Acute Gonococcal Salpingitis C0275654
A gonococcal infection causing inflammation of the fallopian tubes. It affects women of reproductive age and is treated with antibiotics to prevent scarring and fertility problems.
Key facts at a glance
- ICD-10
- N50.9
- ICD-11
- GA00.0
- Body system
- reproductive
- Severity
- moderate
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Lower abdominal pain
Fever
Generalized symptoms
(reproductive)Noticeable symptoms that may vary in intensity over time.
Frequency: Varies
Cervical motion tenderness
(reproductive)Nausea
(reproductive)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Antibiotic therapy
Treatment of acute gonococcal salpingitis involves parenteral antibiotics initially, typically ceftriaxone plus doxycycline, followed by oral completion. Hospitalization may be necessary for severe cases or uncertain diagnosis.
Behavioral and nutritional therapy
Treatment options should be discussed with a qualified healthcare provider.
Inpatient observation for complication surveillance
Close monitoring for clinical deterioration, abscess formation, or signs of Fitz-Hugh-Curtis syndrome is essential. Serial abdominal examinations and imaging may be warranted to detect complications early.
Additional treatment options
Adjunctive anti-inflammatory therapy
NSAIDs may be administered to reduce pelvic inflammation and pain. However, their routine use for salpingitis remains controversial and should be individualized based on clinical response.
medicationSurgical intervention for complications
Surgical evaluation is warranted for patients with tubo-ovarian abscess unresponsive to medical therapy, signs of rupture, or clinical deterioration. Laparoscopic drainage or colectomy may be necessary in severe cases.
surgicalSexual partner treatment and contact tracing
All sexual contacts within 60 days should be evaluated and presumptively treated. Partner treatment is critical to prevent reinfection and long-term reproductive sequelae in both patient and partners.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Acute Gonococcal Salpingitis C0275654?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021.
Brunham RC, Gottlieb SL, Paavonen J. Pelvic inflammatory disease. N Engl J Med. 2020.
Savorgnan F, Bolan RK, Witt MD, et al. Efficacy of ceftriaxone plus azithromycin for the treatment of acute pelvic inflammatory disease. Clin Infect Dis. 2019.
Haggerty CL, Totten PA, Ahn G, Ness RB. Overlap of human immunodeficiency virus and pelvic inflammatory disease: a meta-analysis. Clin Infect Dis. 2022.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy