How is endometritis diagnosed?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on January 17, 2025
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When suspecting endometritis in women, the first step is to inquire about the medical history. Most women exhibit abnormalities in their menstrual cycle, and some only show changes in the amount of menstruation. Ultrasound examination of the reproductive system shows no organic lesions, and the hormone panel is normal. During a gynecological examination, tenderness in the uterine body may be observed. Sometimes, ultrasound examination suggests that the endometrium is thin and uneven. Performing a hysteroscopy, localized hyperemia and edema of the endometrium can be seen, and diagnostic curettage plays a certain role in diagnosis.

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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 Li Lin
Obstetrics and Gynecology
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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 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 Shen Li Wen
Obstetrics and Gynecology
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Does endometritis require a uterine curettage?

When a woman suffers from endometritis, it is usually not necessary to perform a uterine curettage. Endometritis is a type of pelvic inflammatory disease caused by infection of various pathogens. Treatment mainly involves the use of broad-spectrum antibiotics for anti-inflammatory purposes. Moreover, if a woman undergoes curettage, it could further damage the uterine lining and potentially cause infections to spread to other areas, such as leading to inflammation of the uterine body. Therefore, curettage is generally not recommended. Some women may experience irregular vaginal bleeding during an episode of endometritis, and this can be treated with hemostatic drugs.

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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.