What is the cause of endometritis?

Written by Jia Rui

Obstetrics and Gynecology

Updated on September 25, 2024

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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.

Other Voices

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Written by Li Lin

Obstetrics and Gynecology

47sec

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Can endometritis be treated with injections?

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 Zhang Xiu Rong

Obstetrics and Gynecology

1min 10sec

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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.

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Written by Du Rui Xia

Obstetrics

40sec

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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.

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Written by Zhang Lu

Obstetrics

1min 5sec

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Can an intrauterine device be removed if there is endometritis?

When endometritis occurs, because there is inflammation locally, intrauterine operations cannot be performed, thus the intrauterine device (IUD) cannot be removed. The symptoms of endometritis can include the discharge of purulent secretions from the vagina and tenderness in the lower abdomen, and it can even lead to systemic infection symptoms such as fever. If one wishes to remove the IUD, it is essential to carry out standard anti-inflammatory treatment using antibiotics to treat the inflammation, and the IUD can only be removed after the symptoms have alleviated. The alleviation of symptoms primarily includes the following aspects: First, there is no longer pus discharge from the vagina. Second, there is no longer tenderness or rebound pain in the lower abdomen. Third, there are no symptoms of systemic fever or others. When removing the IUD, comprehensive disinfection should be noted to avoid causing a recurrence of endometritis or spreading the inflammation.

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.