Is endometritis prone to recurrence?

Written by Du Rui Xia
Obstetrics
Updated on January 02, 2025
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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 Du Rui Xia
Obstetrics
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Causes of endometritis

Endometritis can be divided into tuberculous endometritis and non-tuberculous endometritis, with the latter being more common in clinical settings. Non-tuberculous endometritis is often caused by various pathogenic infections. It commonly occurs during menstruation, after a miscarriage, or during childbirth due to bacterial infections. For instance, inadequate sterilization during surgery, sexual activity during menstruation, and the retention of placenta or membranes after childbirth can all facilitate ascending infections.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is endometritis treated?

When women develop endometritis, it is mostly caused by mixed bacterial infections. In such cases, broad-spectrum antibiotics can be used for anti-inflammatory treatment. For example, under generally good conditions, oral cephalosporin or penicillin antibiotics can be used for treatment. If a woman's physical condition is poor, intravenous infusion therapy can also be administered. Additionally, if a woman experiences changes in her menstrual cycle, such as heavier menstrual flow or irregular vaginal bleeding, oral hemostatic drugs can be used for bleeding control. During non-bleeding periods, women can also opt for abdominal microwave therapy to promote the absorption of inflammation.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Why is enema used for endometritis?

Endometritis can be treated with enemas. The enema uses traditional Chinese medicine and is administered rectally, which is the closest access point to the uterus. Administering the enema in this area allows the medicine to be absorbed quickly and reach the uterus effectively. Therefore, the treatment of endometritis is quite effective with this method. Additionally, the Chinese herbal medicine used in the enema is warm, which can locally apply heat to the uterus, promote blood circulation in the pelvic cavity, and effectively treat inflammation. Thus, if one has endometritis, using a traditional Chinese medicine enema is entirely feasible.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Where to apply moxibustion for endometritis?

Endometritis is not recommended to be treated with moxibustion, as moxibustion is not effective for this condition. Generally, if there is pelvic inflammation or vaginal inflammation, it is better to use topical medications for targeted treatment. Clinically, endometritis manifests as abdominal pain during menstruation, accompanied by an abnormal odor. Treatment typically involves oral medications or intravenous anti-inflammatory drugs for symptomatic treatment. Therefore, for patients with endometritis, it is generally advisable to use medication for symptomatic treatment. The diagnosis of endometritis is usually confirmed through curettage, which can reveal signs of inflammation, or gynecologically through consultation and symptoms. Thus, for patients with endometritis, it is recommended to use medications for anti-inflammatory purposes and symptomatic treatment. Moxibustion can still be useful for regulating some menstrual issues.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is endometritis diagnosed?

When suspecting endometritis in women, the first step is to inquire about the medical history. Most women exhibit abnormalities in their menstrual cycle, and some only show changes in the amount of menstruation. Ultrasound examination of the reproductive system shows no organic lesions, and the hormone panel is normal. During a gynecological examination, tenderness in the uterine body may be observed. Sometimes, ultrasound examination suggests that the endometrium is thin and uneven. Performing a hysteroscopy, localized hyperemia and edema of the endometrium can be seen, and diagnostic curettage plays a certain role in diagnosis.