Symptoms of endometritis discharge

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 26, 2024
00:00
00:00

When women develop endometritis, the severity of the condition varies depending on the type of bacteria involved, and the characteristics of vaginal discharge also differ. For example, some women may experience mild symptoms, primarily reflected in an increased amount of discharge. Others might have discharge mixed with blood streaks, and some women could have purulent discharge accompanied by an unpleasant odor. If the condition continues to progress, the discharge can become foul-smelling, increase in quantity, and show a significant infiltration of white blood cells. Some women may develop pus accumulation in the uterine cavity, resulting in the presence of purulent discharge.

Other Voices

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
53sec home-news-image

Can you get pregnant with endometritis?

When suffering from endometritis, it is not recommended to become pregnant during this time. It is better to wait until the endometritis is cured before trying to conceive. This is because endometritis can impact pregnancy. During the inflammation, a large number of white blood cells and macrophages appear on the surface of the endometrium, which can affect the vitality of sperm, leading to decreased sperm activity and even dead sperm, thus reducing the chances of pregnancy. Additionally, during endometritis, women may also develop anti-sperm antibodies, which hinder the implantation of the fertilized egg, preventing normal fertility. Therefore, it is advised for women to wait until after the endometritis is cured before trying to conceive.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
52sec home-news-image

How is endometritis treated?

When women develop endometritis, it is mostly caused by mixed bacterial infections. In such cases, broad-spectrum antibiotics can be used for anti-inflammatory treatment. For example, under generally good conditions, oral cephalosporin or penicillin antibiotics can be used for treatment. If a woman's physical condition is poor, intravenous infusion therapy can also be administered. Additionally, if a woman experiences changes in her menstrual cycle, such as heavier menstrual flow or irregular vaginal bleeding, oral hemostatic drugs can be used for bleeding control. During non-bleeding periods, women can also opt for abdominal microwave therapy to promote the absorption of inflammation.

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 17sec home-news-image

What tests are done to diagnose endometritis?

Endometritis is generally definitively diagnosed by undergoing a diagnostic curettage at the hospital, where material is scraped and then sent for pathological examination to confirm the presence of endometritis. Clinically, the diagnosis of endometritis is mostly based on a combination of clinical symptoms and gynecological ultrasound examination. Patients with endometritis typically experience abdominal pain during menstruation, lower abdominal pain, and an unusual odor during their period. At such times, anti-inflammatory medication can be administered symptomatically. Most pelvic cases are considered to be anaerobic bacterial infections, thus medications targeting anaerobic bacteria can be used for symptomatic treatment. Therefore, while the definitive diagnosis of endometritis is established through diagnostic curettage, this procedure is invasive, and in most clinical cases, it is not performed. If endometritis is initially suspected, it is generally assessed through gynecological internal examination, ultrasound, and the patient's clinical manifestations and symptoms, followed by symptomatic treatment.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
44sec home-news-image

Does endometritis cause abdominal pain?

When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
37sec home-news-image

Can you have sexual intercourse with endometritis?

Endometritis can be divided into acute endometritis and chronic endometritis. During acute endometritis, it is necessary to avoid sexual activity, as this not only aggravates the endometritis but also leads to its spread due to sexual stimulation. Additionally, sexual arousal can increase vaginal secretions, likely causing inflammation and symptoms such as lower back pain and soreness, which can affect a woman's mood and decrease her libido. It is advisable to wait until the inflammation is under control and the body has returned to normal before resuming regular sexual activity.