What will happen in the late stages of endometritis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 06, 2024
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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 Wang Jing Hua
Obstetrics and Gynecology
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Can medication be inserted for endometritis?

Endometritis can also be treated through rectal administration of drugs, and local treatment with traditional Chinese medicine can also promote blood circulation, reduce stasis, reduce inflammation, and help absorb inflammation. However, if the symptoms of endometritis are severe and the condition is in an acute state of inflammation, it is necessary to consider treatment with Western medicine, which can be used in conjunction with traditional Chinese medicine. Additionally, a bacterial examination should be conducted, including bacterial culture and drug sensitivity testing, to select sensitive drugs for treatment. During the treatment period, sexual activities should be avoided, and rest is advised to prevent fatigue in the near term. (Please use medication under the guidance of a doctor.)

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Written by Zhao Li Li
Obstetrics
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Is it easy to get pregnant with endometritis?

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 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 Jia Rui
Obstetrics and Gynecology
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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.

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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.