Can ultrasound detect endometritis?

Written by Jia Rui
Obstetrics and Gynecology
Updated on November 10, 2024
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Endometritis can be detected through an ultrasound, and it's best to inspect within three to seven days after the menstrual cycle has ended. Ultrasound is a tool that assists in diagnosing gynecological diseases, and it can be used to check for endometritis. However, to confirm the diagnosis, other methods such as laboratory tests, vaginal discharge exams, and internal scanning are needed. When treating endometritis, it's crucial to identify any underlying causes. For instance, if there are retained placental fragments after childbirth or a miscarriage, a curettage to remove the remnants is necessary. Furthermore, if the endometritis is caused by an intrauterine device, it should be removed; if caused by uterine polyps, these should be excised.

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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 Li Lin
Obstetrics and Gynecology
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Can a uterine curettage be performed for endometritis?

When suffering from endometritis, one cannot undergo a uterine scraping surgery at the same time. If a patient with endometritis needs uterine scraping surgery, it is essential to use sensitive anti-inflammatory drugs for treatment for more than 3 days before the surgery. The surgery can proceed after the endometritis is controlled. During the uterine scraping, the entire endometrium is completely removed, and the uterine cavity has a wound surface. If the endometritis is not treated, the inflammation of the endometritis can spread, leading to exacerbated pelvic inflammatory disease.

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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 Hou Jie
Obstetrics and Gynecology
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Endometritis menstrual symptoms

Endometritis occurring during menstruation can result in increased menstrual flow and extended periods. The most common clinical symptoms of endometritis include lower abdominal pain and increased vaginal discharge. The abdominal pain is often persistent and worsens with activity or after intercourse. In severe cases, it may also be accompanied by fever, chills, headache, loss of appetite, and fatigue. If accompanied by peritonitis, symptoms related to the digestive system such as nausea, vomiting, diarrhea, abdominal distension, and diarrhea may occur. If there is an associated urinary tract infection, symptoms can include urinary urgency, frequency, and pain. If symptoms of bladder irritation occur, there may be difficulty in urination and frequent urination, and the bladder muscle may also have pain. If a mass is located behind the uterus, it can cause rectal irritation symptoms, leading to diarrhea, a sense of urgency to defecate, and difficulty in urination.

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Written by Du Rui Xia
Obstetrics
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Does endometritis affect pregnancy?

When endometritis occurs, it affects a woman's ability to become pregnant normally. This is because endometritis causes abnormalities in a woman's menstrual cycle and vaginal discharge. If the endometrium is not actively treated, it can easily progress to chronic endometritis. Recurrent episodes can lead to adhesions, contractions, and narrowing of the uterine cavity, all of which can impact pregnancy. Even if fertilization occurs between the sperm and egg, forming a zygote, if the inflammation persists and is not well managed, it can also easily lead to miscarriage. Therefore, it is crucial to actively treat endometritis when it occurs.