What Causes Tubo Ovarian Abscess? Its Symptoms And Treatment

Tubo ovarian abscess is a rare condition which affects women in the reproductive age group. The condition is caused due to a host of factors and is associated with a variety of signs and symptoms, which are similar to those of pelvic inflammatory disease. This article provides information about tubo ovarian abscess and the treatment regimen for the management of the condition.

Tubo-ovarian abscess refers to formation of abscess in the ovary and the connected fallopian tube. In some cases, edematous and dilated pelvic structures may be visible, without abscess and the condition is referred to as Tubo Ovarian Complex. The condition is found to have an incidence of one in 100,000 women and most frequently affects women in the age group of 20 to 40 years with the peak of the incidence in age group of 20 to 24 years.

It is important to differentiate the condition from other similar conditions which include ectopic pregnancy, pelvic cancer, ovarian torsion, appendicitis or diverticulitis, etc.

Causes And Symptoms Of Tubo Ovarian Abscess

Some of the common causes of tubo ovarian abscess include the following,

  • Pelvic inflammatory disease is one of the leading causes of tubo-ovarian abscess. Bacterial infection affecting the organs in the pelvic cavity is considered to be a leading cause.
  • Intrauterine contraceptive devices are linked with risk of inflammatory disease and development of tubo ovarian abscess. While newer IUDs are more effective, they are associated with a minimal risk of pelvic infection.
  • Intra-abdominal surgery increases the risk of developing a tubo ovarian abscess.
  • Infertility treatments like hyper stimulation of the ovaries and oocyte retrieval techniques are linked with higher risk of tubo ovarian abscess.

Tubo Ovarian Abscess Symptoms

Tubo Ovarian Abscess is associated with a particular set of signs and symptoms which include the following,

  • 90% of the cases are associated with abdominal and pelvic pain which is sharp, pricking and persistent throughout the day.
  • Additionally, 60-80% may complain of systemic symptoms like fever, leukocytosis, weakness, malaise, etc.
  • In most cases, a palpable mass is present on gynecological examination.

In addition other symptoms like bowel obstruction, reduced bowel sounds and abdominal distention may also be present.

Treatment For Tubo Ovarian Abscess

There is no standard treatment regimen for the management of tubo ovarian abscess. Conventional treatment therapy ranges from using broad spectrum antibiotics through intravenous route to surgical intervention to allow the drainage of the abscess.

The role of home remedies in the management of this condition is fairly limited and should be used as complimentary to conventional therapy,

  • Homeopathic drugs like silica and hepar sulph taken in high potency, repeated over several times in the day can help in promoting the natural absorption of the abscess and alleviate the symptoms.
  • Prepare a paste of freshly crushed garlic flakes with raw honey. Both garlic and honey have strong and potent anti-bacterial properties which can hasten the healing of tubo ovarian abscess.
  • Add a tea spoon of turmeric to a glass of warm milk. Turmeric is a broad spectrum antimicrobial while milk is loaded with essential vitamins and minerals which may help in hastening the recovery.

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