What are the symptoms of gynecological adnexitis?

Adnexitis, mainly refers to inflammation of the fallopian tubes, ovaries, surrounding connective tissues, and the pelvic peritoneum in females. Its symptoms may include:

1. Fever: During the onset of adnexitis, females often experience high fever, with body temperature reaching 39–40°C, sometimes accompanied by chills. Fluctuations in body temperature may indicate the spread of inflammation or the development of a suppurative focus.

2. Lower abdominal pain: This is the most common symptom of adnexitis, typically presenting as persistent dull or aching pain, usually located on one or both sides of the lower abdomen.

3. Menstrual disorders: These may manifest as frequent menstruation or heavy menstrual bleeding, likely resulting from ovarian dysfunction or pelvic congestion.

4. Nausea and vomiting: Severe adnexitis may cause gastrointestinal symptoms.

5. Dysmenorrhea: Congestive dysmenorrhea caused by pelvic congestion usually begins about a week before menstruation, with symptoms becoming more pronounced as the menstrual period approaches.

6. Frequent and urgent urination: These symptoms may occur when the bladder is affected by inflammation.

7. Low back pain: Long-term inflammatory stimulation may lead to discomfort in the lumbar region.