How is endometritis diagnosed?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 27, 2024
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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
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Can endometritis eat beef?

Beef is a very nutritious food, originally a high-protein diet that anyone without allergic symptoms can consume. However, one should not have a biased diet and avoid eating foods that are too cold. Endometritis and the consumption of beef are unrelated. Endometritis primarily requires examination and treatment. It is important to avoid overexertion and maintain a regular lifestyle. During treatment, one should abstain from sexual activity, as it can lead to decreased immunity and worsened inflammation, but this has nothing to do with eating beef.

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Written by Du Rui Xia
Obstetrics
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Does endometritis affect pregnancy?

When endometritis occurs, it affects a woman's ability to become pregnant normally. This is because endometritis causes abnormalities in a woman's menstrual cycle and vaginal discharge. If the endometrium is not actively treated, it can easily progress to chronic endometritis. Recurrent episodes can lead to adhesions, contractions, and narrowing of the uterine cavity, all of which can impact pregnancy. Even if fertilization occurs between the sperm and egg, forming a zygote, if the inflammation persists and is not well managed, it can also easily lead to miscarriage. Therefore, it is crucial to actively treat endometritis when it occurs.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does endometritis require a uterine curettage?

When a woman suffers from endometritis, it is usually not necessary to perform a uterine curettage. Endometritis is a type of pelvic inflammatory disease caused by infection of various pathogens. Treatment mainly involves the use of broad-spectrum antibiotics for anti-inflammatory purposes. Moreover, if a woman undergoes curettage, it could further damage the uterine lining and potentially cause infections to spread to other areas, such as leading to inflammation of the uterine body. Therefore, curettage is generally not recommended. Some women may experience irregular vaginal bleeding during an episode of endometritis, and this can be treated with hemostatic drugs.

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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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Written by Shen Li Wen
Obstetrics and Gynecology
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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.