally, the inflammatory process may alter the secretory function of the vaginal and cervical glands, leading to abnormal vaginal discharge. The discharge may become purulent, watery, or resemble cottage cheese in texture, with a yellow, green, or gray-white color, and may be accompanied by a foul odor such as a fishy or putrid smell.

3. Menstrual disorders

Inflammation of the fallopian tubes can affect the endocrine function of the ovaries, causing hormonal imbalances. In addition, inflammation-induced pelvic congestion and impaired circulation may interfere with the normal proliferation and shedding of the endometrium. A patient's menstrual cycle may start 7 days earlier or later than usual, menstrual flow may increase or decrease, the duration of menstruation may be prolonged, and irregular vaginal bleeding may occur during menstruation, significantly affecting reproductive health.

4. Fever

During fallopian tube inflammation, the body's immune system activates its defense mechanisms. Immune cells recognize pathogens and release cytokines. These cytokines act on the hypothalamic thermoregulatory center, resulting in increased heat production and reduced heat dissipation in the body. Patients may experience fever, which may be accompanied by chills, headache, and generalized body aches, thus affecting normal metabolic processes.

5. Infertility

Fallopian tube inflammation may lead to tissue proliferation and fibrosis, causing adhesions, narrowing, or even complete obstruction of the tubal lumen. Sperm and egg cells may be unable to meet and combine within the fallopian tubes, or the fertilized egg may be unable to pass smoothly through the fallopian tubes to implant in the uterus, potentially leading to infertility.

If related symptoms appear, it is recommended to seek timely medical consultation at a hospital for diagnosis through methods such as hysterosalpingography (X-ray imaging), hysteroscopy, or laparoscopy. After a definitive diagnosis, targeted treatment should be conducted under the guidance of a physician.

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How to treat blocked but patent fallopian tubes

In general, fallopian tube patency with impaired function may be caused by congenital narrow development of the fallopian tubes, residual adhesions after surgery, chronic salpingitis, endometriosis, or pelvic adhesions. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through conservative management, medication, surgical treatment, or other appropriate methods.

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Why can't I get pregnant?

In general, the main causes of infertility include irregular ovulation, unhealthy lifestyle habits, polycystic ovary syndrome (PCOS), blocked fallopian tubes, and endometriosis. If pregnancy does not occur after prolonged attempts, it is recommended to seek timely medical evaluation at a reputable hospital. In daily life, it is important to maintain good hygiene practices to prevent infections of the reproductive system.

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What are the reasons for being unable to get pregnant?

In general, the main causes of difficulty in conceiving include excessive mental stress, improper timing of conception attempts, blocked fallopian tubes, polycystic ovary syndrome (PCOS), and endometrial polyps. If this situation occurs, it is recommended to seek timely medical evaluation and treatment at a reputable hospital. In daily life, maintain a positive mindset and avoid excessive anxiety; eat a balanced diet and supplement with folic acid and vitamins.

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What causes the vaginal discharge to become mostly transparent?

Under normal circumstances, the main causes of increased transparent vaginal discharge include hormonal changes during ovulation, sexual excitement, fungal vaginitis, cervicitis, salpingitis, and other conditions. If discomfort occurs, it is recommended to seek timely medical consultation and treatment at a qualified hospital. In daily life, it is important to avoid excessive vaginal douching to prevent disruption of the vaginal microenvironment, and to change cotton underwear frequently.