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.

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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 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.

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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.

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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 Zhang Lu
Obstetrics
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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.