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The microbes responsible for salpingitis can be transmitted by sexual relations that include the exchange of bodily fluids and/or contact of these liquids with the mucous membranes of the genitals (penis, vagina, etc.), oral region (mouth) and anal region. This translates into the fact that chlamydia is primarily transmitted via unprotected vaginal or anal penetration and/or via unprotected oral sex (fellatio). This infection (chlamydia) can also be transmitted vertically (that means from mother to child during delivery and childbirth). This infection is rarely transmitted via cunnilingus.
These microbes, which are transmitted during unprotected sexual relations, then multiply in the genital tracts. Untreated, these germs are able to climb their way towards the uterus (through the cervical canal) and gradually make their way to the Fallopian tubes where they may wreak havoc (inflammation and infection). This is a salpingitis. On average it takes these untreated microbes 2 to 3 weeks to make there way to level of the tubes.