Does endometritis affect pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on September 19, 2024
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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 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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Causes of endometritis

Endometritis can be divided into tuberculous endometritis and non-tuberculous endometritis, with the latter being more common in clinical settings. Non-tuberculous endometritis is often caused by various pathogenic infections. It commonly occurs during menstruation, after a miscarriage, or during childbirth due to bacterial infections. For instance, inadequate sterilization during surgery, sexual activity during menstruation, and the retention of placenta or membranes after childbirth can all facilitate ascending infections.

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Written by Du Rui Xia
Obstetrics
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Endometritis

Endometritis refers to the inflammatory changes in the uterine lining caused by various reasons. Common clinical causes include infections resulting from miscarriage or childbirth, as well as various intrauterine procedures, where bacteria opportunistically enter the uterus through the vagina. Clinically, this condition is characterized by congestion and edema of the endometrium, and in severe cases, it may lead to suppuration. Patients may experience fever, abdominal pain, and an increase in vaginal discharge, which is often purulent or hemorrhagic-purulent in nature. Clinically, antibiotics are primarily used for treatment. It is recommended that women develop good personal hygiene habits in daily life, maintain genital cleanliness, engage in moderate exercise, and enhance the body's resistance.

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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 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.)