Is it easy to get pregnant with endometritis?

Written by Zhao Li Li
Obstetrics
Updated on September 17, 2024
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If it is confirmed that there is localized inflammation of the endometrium, under normal circumstances, it will still have some impact on pregnancy. After confirming endometritis, it is necessary to actively conduct examinations and symptomatic treatment. If it causes changes in the menstrual cycle, or persistent lower abdominal pain, accompanied by an increase in vaginal secretions, it is necessary to timely use broad-spectrum antibiotics for symptomatic treatment. It is also necessary to use some local suppositories inside the vagina for combined treatment to alleviate the symptoms effectively. Generally, it is better to start actively preparing for pregnancy after the recovery from endometritis.

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Written by Jia Rui
Obstetrics and Gynecology
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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.

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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 Shen Li Wen
Obstetrics and Gynecology
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How is endometritis treated?

When women develop endometritis, it is mostly caused by mixed bacterial infections. In such cases, broad-spectrum antibiotics can be used for anti-inflammatory treatment. For example, under generally good conditions, oral cephalosporin or penicillin antibiotics can be used for treatment. If a woman's physical condition is poor, intravenous infusion therapy can also be administered. Additionally, if a woman experiences changes in her menstrual cycle, such as heavier menstrual flow or irregular vaginal bleeding, oral hemostatic drugs can be used for bleeding control. During non-bleeding periods, women can also opt for abdominal microwave therapy to promote the absorption of inflammation.

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Written by Du Rui Xia
Obstetrics
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Does endometritis hurt?

When suffering from endometritis, women experience abdominal pain. Endometritis is a common gynecological inflammation in women clinically, and its typical manifestations include abnormal vaginal discharge, which may contain blood and sometimes have an unusual odor, itching of the vulva, lower abdominal pain, backache, and feelings of heaviness. Some may also experience fever and chills. It is necessary to treat endometritis promptly, using antibiotics or by dilating the cervical opening to drain inflammatory pus from the endometrium, which helps in quickly alleviating the symptoms.

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Written by Du Rui Xia
Obstetrics
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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.