Early and prompt treatment is needed to prevent serious damage and long-term effects from salpingitis. Treatment usually involves antibiotics, bed rest, and pain medications. The woman is often hospitalized so symptoms and treatment can be monitored. If a woman has an IUD, it may need to be removed once antibiotics have been started. Intravenous fluids and antibiotics may be given into a vein in the arm. Surgery may be needed to remove scar tissue or even the fallopian tube. In severe cases, the uterus, fallopian tubes, and ovaries may need to be removed.
Antibiotics may cause stomach upset, headache, or allergic reactions. Surgery poses a risk of bleeding, infection, and allergic reaction to anesthesia.
For some minor cases of salpingitis, no further treatment is needed. For more serious disease, treatment may need to continue.
Close monitoring of salpingitis is needed because of the possible long-term effects. Any new or worsening symptoms should be reported to the healthcare provider.