Does endometritis belong to the pelvic cavity?

Written by Xu Xiao Ming

Obstetrics and Gynecology

Updated on March 05, 2025

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Endometritis is an inflammation that occurs in the endometrium, inside the uterine cavity. The uterus is an internal organ located in the pelvic cavity. Thus, this inflammation occurs within the pelvis. If a patient is diagnosed with endometritis, it is advised that they undergo anti-inflammatory treatment. Moreover, if there is a suspicion of an issue with the endometrium, it is recommended that such patients first undergo a type-B ultrasonic examination. If inflammatory symptoms are indeed present, consider performing a segmented diagnostic curettage of the endometrium. If an issue is identified, then anti-inflammatory treatment might be necessary.

Other Voices

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Written by Du Rui Xia

Obstetrics

49sec

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Is endometritis prone to recurrence?

Endometritis is prone to recurrence. The occurrence of endometritis is mainly due to a decrease in women's resistance, allowing some bacteria to ascend from the reproductive tract and cause inflammation in the uterine cavity. If the inflammation is not completely cured during the acute phase, or if it turns into chronic cervicitis, and local hygiene is not maintained, along with frequent presence of infection sources, it can easily cause repeated occurrences. It is crucial to actively treat endometritis, especially during the acute phase, where sufficient medication must be administered to enhance the effectiveness of the treatment. In cases of chronic endometritis, emphasis should be placed on treatment with traditional Chinese medicine.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 17sec

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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 Yue Hua

Obstetrics and Gynecology

55sec

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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

1min 3sec

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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 Du Rui Xia

Obstetrics

44sec

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Does endometritis cause abdominal pain?

When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.