Causes of endometritis

Written by Du Rui Xia
Obstetrics
Updated on September 13, 2024
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Endometritis can be divided into tuberculous endometritis and non-tuberculous endometritis, with the latter being more common in clinical settings. Non-tuberculous endometritis is often caused by various pathogenic infections. It commonly occurs during menstruation, after a miscarriage, or during childbirth due to bacterial infections. For instance, inadequate sterilization during surgery, sexual activity during menstruation, and the retention of placenta or membranes after childbirth can all facilitate ascending infections.

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Written by Du Rui Xia
Obstetrics
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Is endometritis prone to recurrence?

Endometritis is prone to recurrence. The occurrence of endometritis is mainly due to a decrease in women's resistance, allowing some bacteria to ascend from the reproductive tract and cause inflammation in the uterine cavity. If the inflammation is not completely cured during the acute phase, or if it turns into chronic cervicitis, and local hygiene is not maintained, along with frequent presence of infection sources, it can easily cause repeated occurrences. It is crucial to actively treat endometritis, especially during the acute phase, where sufficient medication must be administered to enhance the effectiveness of the treatment. In cases of chronic endometritis, emphasis should be placed on treatment with traditional Chinese medicine.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How long does endometritis bleed?

Women experience bleeding due to inflammation of the endometrium, mainly when inflammation occurs, the endometrium becomes congested, edematous, more fragile, and less stable. There is infiltration of inflammatory cells in the endometrium, which may also lead to abnormalities in coagulation function. The extent of lesions varies from person to person, leading to differences in the duration and amount of bleeding. For example, some women may only experience changes in the amount of menstruation, such as increased menstrual flow or prolonged periods lasting over eight days, typically without any bleeding. Others may experience irregular vaginal bleeding, where there is constant, light spotting.

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Written by Zhao Li Li
Obstetrics
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Is it easy to get pregnant with endometritis?

If it is confirmed that there is localized inflammation of the endometrium, under normal circumstances, it will still have some impact on pregnancy. After confirming endometritis, it is necessary to actively conduct examinations and symptomatic treatment. If it causes changes in the menstrual cycle, or persistent lower abdominal pain, accompanied by an increase in vaginal secretions, it is necessary to timely use broad-spectrum antibiotics for symptomatic treatment. It is also necessary to use some local suppositories inside the vagina for combined treatment to alleviate the symptoms effectively. Generally, it is better to start actively preparing for pregnancy after the recovery from endometritis.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is endometritis diagnosed?

When suspecting endometritis in women, the first step is to inquire about the medical history. Most women exhibit abnormalities in their menstrual cycle, and some only show changes in the amount of menstruation. Ultrasound examination of the reproductive system shows no organic lesions, and the hormone panel is normal. During a gynecological examination, tenderness in the uterine body may be observed. Sometimes, ultrasound examination suggests that the endometrium is thin and uneven. Performing a hysteroscopy, localized hyperemia and edema of the endometrium can be seen, and diagnostic curettage plays a certain role in diagnosis.