Should you have sexual intercourse during endometritis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 18, 2024
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During periods of endometritis or while treating endometritis and pelvic inflammatory disease, it is not permissible to engage in sexual activity. The stimulation from sexual activity can exacerbate the inflammation or cause it to spread, increasing the likelihood of chronic pelvic pain, worsening inflammation, causing fever, or other severe consequences. Therefore, it is crucial to not only discover and treat these conditions promptly but also to avoid fatigue and sexual activity during treatment. Generally, this is only temporary, and it is important to exercise self-control.

Other Voices

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Written by Li Lin
Obstetrics and Gynecology
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Can endometritis be treated with injections?

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 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 Zhao Li Li
Obstetrics
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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 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 Kang Jian Hua
Reproductive Center
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How to do IVF with endometritis

Patients with endometritis who are considering IVF must first treat the endometritis. As we all know, the endometrium is the soil for embryo development. If the inflammation is severe, even with IVF, the transferred blastocysts are likely to fail to implant. Endometritis can significantly affect the implantation of the fertilized egg, and after implantation, it may lead to increased risks of miscarriage, placenta previa, and a higher incidence of adhesive placenta. Therefore, if IVF is to be performed, it is imperative to treat the inflammation of the endometritis. Once the treatment is successful, the embryo will not be affected during IVF.