What medications should women with adnexitis take?
Among gynecological disorders, adnexitis—a collective term for salpingitis (inflammation of the fallopian tubes) and oophoritis (inflammation of the ovaries)—is relatively common. Adnexitis can significantly impair female fertility. It may be classified as either acute or chronic. Prompt and active treatment is essential for patients with adnexitis to prevent numerous complications. Below, we discuss pharmacological treatment options for adnexitis.

What medications are used to treat adnexitis in women?
Antibiotics are commonly prescribed for adnexitis, offering relatively rapid therapeutic effects—however, dosage must be carefully controlled and strictly adhered to as directed by a physician. Frequently used antibiotics include metronidazole, penicillin, and gentamicin.
Broad-spectrum anti-inflammatory agents such as levofloxacin capsules and tinidazole capsules also demonstrate effective antimicrobial activity and can alleviate associated symptoms—including lower abdominal pain and lumbosacral soreness. Some patients with adnexitis may instead receive cephalosporins or fluoroquinolones, administered either orally or intravenously, both of which hold therapeutic value.
Symptoms of adnexitis
Menstrual irregularities
Many women with adnexitis experience delayed menstruation. Often, this is mistakenly attributed to general menstrual irregularity; however, in fact, adnexitis may cause not only delayed periods but also shortened cycles, prolonged duration, dark and viscous menstrual blood with an unpleasant odor, among other abnormalities. Clinical manifestations vary depending on individual differences in pathogen type and constitutional factors.
Systemic symptoms
Gynecological disorders—including adnexitis—may present with systemic manifestations, most commonly fever (either high-grade or low-grade).
Increased vaginal discharge
Some women notice increased vaginal discharge and may mistakenly assume it signals imminent menstruation. In fact, abnormal vaginal discharge is a frequent symptom of adnexitis, typically appearing thick, purulent, or mucopurulent—and occasionally streaked with blood.
We hope the above information is helpful to you. Wishing you a happy and healthy life!