Can endometritis be treated with injections?

Written by Li Lin
Obstetrics and Gynecology
Updated on September 02, 2024
00:00
00:00

Endometritis, as the name suggests, is the inflammation of the endometrium caused by pathogens, so it is necessary to use sensitive antibiotics for treatment. Endometritis generally manifests as purulent vaginal discharge, or an increase in purulent bloody discharge, tenderness in the uterine body, accompanied by increased temperature or slight fever. For endometritis, choosing a vaginal secretion smear or bacterial culture and drug sensitivity test, and using the corresponding sensitive antibiotics for infusion therapy, results in better outcomes, to avoid the progression to chronic pelvic inflammatory disease.

Other Voices

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.

doctor image
home-news-image
Written by Hou Jie
Obstetrics and Gynecology
1min 13sec home-news-image

Endometritis menstrual symptoms

Endometritis occurring during menstruation can result in increased menstrual flow and extended periods. The most common clinical symptoms of endometritis include lower abdominal pain and increased vaginal discharge. The abdominal pain is often persistent and worsens with activity or after intercourse. In severe cases, it may also be accompanied by fever, chills, headache, loss of appetite, and fatigue. If accompanied by peritonitis, symptoms related to the digestive system such as nausea, vomiting, diarrhea, abdominal distension, and diarrhea may occur. If there is an associated urinary tract infection, symptoms can include urinary urgency, frequency, and pain. If symptoms of bladder irritation occur, there may be difficulty in urination and frequent urination, and the bladder muscle may also have pain. If a mass is located behind the uterus, it can cause rectal irritation symptoms, leading to diarrhea, a sense of urgency to defecate, and difficulty in urination.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
54sec home-news-image

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.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
53sec home-news-image

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.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
40sec home-news-image

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.