Does endometritis require a uterine curettage?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 02, 2025
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When a woman suffers from endometritis, it is usually not necessary to perform a uterine curettage. Endometritis is a type of pelvic inflammatory disease caused by infection of various pathogens. Treatment mainly involves the use of broad-spectrum antibiotics for anti-inflammatory purposes. Moreover, if a woman undergoes curettage, it could further damage the uterine lining and potentially cause infections to spread to other areas, such as leading to inflammation of the uterine body. Therefore, curettage is generally not recommended. Some women may experience irregular vaginal bleeding during an episode of endometritis, and this can be treated with hemostatic drugs.

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Obstetrics and Gynecology
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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.

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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 Du Rui Xia
Obstetrics
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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.

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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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Endometritis menstrual symptoms

Endometritis occurring during menstruation can result in increased menstrual flow and extended periods. The most common clinical symptoms of endometritis include lower abdominal pain and increased vaginal discharge. The abdominal pain is often persistent and worsens with activity or after intercourse. In severe cases, it may also be accompanied by fever, chills, headache, loss of appetite, and fatigue. If accompanied by peritonitis, symptoms related to the digestive system such as nausea, vomiting, diarrhea, abdominal distension, and diarrhea may occur. If there is an associated urinary tract infection, symptoms can include urinary urgency, frequency, and pain. If symptoms of bladder irritation occur, there may be difficulty in urination and frequent urination, and the bladder muscle may also have pain. If a mass is located behind the uterus, it can cause rectal irritation symptoms, leading to diarrhea, a sense of urgency to defecate, and difficulty in urination.