If adnexitis forms a tubo-ovarian abscess and is not satisfactorily controlled with antibiotics, surgery may be necessary.
Adnexitis, also known as tubo-ovarianitis, is a relatively common inflammatory pelvic disease. If the symptoms are mild, it can be treated with oral medications, such as metronidazole and ofloxacin. If the patient’s discomfort is obvious, intravenous medication can be taken, such as cefotetan and doxycycline.
If the inflammation of the adnexa is more severe, the inflammation can enter the ovarian parenchyma through the ruptured hole where the ovary empties, forming an ovarian abscess or tubo-ovarian abscess. This condition needs to be treated with two broad-spectrum antibiotics, taken intravenously. However, if the antibiotics are not effective, or if the abscess persists or has ruptured, this condition requires prompt surgical treatment.