Does endometritis require a uterine curettage?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 02, 2025
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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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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 Kang Jian Hua
Reproductive Center
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How to do IVF with endometritis

Patients with endometritis who are considering IVF must first treat the endometritis. As we all know, the endometrium is the soil for embryo development. If the inflammation is severe, even with IVF, the transferred blastocysts are likely to fail to implant. Endometritis can significantly affect the implantation of the fertilized egg, and after implantation, it may lead to increased risks of miscarriage, placenta previa, and a higher incidence of adhesive placenta. Therefore, if IVF is to be performed, it is imperative to treat the inflammation of the endometritis. Once the treatment is successful, the embryo will not be affected during IVF.

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Written by Zhao Li Li
Obstetrics
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Is it easy to get pregnant with endometritis?

If it is confirmed that there is localized inflammation of the endometrium, under normal circumstances, it will still have some impact on pregnancy. After confirming endometritis, it is necessary to actively conduct examinations and symptomatic treatment. If it causes changes in the menstrual cycle, or persistent lower abdominal pain, accompanied by an increase in vaginal secretions, it is necessary to timely use broad-spectrum antibiotics for symptomatic treatment. It is also necessary to use some local suppositories inside the vagina for combined treatment to alleviate the symptoms effectively. Generally, it is better to start actively preparing for pregnancy after the recovery from endometritis.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Where to apply moxibustion for endometritis?

Endometritis is not recommended to be treated with moxibustion, as moxibustion is not effective for this condition. Generally, if there is pelvic inflammation or vaginal inflammation, it is better to use topical medications for targeted treatment. Clinically, endometritis manifests as abdominal pain during menstruation, accompanied by an abnormal odor. Treatment typically involves oral medications or intravenous anti-inflammatory drugs for symptomatic treatment. Therefore, for patients with endometritis, it is generally advisable to use medication for symptomatic treatment. The diagnosis of endometritis is usually confirmed through curettage, which can reveal signs of inflammation, or gynecologically through consultation and symptoms. Thus, for patients with endometritis, it is recommended to use medications for anti-inflammatory purposes and symptomatic treatment. Moxibustion can still be useful for regulating some menstrual issues.

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Written by Shen Li Wen
Obstetrics and Gynecology
52sec home-news-image

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.