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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Significant Inflammatory Tissue Reaction In Both Adnexae Indicate?

Hi,am bisola 26yrs old...i had ascan recently and the result showd dat dere is a significant inflammatory tissue reaction in both adnexae as well as d puch of douglas.dere is mild collectn of free fluid in d pouch of douglas,d uterus is normal in size n anteverted,d cavity is empty,normal endomethrial thickness,no cyst,no mass,no stones and features suggestive of chronic pelvic inflammmatory disease.....pls,wat is d implication and can it b totally cured,wat r my chances of conceiveing??
Fri, 20 Jun 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Presence of inflammatory tissue reaction on both adnexae suggests presence of inflammation/infection in bilateral ovaries and fallopian tubes.
The inflammation could be due to bacterial infection, tubercular infection or infection due to sexually transmitted diseases.
Infection/ inflammation of adnexae is called pelvic inflammatory diseases (PID).
PIDs are commonly associated with accumulation of fluid in the pouch of Douglas (a pouch formed by pelvic peritoneum).
Rest of the pelvic organs- uterus and its cavity are within normal limits.

You need to consult your gynecologist with report for further work up.
First the cause of PID has to be found and then treatment of the particular cause of PID has to be done.

PID can interfere with ovulation and conception.
Inflammation of ovary can interfere with ovulation.
Inflammation of fallopian tubes can interfere with motility of the fertilized ovum.

Early and prompt treatment can help to prevent the complications.

Thanks and take care
Dr Shailja P Wahal



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What Does Significant Inflammatory Tissue Reaction In Both Adnexae Indicate?

Hello and welcome to HCM, Presence of inflammatory tissue reaction on both adnexae suggests presence of inflammation/infection in bilateral ovaries and fallopian tubes. The inflammation could be due to bacterial infection, tubercular infection or infection due to sexually transmitted diseases. Infection/ inflammation of adnexae is called pelvic inflammatory diseases (PID). PIDs are commonly associated with accumulation of fluid in the pouch of Douglas (a pouch formed by pelvic peritoneum). Rest of the pelvic organs- uterus and its cavity are within normal limits. You need to consult your gynecologist with report for further work up. First the cause of PID has to be found and then treatment of the particular cause of PID has to be done. PID can interfere with ovulation and conception. Inflammation of ovary can interfere with ovulation. Inflammation of fallopian tubes can interfere with motility of the fertilized ovum. Early and prompt treatment can help to prevent the complications. Thanks and take care Dr Shailja P Wahal