Definition
Salpingitis is an inflammatory disease involving the fallopian tubes (also known as salpingi, two hollow organs belonging to the female genital system).
Although there are several forms, salpingitis can be broadly divided into two groups: acute salpingitis and chronic salpingitis.
Causes
Normally, the cause of salpingitis lies in the presence of bacterial infections, which can be sustained by strains of staphylococci or streptococci, chlamydia, mycoplasma, gonococcus or tubercle bacilli.
The triggering cause of the infection can be of different origin and nature; for example, it can be the consequence of a vaginal infection or sexually transmitted diseases not adequately treated, or it can derive from an incorrect use of intrauterine contraceptive devices or from the "Inappropriate use of tampons.
Symptoms
The signs and symptoms that can occur in the case of salpingitis are different. Among these, the main ones are: fever, pelvic and abdominal pain, peritonism, mucopurulent vaginal discharge, abnormal vaginal bleeding, changes in the cervical mucus and pus formation in the salpingi themselves.
Salpingitis can be complicated by giving rise to a tubo-ovarian abscess, a hydrosalpinx or a pyosalpinx. If not properly treated, salpingitis can also lead to infertility.
The information on Salpingitis - Salpingitis Cure Medicines is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Salpingitis - Medicines to Treat Salpingitis.
Medicines
Since it is a "bacterial infection, the drugs used for the treatment of salpingitis are antibiotics.
Since salpingitis can be caused by different types of microorganisms, it would be advisable to perform specific cultural tests aimed at recognizing the pathogen that triggered the inflammatory disease in question. Only in this way, in fact, will the doctor be able to establish the most appropriate therapy. suitable for each patient. However, broad spectrum antibiotics can also be used.
In severe cases of salpingitis, the patient may need to be hospitalized. In addition, in the event of complications, the doctor may deem it necessary to resort to surgery.
Finally, it should be remembered that antibiotic therapy must be prescribed not only to the patient suffering from salpingitis, but also to the partner, since this pathology is considered a sexually transmitted disease.
The following are the antibiotic drugs most used in the therapy against salpingitis and some examples of pharmacological specialties; it is up to the doctor to choose the active ingredient and dosage most suitable for the patient, based on the severity of the disease, the state of health of the patient and his response to treatment.
Tetracyclines
Tetracyclines are usually the drug of first choice used in the treatment of chlamydial infections; therefore, their use can be useful in the treatment of salpingitis caused by infections sustained by this pathogen.
Among the various tetracyclines that can be used in this case, we remember doxycycline (Bassado®, Miraclin®). This tetracycline is available in pharmaceutical formulations for oral administration. The dose of drug usually used is 100 mg of active ingredient per day, to be taken with plenty of water at least one hour before going to bed (in order to avoid the onset of any esophageal irritation).
Cephalosporins
Cephalosporins are antibiotics having a β-lactam structure and capable of exerting a bactericidal action.
The cephalosporins most used in the treatment of salpingitis are those of the third generation, which have a greater activity against Gram-negative bacteria than Gram-positive. For this reason, cephalosporins are particularly effective in treating salpingitis caused by infections caused by chlamydia or gonococcus.
Among the various cephalosporins that can be used, we remember:
- Ceftriaxone (Bixon®, Ragex®, Rocefin®): this cephalosporin is available in pharmaceutical formulations suitable for intramuscular and intravenous administration. Generally, when administered intramuscularly, the recommended dose is 1 gram of ceftriaxone per day. However, the exact dosage of the medicinal product must be determined by the physician on an individual basis for each patient.
- Cefixime (Cefixoral®): Cefixime is available in pharmaceutical formulations suitable for oral administration. Generally, it is recommended to administer 400 mg of active ingredient per day. The drug can be taken in a single dose, or in two divided doses throughout the day.
Quinolones
Quinolones can also be used in the treatment of salpingitis. Usually, third and fourth generation quinolones are preferred, more precisely, fluoroquinolones. Among these, we remember:
- Levofloxacin (Tavanic®, Alvand®, Aranda®): Levofloxacin is available for both oral and intravenous administration. When used orally, the usual dose of drug used is 250-500 mg per day. In any case, the doctor will decide the dosage of medicine for each patient.
- Ciprofloxacin (Ciproxin®, Macar®, Knox®, Samper®): for the treatment of salpingitis, ciprofloxacin can be used both orally and parenterally. The dose of drug to be used must be established by the doctor on a strictly individual basis, according to the severity of the infection that triggered the disease.
Macrolides
Among the antibiotics belonging to the class of macrolides that can be used in the treatment of salpingitis we mention azithromycin (Azitrocin®, Zitromax®, Macrozit®). This drug has a rather broad spectrum of action, but is effective above all in counteracting infections caused by chlamydia. Azithromycin is available for oral administration. The drug dose usually used is 500 mg-1 gram per day, to be taken in a single administration.
However, the doctor will determine the exact amount of medication to use.
Penicillins
Penicillins can also be used in the treatment of salpingitis when the latter originates from infections caused by susceptible bacteria.
Among the different active ingredients that can be used, we remember:
- Amoxicillin (Augmentin®, Clavulin®, Amox®, Zimox®): amoxicillin is a broad spectrum penicillin, available in pharmaceutical formulations suitable for oral and parenteral administration. When taken via the latter route, the usual dose is 500-1,000 mg, to be administered by intramuscular or intravenous injection, or by intravenous infusion every 8-12 hours.
However, even in this case, the doctor will determine the exact amount of drug that each patient will have to take.
