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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Written by Du Rui Xia
Obstetrics
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Does endometritis cause abdominal pain?

When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.

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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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Is endometritis prone to recurrence?

Endometritis is prone to recurrence. The occurrence of endometritis is mainly due to a decrease in women's resistance, allowing some bacteria to ascend from the reproductive tract and cause inflammation in the uterine cavity. If the inflammation is not completely cured during the acute phase, or if it turns into chronic cervicitis, and local hygiene is not maintained, along with frequent presence of infection sources, it can easily cause repeated occurrences. It is crucial to actively treat endometritis, especially during the acute phase, where sufficient medication must be administered to enhance the effectiveness of the treatment. In cases of chronic endometritis, emphasis should be placed on treatment with traditional Chinese medicine.

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Written by Zhao Li Li
Obstetrics
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What should I do if endometritis keeps recurring?

Generally, endometritis is a common gynecological inflammatory disease. Treatment of inflammation typically requires a lengthy recovery process, and in some cases, chronic inflammation of the endometrium may occur due to long-term bacterial infections. Once endometritis is diagnosed, it is advised to pursue active treatment, usually involving systemic antibiotics to control the infection, combined with local treatment. Local treatment includes cleaning the vulva and using vaginal suppositories, and these combined treatments often yield noticeable results.

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Written by Yue Hua
Obstetrics and Gynecology
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How is endometritis diagnosed?

Endometritis can be detected through the following methods: First, gynecological examinations, as most patients with endometritis experience lower abdominal pain. During the gynecological examination, the doctor can detect tenderness in the uterus, and severe patients may exhibit pain upon movement. Second, undergoing an ultrasound examination, where heterogeneous uterine lining echoes can be found. This condition should be considered as a manifestation of endometritis. The third method is to perform diagnostic curettage, and then examine the scraped tissue pathologically. If inflammatory cells are found, endometritis can be definitively diagnosed.