Disappearance of female secondary sexual characteristics

Introduction Attachment inflammation can not only make women infertile, the second sexual weakening disappears, but can directly cause endocrine disorders, leading to premature aging of the skin, stealing the beauty of women. Decreased ovarian function should be the main reason. Attachment inflammation refers to the inflammation of the fallopian tubes and ovaries. However, fallopian tubes and ovarian inflammation often have uterine connective tissue inflammation and pelvic peritonitis, and are difficult to distinguish at the time of diagnosis. Thus, pelvic peritonitis and paracancerous connective tissue inflammation are also included in the scope of accessory inflammation. In the inflammation of pelvic organs, salpingitis is the most common. Due to the close relationship between the anatomical sites, salpingitis, oophoritis and pelvic peritonitis often coexist and affect each other.

Cause

Both the ovary and the fallopian tube are bilaterally symmetrical, and the distribution is located below the lower abdomen belt. When the attachment inflammation occurs, the patient presents a continuous or intermittent traction pain on both sides or one side. At the time of initial onset, there is only a slight pain or discomfort. When the tide comes, the symptoms are aggravated, so it is often ignored by people and is regarded as a normal reaction of the physiological cycle. This disease can occur in unmarried married women, usually caused by retrograde infection of the internal and external vaginal, and often accompanied by pelvic inflammatory disease. Attachment inflammation can block the fallopian tube, leading to infertility, inflammation and other complications, and the real catastrophic consequence of the attachment inflammation is that the ovaries can not perform normal physiological functions. The ovaries are one of the most important sexual organs in women. It not only bears the combination of producing eggs and sperm, but also creates the continuation of human history. It also bears the secretion of estrogen, progesterone and androgen, which is unique to women, and supports the second sexual characteristics of women. The uterus is full of vitality: the skin is tender and delicate, and the lines are soft and glamorous. Attachment inflammation can not only make women infertile, the second sexual weakening disappears, but can directly cause endocrine disorders, leading to premature aging of the skin, stealing the beauty of women.

Attachment inflammation refers to the inflammation of the fallopian tubes and ovaries. However, fallopian tubes and ovarian inflammation often have uterine connective tissue inflammation and pelvic peritonitis, and are difficult to distinguish at the time of diagnosis. Thus, pelvic peritonitis and paracancerous connective tissue inflammation are also included in the scope of accessory inflammation. In the inflammation of pelvic organs, salpingitis is the most common. Due to the close relationship between the anatomical sites, salpingitis, oophoritis and pelvic peritonitis often coexist and affect each other.

(1) After childbirth or abortion, due to decreased resistance, the pathogen is infected by the genital tract and spreads to the fallopian tubes, ovaries, and then the entire pelvic cavity, causing inflammation.

(2) At the same time as the intrauterine device is widely used, the patient does not pay attention to personal hygiene or the operation is not strict.

(3) intrauterine operations without strict disinfection, such as aspiration, uterine tubal iodine angiography, cervical canal treatment, and obstetric surgical infections that are not strictly sterilized.

(4) Do not pay attention to menstrual hygiene, menstrual sexual intercourse or unclean sexual intercourse.

(5) When there is infection in other parts of the body without timely treatment, the pathogen can be transmitted through the bloodstream and cause fallopian tube ovarian inflammation, which is more common in tuberculous diseases.

(6) When the pelvic or fallopian tube is adjacent to the organ, such as appendicitis, it can cause tubal oophoritis and pelvic peritonitis by direct spread. The inflammation usually occurs on the adjacent side of the fallopian tube and ovary.

(7) Sexually transmitted diseases such as gonorrhea, after infection, gonorrhea can spread along the mucosa, causing inflammation of the fallopian tubes and ovaries.

an examination

Related inspection

Hysterosalpingography, sex hormones, six examinations, gynecological ultrasound examination

Gender observation

Gender is the main indicator of sexuality. Sexual signs are affected by sex hormones. The second sexuality refers to the difference in skin, hair, sound, and fat distribution between the sexes.

Hysterosalpingography

Hysteral fallopian tube angiography is one of the commonly used examination methods for uterine and fallopian tube diseases in obstetrics and gynecology.

Attachment inflammation refers to the inflammation of the fallopian tubes and ovaries. However, fallopian tubes and oophoritis often have uterine connective tissue inflammation and pelvic peritonitis, and are not easy to distinguish at the time of diagnosis. In this way, pelvic peritonitis, paracancerous connective tissue inflammation, gynecological ultrasound examination, and six sex hormone tests can be diagnosed. It is not difficult to determine in combination with clinical manifestations.

Differential diagnosis

1, identification with endometriosis: sometimes difficult to identify, due to common dysmenorrhea, menstruation, sexual pain, defecation pain, infertility and pelvic mass, adhesions and other signs easily confused. Careful questioning of medical history, dysmenorrhea of endometriosis is progressive, more and more intense, beginning before menstruation, menstrual period and lasting for several days after menstruation. Mostly primary infertility, no vaginal discharge and inflammatory history. The double-diagnosis attachment is thickened and adheres to the posterior wall of the posterior uterus. Such as the uterine ligament ligament with tender nodules is easy to diagnose, the amount is often lacking this sign. Can be diagnosed by hysterosalpingography or laparoscopy.

2, with the old ectopic pregnancy identification: the two medical history is different. Older ectopic pregnancy often has short-term menstrual delay, sudden lower abdominal pain, accompanied by symptoms of internal bleeding such as nausea, dizziness and even syncope, can reduce or even return to normal life. Later, there were repeated sudden abdominal pains. There is a pain and a sense of falling after the attack, and there is a mass in the lower abdomen, and there is a small amount of bleeding in the vagina, which is different from chronic accessory inflammation. There is anemia of the appearance, double diagnosis, the mass is mostly on one side, the quality is elastic and the shape is extremely irregular, and the tenderness is lighter than inflammation. It can be diagnosed by sucking out old blood or small blood clot through the posterior malleolar puncture. A gynecological ultrasound examination can be used for diagnosis.

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