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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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 Shen Li Wen
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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 Du Rui Xia
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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What tests are done to diagnose endometritis?

Endometritis is generally definitively diagnosed by undergoing a diagnostic curettage at the hospital, where material is scraped and then sent for pathological examination to confirm the presence of endometritis. Clinically, the diagnosis of endometritis is mostly based on a combination of clinical symptoms and gynecological ultrasound examination. Patients with endometritis typically experience abdominal pain during menstruation, lower abdominal pain, and an unusual odor during their period. At such times, anti-inflammatory medication can be administered symptomatically. Most pelvic cases are considered to be anaerobic bacterial infections, thus medications targeting anaerobic bacteria can be used for symptomatic treatment. Therefore, while the definitive diagnosis of endometritis is established through diagnostic curettage, this procedure is invasive, and in most clinical cases, it is not performed. If endometritis is initially suspected, it is generally assessed through gynecological internal examination, ultrasound, and the patient's clinical manifestations and symptoms, followed by symptomatic treatment.

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Written by Li Shun Hua
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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.