Symptoms of endometritis discharge

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 26, 2024
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When women develop endometritis, the severity of the condition varies depending on the type of bacteria involved, and the characteristics of vaginal discharge also differ. For example, some women may experience mild symptoms, primarily reflected in an increased amount of discharge. Others might have discharge mixed with blood streaks, and some women could have purulent discharge accompanied by an unpleasant odor. If the condition continues to progress, the discharge can become foul-smelling, increase in quantity, and show a significant infiltration of white blood cells. Some women may develop pus accumulation in the uterine cavity, resulting in the presence of purulent discharge.

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Written by Jia Rui
Obstetrics and Gynecology
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Can ultrasound detect endometritis?

Endometritis can be detected through an ultrasound, and it's best to inspect within three to seven days after the menstrual cycle has ended. Ultrasound is a tool that assists in diagnosing gynecological diseases, and it can be used to check for endometritis. However, to confirm the diagnosis, other methods such as laboratory tests, vaginal discharge exams, and internal scanning are needed. When treating endometritis, it's crucial to identify any underlying causes. For instance, if there are retained placental fragments after childbirth or a miscarriage, a curettage to remove the remnants is necessary. Furthermore, if the endometritis is caused by an intrauterine device, it should be removed; if caused by uterine polyps, these should be excised.

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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 Wang Jing Hua
Obstetrics and Gynecology
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Can medication be inserted for endometritis?

Endometritis can also be treated through rectal administration of drugs, and local treatment with traditional Chinese medicine can also promote blood circulation, reduce stasis, reduce inflammation, and help absorb inflammation. However, if the symptoms of endometritis are severe and the condition is in an acute state of inflammation, it is necessary to consider treatment with Western medicine, which can be used in conjunction with traditional Chinese medicine. Additionally, a bacterial examination should be conducted, including bacterial culture and drug sensitivity testing, to select sensitive drugs for treatment. During the treatment period, sexual activities should be avoided, and rest is advised to prevent fatigue in the near term. (Please use medication under the guidance of a doctor.)

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home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
51sec home-news-image

Symptoms of endometritis discharge

When women develop endometritis, the severity of the condition varies depending on the type of bacteria involved, and the characteristics of vaginal discharge also differ. For example, some women may experience mild symptoms, primarily reflected in an increased amount of discharge. Others might have discharge mixed with blood streaks, and some women could have purulent discharge accompanied by an unpleasant odor. If the condition continues to progress, the discharge can become foul-smelling, increase in quantity, and show a significant infiltration of white blood cells. Some women may develop pus accumulation in the uterine cavity, resulting in the presence of purulent discharge.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
59sec home-news-image

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.