Oophoritis is a clinically diagnosed disease that must be carefully distinguished from other causes of abdominal pain that commonly occurs. Problem with oophoritis is that infection ascends from bacterial colonization of the cervix and extends to the uterus, fallopian tubes, and ovaries. Gonorrhea and Chlamydia species, common sexually transmitted diseases, are typically colonized from the cervix in cases of oophoritis. However, these pathogens are rarely isolated in ovarian tissue, but these organisms instead facilitate infection of the adnexa by other bacteria. Outpatient treatment of oophoritis is appropriate for patients who are hemodynamically stable and sufficiently reliable to return for follow-up care. This could be applied to patients, which are immunocompetent, not pregnant, or intolerant of oral medication because of nausea and vomiting. Inpatient treatment is required for patients who have already failed outpatient treatment, to patients who are pregnant, or infected with HIV. Surgical care for oophoritis may be managed with surgery when medical treatment fails to ameliorate symptoms after 48-72 hours. Surgical options may include
laparoscopy with drainage of the abscess, removal of adnexa, or total abdominal hysterectomy and bilateral salpingo-
oophorectomy, which are the most common treatment options for oophoritis.
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