The ovaries, tubes and ligaments are located in close proximity to each other, so it is impossible to say exactly which area is inflamed. Usually it is a complex inflammation (adnexitis). It can be acute and chronic, affecting only one ovary and tube (unilateral) or two at once (bilateral). Of all the inflammatory diseases of the genital area, adnexitis ranks first. The cause of the disease is usually an infection – bacterial or fungal.
It can be descending – when inflammation provocateurs enter the area of the appendages from other organs, for example, from the appendix, upper respiratory tract, with blood and lymph flow. In fact, any inflammatory process (including banal SARS), which involves microorganisms such as streptococci, staphylococci, E. coli, chlamydia, mycoplasma, can provoke adnexitis.
However, ascending infections are more often the cause of inflammation of the appendages – pathogens enter the tubes and ovaries from the vagina and cervix.