Can you get pregnant with endometritis?

Written by Du Rui Xia
Obstetrics
Updated on September 05, 2024
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When suffering from endometritis, it is not recommended to become pregnant during this time. It is better to wait until the endometritis is cured before trying to conceive. This is because endometritis can impact pregnancy. During the inflammation, a large number of white blood cells and macrophages appear on the surface of the endometrium, which can affect the vitality of sperm, leading to decreased sperm activity and even dead sperm, thus reducing the chances of pregnancy. Additionally, during endometritis, women may also develop anti-sperm antibodies, which hinder the implantation of the fertilized egg, preventing normal fertility. Therefore, it is advised for women to wait until after the endometritis is cured before trying to conceive.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What tests are done to diagnose endometritis?

Endometritis is generally definitively diagnosed by undergoing a diagnostic curettage at the hospital, where material is scraped and then sent for pathological examination to confirm the presence of endometritis. Clinically, the diagnosis of endometritis is mostly based on a combination of clinical symptoms and gynecological ultrasound examination. Patients with endometritis typically experience abdominal pain during menstruation, lower abdominal pain, and an unusual odor during their period. At such times, anti-inflammatory medication can be administered symptomatically. Most pelvic cases are considered to be anaerobic bacterial infections, thus medications targeting anaerobic bacteria can be used for symptomatic treatment. Therefore, while the definitive diagnosis of endometritis is established through diagnostic curettage, this procedure is invasive, and in most clinical cases, it is not performed. If endometritis is initially suspected, it is generally assessed through gynecological internal examination, ultrasound, and the patient's clinical manifestations and symptoms, followed by symptomatic treatment.

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Written by Du Rui Xia
Obstetrics
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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 Shen Li Wen
Obstetrics and Gynecology
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How long does endometritis bleed?

Women experience bleeding due to inflammation of the endometrium, mainly when inflammation occurs, the endometrium becomes congested, edematous, more fragile, and less stable. There is infiltration of inflammatory cells in the endometrium, which may also lead to abnormalities in coagulation function. The extent of lesions varies from person to person, leading to differences in the duration and amount of bleeding. For example, some women may only experience changes in the amount of menstruation, such as increased menstrual flow or prolonged periods lasting over eight days, typically without any bleeding. Others may experience irregular vaginal bleeding, where there is constant, light spotting.

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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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Can endometritis patients eat shrimp?

When suffering from endometritis, it is okay to eat shrimp. Shrimp are very rich in protein and also contain a variety of vitamins and minerals, which are essential nutrients for the body. Eating shrimp during endometritis can enhance the body's resistance and help with the recovery from endometritis. Additionally, when suffering from endometritis, it is important to pay attention to diet, which should ideally be light, easy to digest, and based on absorption. It is necessary to avoid eating raw, cold, spicy, and irritating foods, as these may exacerbate local congestion in the endometrium and worsen the condition. Therefore, avoid consuming irritating foods, but it is fine to eat an appropriate amount of shrimp.