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At times salpingitis is manifest by extreme or violent pelvic (lower abdominal) pain, fever and associated abnormal vaginal discharge. This is a situation that requires immediate consultation and treatment. Unfortunately, in some infected women, salpingitis may evolve with very subtle symptoms and signs. The diagnosis may not be obvious for weeks or months, at times for periods as long as several years. This chronic form of salpingitis is a troublesome infection, as the damage that it can leave behind in the reproductive system is significant.
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