Chronic Salpingitis: Causes, Complications & Treatment

Chronic salpingitis is persistent fallopian tube inflammation, usually from inadequately treated PID (often chlamydia, gonorrhea) or post-surgical infection.

Complications

• Chronic pelvic pain
• Tubal scarring/blockage → infertility
• Ectopic pregnancy (partial blockage)
• Tubo-ovarian abscess
• Pelvic adhesions → pain, bowel obstruction
• Dyspareunia, reduced quality of life

Treatment

• Antibiotics for active infection (often prolonged).
• Pain management (NSAIDs, neuromodulators).
• Surgery (laparoscopy): adhesiolysis, salpingostomy, salpingectomy for hydrosalpinx/abscess.
• IVF if tubes irreparably damaged.

Early PID treatment prevents chronic sequelae. Regular STI screening is crucial.