Does endometritis belong to the pelvic cavity?

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on March 05, 2025
00:00
00:00

Endometritis is an inflammation that occurs in the endometrium, inside the uterine cavity. The uterus is an internal organ located in the pelvic cavity. Thus, this inflammation occurs within the pelvis. If a patient is diagnosed with endometritis, it is advised that they undergo anti-inflammatory treatment. Moreover, if there is a suspicion of an issue with the endometrium, it is recommended that such patients first undergo a type-B ultrasonic examination. If inflammatory symptoms are indeed present, consider performing a segmented diagnostic curettage of the endometrium. If an issue is identified, then anti-inflammatory treatment might be necessary.

Other Voices

doctor image
home-news-image
Written by Li Lin
Obstetrics and Gynecology
48sec home-news-image

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.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
51sec home-news-image

Symptoms of endometritis discharge

When women develop endometritis, the severity of the condition varies depending on the type of bacteria involved, and the characteristics of vaginal discharge also differ. For example, some women may experience mild symptoms, primarily reflected in an increased amount of discharge. Others might have discharge mixed with blood streaks, and some women could have purulent discharge accompanied by an unpleasant odor. If the condition continues to progress, the discharge can become foul-smelling, increase in quantity, and show a significant infiltration of white blood cells. Some women may develop pus accumulation in the uterine cavity, resulting in the presence of purulent discharge.

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
43sec home-news-image

Why is enema used for endometritis?

Endometritis can be treated with enemas. The enema uses traditional Chinese medicine and is administered rectally, which is the closest access point to the uterus. Administering the enema in this area allows the medicine to be absorbed quickly and reach the uterus effectively. Therefore, the treatment of endometritis is quite effective with this method. Additionally, the Chinese herbal medicine used in the enema is warm, which can locally apply heat to the uterus, promote blood circulation in the pelvic cavity, and effectively treat inflammation. Thus, if one has endometritis, using a traditional Chinese medicine enema is entirely feasible.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
59sec home-news-image

What is the cause of endometritis?

Endometritis is a common gynecological disease in clinical practice. There are many causes of endometritis, which can lead to inflammatory changes in the endometrial structure. Bacteria can ascend from the vagina and cervix, descend from the fallopian tubes, or reach the endometrium through the lymphatic system, causing the disease. For example, childbirth and the weakened immune response afterward can lead to pathogen invasion if the placenta and membranes are retained. The placental separation surface can be infected by bacteria causing inflammation of the endometrium. Additionally, the placement or removal of an intrauterine device, abortion procedures, dilation and curettage, and medication-induced abortion can also facilitate the invasion of pathogens and trigger endometrial inflammation.

doctor image
home-news-image
Written by Li Lin
Obstetrics and Gynecology
38sec home-news-image

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.