Endometritis

Written by Du Rui Xia
Obstetrics
Updated on September 29, 2024
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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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Does endometritis cause abdominal pain?

When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.

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Written by Du Rui Xia
Obstetrics
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Can you have sexual intercourse with endometritis?

Endometritis can be divided into acute endometritis and chronic endometritis. During acute endometritis, it is necessary to avoid sexual activity, as this not only aggravates the endometritis but also leads to its spread due to sexual stimulation. Additionally, sexual arousal can increase vaginal secretions, likely causing inflammation and symptoms such as lower back pain and soreness, which can affect a woman's mood and decrease her libido. It is advisable to wait until the inflammation is under control and the body has returned to normal before resuming regular sexual activity.

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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 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 Du Rui Xia
Obstetrics
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What should not be eaten with endometritis?

Endometritis is caused when bacteria opportunistically enter the uterus due to a decrease in a woman's immunity, leading to congestion and edema of the endometrial lining. During endometritis, it is important to pay attention to diet. Consuming food that causes flare-ups, such as seafood like salmon, hairtail, shrimp, and others, can have side effects. These foods intensify internal damp-heat and after consumption, may result in an increase in vaginal discharge and itching of the vulva. Additionally, it is also advisable to avoid irritant foods such as tobacco and alcohol, as their long-term presence in the body is not conducive to disease recovery. It is best to choose fresh vegetables and fruits, as well as protein-rich foods like eggs, lean meats, and dairy, all of which are beneficial for the recovery from endometritis.