Can endometritis be treated with injections?

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

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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.

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How is endometritis diagnosed?

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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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.

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Is endometritis prone to recurrence?

Endometritis is prone to recurrence. The occurrence of endometritis is mainly due to a decrease in women's resistance, allowing some bacteria to ascend from the reproductive tract and cause inflammation in the uterine cavity. If the inflammation is not completely cured during the acute phase, or if it turns into chronic cervicitis, and local hygiene is not maintained, along with frequent presence of infection sources, it can easily cause repeated occurrences. It is crucial to actively treat endometritis, especially during the acute phase, where sufficient medication must be administered to enhance the effectiveness of the treatment. In cases of chronic endometritis, emphasis should be placed on treatment with traditional Chinese medicine.

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Where to apply moxibustion for endometritis?

Endometritis is not recommended to be treated with moxibustion, as moxibustion is not effective for this condition. Generally, if there is pelvic inflammation or vaginal inflammation, it is better to use topical medications for targeted treatment. Clinically, endometritis manifests as abdominal pain during menstruation, accompanied by an abnormal odor. Treatment typically involves oral medications or intravenous anti-inflammatory drugs for symptomatic treatment. Therefore, for patients with endometritis, it is generally advisable to use medication for symptomatic treatment. The diagnosis of endometritis is usually confirmed through curettage, which can reveal signs of inflammation, or gynecologically through consultation and symptoms. Thus, for patients with endometritis, it is recommended to use medications for anti-inflammatory purposes and symptomatic treatment. Moxibustion can still be useful for regulating some menstrual issues.