Is it easy to get pregnant with endometritis?

Written by Zhao Li Li
Obstetrics
Updated on September 17, 2024
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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 Du Rui Xia
Obstetrics
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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.

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Written by Yue Hua
Obstetrics and Gynecology
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How is endometritis diagnosed?

Endometritis can be detected through the following methods: First, gynecological examinations, as most patients with endometritis experience lower abdominal pain. During the gynecological examination, the doctor can detect tenderness in the uterus, and severe patients may exhibit pain upon movement. Second, undergoing an ultrasound examination, where heterogeneous uterine lining echoes can be found. This condition should be considered as a manifestation of endometritis. The third method is to perform diagnostic curettage, and then examine the scraped tissue pathologically. If inflammatory cells are found, endometritis can be definitively diagnosed.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What will happen in the late stages of endometritis?

Endometritis does not have early or late stages. Some people may have more severe inflammation, with clearer signs of infection, which can even lead to elevated body temperature and mild ascites with severe surrounding circumstances. In such cases, etiological examinations are necessary, and treatment should be chosen based on specific etiological findings, including bacterial culture and drug sensitivity tests. Since endometritis is not cancer, there’s no such thing as a late stage—the condition may present as mild, severe, or chronic inflammation. Traditional Chinese Medicine and herbal treatments might be required. Therefore, if inflammation is present, there is no need to overly worry. It is important to begin treatment as soon as possible based on the specific circumstances, avoid sexual activities and excessive fatigue in the near term.

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Written by Jia Rui
Obstetrics and Gynecology
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What is the cause of endometritis?

Endometritis is a common gynecological disease in clinical practice. There are many causes of endometritis, which can lead to inflammatory changes in the endometrial structure. Bacteria can ascend from the vagina and cervix, descend from the fallopian tubes, or reach the endometrium through the lymphatic system, causing the disease. For example, childbirth and the weakened immune response afterward can lead to pathogen invasion if the placenta and membranes are retained. The placental separation surface can be infected by bacteria causing inflammation of the endometrium. Additionally, the placement or removal of an intrauterine device, abortion procedures, dilation and curettage, and medication-induced abortion can also facilitate the invasion of pathogens and trigger endometrial inflammation.

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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.