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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Written by Wang Jing Hua
Obstetrics and Gynecology
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What will happen in the late stages of endometritis?

Endometritis does not have early or late stages. Some people may have more severe inflammation, with clearer signs of infection, which can even lead to elevated body temperature and mild ascites with severe surrounding circumstances. In such cases, etiological examinations are necessary, and treatment should be chosen based on specific etiological findings, including bacterial culture and drug sensitivity tests. Since endometritis is not cancer, there’s no such thing as a late stage—the condition may present as mild, severe, or chronic inflammation. Traditional Chinese Medicine and herbal treatments might be required. Therefore, if inflammation is present, there is no need to overly worry. It is important to begin treatment as soon as possible based on the specific circumstances, avoid sexual activities and excessive fatigue in the near term.

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Written by Kang Jian Hua
Reproductive Center
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How to do IVF with endometritis

Patients with endometritis who are considering IVF must first treat the endometritis. As we all know, the endometrium is the soil for embryo development. If the inflammation is severe, even with IVF, the transferred blastocysts are likely to fail to implant. Endometritis can significantly affect the implantation of the fertilized egg, and after implantation, it may lead to increased risks of miscarriage, placenta previa, and a higher incidence of adhesive placenta. Therefore, if IVF is to be performed, it is imperative to treat the inflammation of the endometritis. Once the treatment is successful, the embryo will not be affected during IVF.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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.

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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 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.