PARAMETRITIS

Inflammation of the pelvic cellular tissue is called parametritis.

Etiology— (Source of Infection): -

• Delivery and abortion through placental site or from lacerations of the cervix, vaginal vault, or lower uterine segment.
• Acute infections of the cervix, uterus, and tubes.
• Cesarean section or hysterectomy-abdominal or vaginal (cuff cellulitis).
• Secondary to pelvic peritonitis.
• Carcinoma cervix or radium introduction.

CLINICAL FEATURES : - Acute: The onset is usually insidious and appears about 7–10 days following initial infection.The temperature rises to about 102°F. Pain is not a prominent feature, may be dull aching deep in the pelvis.

On examination, the pulse rate is raised proportionate to the temperature. There is generalized deep tenderness on lower abdomen. Rigidity is absent because the lesion is extraperitoneal. Pelvic examination reveals hot and tender vagina. There is an indurated tender mass usually unilateral, which extends to the lateral pelvic wall and to which the uterus is firmly fixed. The uterus is pushed to the contralateral side.

Rectal examination confirms the indurated tender mass or horse shoe-shaped induration of the uterosacral ligaments surrounding the rectum.

An abscess formation is featured by spiky rise of temperature, toxic look, and fluctuant swelling in the regions mentioned earlier.

Chronic: The clinical features vary, as it is often associated with chronic salpingo-oophoritis and as such, the symptoms and signs are overshadowed by the latter condition. The chief complaint is chronic deep seated pelvic pain, may be localized to one side. There is deep dyspareunia.

ROLE OF HOMOEOPATHIC IN MANAGING PARAMETRITIS : - There is an excellent scope of treating many Gynaecological conditions including Parametritis in the homoeopathic system of medicine. Homoeopathic medicines boost the body's natural defense mechanism to fight with the infectious agents and clear up the infections.

Some frequently used medicines are:-

• Cal carb
• Kreosotum
• Natrum Mur
• Sepia
• Borax
• Kali bromatum
• Pulsatilla
• Sulphur etc