Oophoritis
Definition:

Oophoritis is a condition characterized by inflammation of either one or both ovaries, usually occurring alongside an infection and possibly affecting female fertility.


Diagnosis:

Oophoritis can be diagnosed through: lab tests showing elevated blood cells; urinalysis and urine pregnancy to rule out other possible causes; wet preparation of cervical discharge; and cervical cultures to detect infections. Imaging studies such as pelvic ultrasonography may also help confirm the diagnosis.


Treatment:

Oophoritis can be treated medically or surgically. If medications fail to manage symptoms within 28-72 hours, surgical intervention may be required. Surgical options for oophoritis include: laparoscopy with drainage of the abscess; adnexa removal; as well as total abdominal hysterectomy and bilateral salpingo-oophorectomy.


Symptoms and Signs:

Oophoritis symptoms are similar to general symptoms of pelvic inflammatory diseases, and may include: pelvic pain; lower back pain; fever; side tenderness; as well as tenderness on internal examination. Because oophoritis primarily affects the ovaries, or a pair of reproductive organs that produces eggs in females, oophoritis may possibly lead to infertility in women.


Causes:

Oophoritis is commonly caused by an infection of the fallopian tube called salpingitis. Other possible causes are pelvic inflammatory diseases and/or other infections. Mumps, for instance, can cause oophoritis parotidea. Additionally, there are high risk factors involved, including: unprotected sexual intercourse; multiple sexual partners; high-risk sexual behavior; immunosuppression; recent instrumentation of genital tract; and gynecologic malignancy (particularly in postmenopausal women).