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Oophoritis is an inflammation of the ovaries.
It is often seen in combination with salpingitis (inflammation of the fallopian tubes). It may develop in response to infection.
It's been theorized that retrograde menstrual flow and the cervix opening during menstruation allows the infection to reach the Fallopian tubes.
Other risk factors include surgical procedures that break the cervical barrier, such as:
- endometrial biopsy
- curettage
- hysteroscopy
Another risk is factors that alter the microenvironment in the vagina and cervix, allowing infecting organisms to proliferate and eventually ascend to the Fallopian tube:
- antibiotic treatment
- ovulation
- menstruation
- sexually transmitted disease (STD)
Finally, sexual intercourse may facilitate the spread of disease from the vagina to the Fallopian tube. Coital risk factors are:
- Uterine contractions
- Sperm, carrying organisms upward
The bacteria most associated with salpingitis are:
- N. gonorrhoeae
- Chlamydia trachomatis
- Mycoplasma
- Staphylococcus
- Streptococcus
However, salpingitis is usually polymicrobial, involving many kinds of organisms. Other examples of organisms involved are:
- Ureaplasma urealyticum
- Anaerobic and aerobic bacteria