Can ultrasound detect endometritis?

Written by Jia Rui
Obstetrics and Gynecology
Updated on November 10, 2024
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Endometritis can be detected through an ultrasound, and it's best to inspect within three to seven days after the menstrual cycle has ended. Ultrasound is a tool that assists in diagnosing gynecological diseases, and it can be used to check for endometritis. However, to confirm the diagnosis, other methods such as laboratory tests, vaginal discharge exams, and internal scanning are needed. When treating endometritis, it's crucial to identify any underlying causes. For instance, if there are retained placental fragments after childbirth or a miscarriage, a curettage to remove the remnants is necessary. Furthermore, if the endometritis is caused by an intrauterine device, it should be removed; if caused by uterine polyps, these should be excised.

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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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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 Zhang Lu
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Can an intrauterine device be removed if there is endometritis?

When endometritis occurs, because there is inflammation locally, intrauterine operations cannot be performed, thus the intrauterine device (IUD) cannot be removed. The symptoms of endometritis can include the discharge of purulent secretions from the vagina and tenderness in the lower abdomen, and it can even lead to systemic infection symptoms such as fever. If one wishes to remove the IUD, it is essential to carry out standard anti-inflammatory treatment using antibiotics to treat the inflammation, and the IUD can only be removed after the symptoms have alleviated. The alleviation of symptoms primarily includes the following aspects: First, there is no longer pus discharge from the vagina. Second, there is no longer tenderness or rebound pain in the lower abdomen. Third, there are no symptoms of systemic fever or others. When removing the IUD, comprehensive disinfection should be noted to avoid causing a recurrence of endometritis or spreading the inflammation.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Symptoms of endometritis discharge

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.

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What should not be eaten with endometritis?

Endometritis is caused when bacteria opportunistically enter the uterus due to a decrease in a woman's immunity, leading to congestion and edema of the endometrial lining. During endometritis, it is important to pay attention to diet. Consuming food that causes flare-ups, such as seafood like salmon, hairtail, shrimp, and others, can have side effects. These foods intensify internal damp-heat and after consumption, may result in an increase in vaginal discharge and itching of the vulva. Additionally, it is also advisable to avoid irritant foods such as tobacco and alcohol, as their long-term presence in the body is not conducive to disease recovery. It is best to choose fresh vegetables and fruits, as well as protein-rich foods like eggs, lean meats, and dairy, all of which are beneficial for the recovery from endometritis.