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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Written by Zhao Li Li
Obstetrics
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Can you get pregnant with endometritis?

Under normal circumstances, it is possible to become pregnant when suffering from inflammation of the endometrium. However, if an infection occurs due to the inflammation of the endometrium, it may affect the implantation of the fertilized egg. Therefore, during normal pregnancy, implantation might lead to poor embryonic development or cause a miscarriage. Therefore, once endometritis is confirmed, it is necessary to treat it promptly. Broad-spectrum antibiotics should be administered systematically before attempting to conceive normally. During pregnancy, it is also vital to closely monitor the condition of the endometrium. If continuous thickening of the endometrium occurs, it is crucial to take oral medication promptly to preserve the pregnancy and provide symptomatic treatment. (Medication should be used under the guidance of a doctor.)

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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 Du Rui Xia
Obstetrics
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Endometritis

Endometritis refers to the inflammatory changes in the uterine lining caused by various reasons. Common clinical causes include infections resulting from miscarriage or childbirth, as well as various intrauterine procedures, where bacteria opportunistically enter the uterus through the vagina. Clinically, this condition is characterized by congestion and edema of the endometrium, and in severe cases, it may lead to suppuration. Patients may experience fever, abdominal pain, and an increase in vaginal discharge, which is often purulent or hemorrhagic-purulent in nature. Clinically, antibiotics are primarily used for treatment. It is recommended that women develop good personal hygiene habits in daily life, maintain genital cleanliness, engage in moderate exercise, and enhance the body's resistance.

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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 Shen Li Wen
Obstetrics and Gynecology
52sec home-news-image

Does endometritis require a uterine curettage?

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.