Endometritis

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Written by Du Rui Xia
Obstetrics
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How long does it take for endometritis to heal?

Endometritis is a common gynecological infection in clinical settings, mainly caused by ascending bacterial infection due to weakened immunity. To determine if there is endometritis, it is necessary to examine the cervical secretions. Additionally, patient's daily symptoms such as abdominal pain, increased vaginal discharge, and blood-tinged discharge can also help in the diagnosis. Treatment involves the use of appropriate antibiotics, generally curing the condition within one to two weeks. Sexual activities should be suspended during treatment. Furthermore, after completing a course of treatment, a follow-up visit to the hospital is required to check the effectiveness of the medication. (Please follow medical advice when using medication.)

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Written by Du Rui Xia
Obstetrics
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Can endometritis patients eat shrimp?

When suffering from endometritis, it is okay to eat shrimp. Shrimp are very rich in protein and also contain a variety of vitamins and minerals, which are essential nutrients for the body. Eating shrimp during endometritis can enhance the body's resistance and help with the recovery from endometritis. Additionally, when suffering from endometritis, it is important to pay attention to diet, which should ideally be light, easy to digest, and based on absorption. It is necessary to avoid eating raw, cold, spicy, and irritating foods, as these may exacerbate local congestion in the endometrium and worsen the condition. Therefore, avoid consuming irritating foods, but it is fine to eat an appropriate amount of shrimp.

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Written by Li Lin
Obstetrics and Gynecology
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Can a uterine curettage be performed for endometritis?

When suffering from endometritis, one cannot undergo a uterine scraping surgery at the same time. If a patient with endometritis needs uterine scraping surgery, it is essential to use sensitive anti-inflammatory drugs for treatment for more than 3 days before the surgery. The surgery can proceed after the endometritis is controlled. During the uterine scraping, the entire endometrium is completely removed, and the uterine cavity has a wound surface. If the endometritis is not treated, the inflammation of the endometritis can spread, leading to exacerbated pelvic inflammatory disease.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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The difference between endometrial polyps and endometrial cancer

Endometrial polyps are a benign condition, while endometrial cancer is a malignant tumor. Endometrial polyps are caused by localized excessive growth of the endometrium and can be either solitary or multiple, ranging in diameter from a few millimeters to several centimeters, and can be categorized as pedunculated or sessile. Polyps consist of endometrial glandular tissue, stroma, and blood vessels. They are benign and can be treated with timely curettage or endometrial polyp electroresection, followed by a pathological examination. In cases of endometrial cancer, it is necessary to promptly perform a hysterectomy. Depending on the pathological analysis, further radiotherapy or chemotherapy may be required.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can you have intercourse with endometritis?

If you have endometritis, you should not engage in sexual activity, as it can exacerbate the inflammation, cause it to spread, lead to pelvic inflammatory disease, and even result in serious complications like sepsis or pelvic abscess. This condition can cause symptoms such as high fever and severe pelvic pain. It is important to treat endometritis promptly and avoid sexual activity for the time being. Rest is crucial and overexertion should be avoided. Bacteriological cultures and drug sensitivity tests can be conducted to choose the most effective medication for treatment.

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Written by Li Lin
Obstetrics and Gynecology
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Does endometritis require curettage?

Endometritis does not routinely require curettage because performing curettage during an active infection can spread the inflammation, which is not conducive to the treatment of endometritis. However, if there is a suspicion of endometritis combined with endometrial tumors, it is necessary to perform diagnostic curettage after three days of anti-inflammatory treatment to obtain endometrial tissue for pathological biopsy for a definitive diagnosis. Additionally, if the treatment for endometritis is not effective, it may also be necessary to scrape a small amount of endometrial tissue for bacterial culture to confirm the diagnosis, guiding the selection of antibiotic treatment.

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Written by Du Rui Xia
Obstetrics
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Does endometritis hurt?

When suffering from endometritis, women experience abdominal pain. Endometritis is a common gynecological inflammation in women clinically, and its typical manifestations include abnormal vaginal discharge, which may contain blood and sometimes have an unusual odor, itching of the vulva, lower abdominal pain, backache, and feelings of heaviness. Some may also experience fever and chills. It is necessary to treat endometritis promptly, using antibiotics or by dilating the cervical opening to drain inflammatory pus from the endometrium, which helps in quickly alleviating the symptoms.

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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 Xu Xiao Ming
Obstetrics and Gynecology
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Does endometritis belong to the pelvic cavity?

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.

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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.