Can medication be inserted for endometritis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on October 23, 2024
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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 Li Lin
Obstetrics and Gynecology
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Does endometritis require curettage?

Endometritis does not routinely require curettage because performing curettage during an active infection can spread the inflammation, which is not conducive to the treatment of endometritis. However, if there is a suspicion of endometritis combined with endometrial tumors, it is necessary to perform diagnostic curettage after three days of anti-inflammatory treatment to obtain endometrial tissue for pathological biopsy for a definitive diagnosis. Additionally, if the treatment for endometritis is not effective, it may also be necessary to scrape a small amount of endometrial tissue for bacterial culture to confirm the diagnosis, guiding the selection of antibiotic treatment.

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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.

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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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How long does it take for endometritis to heal?

Endometritis is a common gynecological infection in clinical settings, mainly caused by ascending bacterial infection due to weakened immunity. To determine if there is endometritis, it is necessary to examine the cervical secretions. Additionally, patient's daily symptoms such as abdominal pain, increased vaginal discharge, and blood-tinged discharge can also help in the diagnosis. Treatment involves the use of appropriate antibiotics, generally curing the condition within one to two weeks. Sexual activities should be suspended during treatment. Furthermore, after completing a course of treatment, a follow-up visit to the hospital is required to check the effectiveness of the medication. (Please follow medical advice when using medication.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can you have intercourse with endometritis?

If you have endometritis, you should not engage in sexual activity, as it can exacerbate the inflammation, cause it to spread, lead to pelvic inflammatory disease, and even result in serious complications like sepsis or pelvic abscess. This condition can cause symptoms such as high fever and severe pelvic pain. It is important to treat endometritis promptly and avoid sexual activity for the time being. Rest is crucial and overexertion should be avoided. Bacteriological cultures and drug sensitivity tests can be conducted to choose the most effective medication for treatment.