How to do IVF with endometritis

Written by Kang Jian Hua
Reproductive Center
Updated on September 15, 2024
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Patients with endometritis who are considering IVF must first treat the endometritis. As we all know, the endometrium is the soil for embryo development. If the inflammation is severe, even with IVF, the transferred blastocysts are likely to fail to implant. Endometritis can significantly affect the implantation of the fertilized egg, and after implantation, it may lead to increased risks of miscarriage, placenta previa, and a higher incidence of adhesive placenta. Therefore, if IVF is to be performed, it is imperative to treat the inflammation of the endometritis. Once the treatment is successful, the embryo will not be affected during IVF.

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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 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 Du Rui Xia
Obstetrics
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Can you get pregnant with endometritis?

When suffering from endometritis, it is not recommended to become pregnant during this time. It is better to wait until the endometritis is cured before trying to conceive. This is because endometritis can impact pregnancy. During the inflammation, a large number of white blood cells and macrophages appear on the surface of the endometrium, which can affect the vitality of sperm, leading to decreased sperm activity and even dead sperm, thus reducing the chances of pregnancy. Additionally, during endometritis, women may also develop anti-sperm antibodies, which hinder the implantation of the fertilized egg, preventing normal fertility. Therefore, it is advised for women to wait until after the endometritis is cured before trying to conceive.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How long does endometritis bleed?

Women experience bleeding due to inflammation of the endometrium, mainly when inflammation occurs, the endometrium becomes congested, edematous, more fragile, and less stable. There is infiltration of inflammatory cells in the endometrium, which may also lead to abnormalities in coagulation function. The extent of lesions varies from person to person, leading to differences in the duration and amount of bleeding. For example, some women may only experience changes in the amount of menstruation, such as increased menstrual flow or prolonged periods lasting over eight days, typically without any bleeding. Others may experience irregular vaginal bleeding, where there is constant, light spotting.

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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.)