Can endometritis be treated with injections?

Written by Li Lin
Obstetrics and Gynecology
Updated on September 02, 2024
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Endometritis, as the name suggests, is the inflammation of the endometrium caused by pathogens, so it is necessary to use sensitive antibiotics for treatment. Endometritis generally manifests as purulent vaginal discharge, or an increase in purulent bloody discharge, tenderness in the uterine body, accompanied by increased temperature or slight fever. For endometritis, choosing a vaginal secretion smear or bacterial culture and drug sensitivity test, and using the corresponding sensitive antibiotics for infusion therapy, results in better outcomes, to avoid the progression to chronic pelvic inflammatory disease.

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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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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.

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Written by Zhao Li Li
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What should I do if endometritis keeps recurring?

Generally, endometritis is a common gynecological inflammatory disease. Treatment of inflammation typically requires a lengthy recovery process, and in some cases, chronic inflammation of the endometrium may occur due to long-term bacterial infections. Once endometritis is diagnosed, it is advised to pursue active treatment, usually involving systemic antibiotics to control the infection, combined with local treatment. Local treatment includes cleaning the vulva and using vaginal suppositories, and these combined treatments often yield noticeable results.

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Written by Du Rui Xia
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Does endometritis affect pregnancy?

When endometritis occurs, it affects a woman's ability to become pregnant normally. This is because endometritis causes abnormalities in a woman's menstrual cycle and vaginal discharge. If the endometrium is not actively treated, it can easily progress to chronic endometritis. Recurrent episodes can lead to adhesions, contractions, and narrowing of the uterine cavity, all of which can impact pregnancy. Even if fertilization occurs between the sperm and egg, forming a zygote, if the inflammation persists and is not well managed, it can also easily lead to miscarriage. Therefore, it is crucial to actively treat endometritis when it occurs.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Why is enema used for endometritis?

Endometritis can be treated with enemas. The enema uses traditional Chinese medicine and is administered rectally, which is the closest access point to the uterus. Administering the enema in this area allows the medicine to be absorbed quickly and reach the uterus effectively. Therefore, the treatment of endometritis is quite effective with this method. Additionally, the Chinese herbal medicine used in the enema is warm, which can locally apply heat to the uterus, promote blood circulation in the pelvic cavity, and effectively treat inflammation. Thus, if one has endometritis, using a traditional Chinese medicine enema is entirely feasible.