Chronic endometritis

This is an automatically translated article.

Endometritis is a common condition in women of reproductive age due to many causes. Usually does not cause serious problems if treated properly, if left untreated or improperly treated can cause female infertility or other dangerous complications.

1. What is endometritis?

The lining of the uterus is the lining of the uterus, which is soft and spongy. This mucosal layer grows and thickens during the menstrual cycle to be ready to receive the fertilized egg and nourish it. If fertilization does not occur, the lining of the uterus will be destroyed and expelled, forming menstruation.
Endometritis is a condition in which the lining of the uterus becomes infected with bacteria, causing an inflammatory reaction. This condition is often quite common in some subjects such as women after giving birth, after abortion or uterine intervention.
Chronic endometritis is caused when acute endometritis is not treated properly or untreated, leading to a chronic condition.
Endometritis can lead to dangerous complications if not properly treated, including:
Inflammation of the appendages, blocking the fallopian tubes, preventing sperm from meeting eggs, sperm not meeting eggs, no phenomenon fertilization leads to infertility. In addition, it can cause narrowing of the fallopian tubes, increasing the risk of ectopic pregnancy, because the egg is prevented from entering the uterus. Adhesions to the uterus, also cause difficulty conceiving, easy miscarriage. Depending on the degree of uterine adhesions can lead to female infertility. Cervicitis Sepsis: Bacteria can enter the bloodstream from the infection site in the uterus, this is a very dangerous condition that can lead to death.

2. Causes of endometritis

Pathogens are often caused by infections including:
Types of sexually transmitted bacteria such as gonorrhea, chlamydia... Tuberculosis bacteria Staphylococci, streptococci. Caused by bacteria spread from bottom to top or after cervicitis, vaginitis . Risk factors for endometritis:
Most commonly due to infection after miscarriage, postpartum retained placenta, fluid retention, caesarean section due to surgical instruments are not guaranteed sterile. Early rupture of membranes, prolonged labor, repeated visits to the vagina. Intrauterine device placement is not technical and sterile. Abortion is not safe. Not cleaning the intimate area properly, or not cleaning regularly. Unsafe sex.

3. Signs of endometritis

Signs of acute endometritis:
Lower abdominal pain: At first, the pain is dull, then the pain increases, sometimes it's severe. Fever: Usually mild fever, about 38 degrees Celsius, accompanied by fatigue, headache, dizziness. If there is sepsis, the fever is usually higher than about 39 degrees Celsius, accompanied by chills, the person is very tired, the heart rate is fast, the blood pressure is low ... If after giving birth, you will see a foul-smelling discharge, sometimes mixed with fresh blood. There is a lot of discharge accompanied by pus, a bad smell, and it can be mixed with blood. If endometritis is not treated properly, it causes chronic mucositis with manifestations: Abdominal distension, lower abdominal pain, bloody vaginal discharge often with a fishy odor, discomfort, menstrual disorders.

4. How to treat endometritis?

Need to use antibiotics to treat endometritis, the choice of antibiotic for treatment depends on each specific bacterial cause. The use of antibiotics is recommended to be used as soon as possible, limiting the risk of complications.
When using antibiotics to treat endometritis, the patient needs to adhere to the full dose, do not stop or change the drug arbitrarily, causing drug resistance and making the disease not completely treated, which can lead to inflammation. chronic.
In some necessary cases, in addition to antibiotic treatment, curettage of the uterus must be used, but only when necessary because of dangerous complications and many complications leading to infertility.

5. How to prevent endometritis?

To reduce the risk of endometritis after childbirth or gynecological procedures, it is necessary to ensure sterility of medical equipment, medical staff during childbirth or surgery. Antibiotics are recommended for prevention during a cesarean section or just before surgery begins.
When there are symptoms of STIs, it is necessary to check for early diagnosis of STIs, for you and your partner. Follow the treatment and thoroughly treat sexually transmitted diseases as directed by the doctor.
Safe sex by using condoms to limit STIs, monogamy. Before giving birth or doing gynecological procedures, it is necessary to have a gynecological examination and thoroughly treat vaginitis and cervicitis to limit the risk of bacteria moving into the uterine cavity. Clean the genitals regularly with clean water from front to back, before and after sex.

Endometritis is usually not dangerous, but if not treated properly, chronic inflammation can be the cause of female infertility. Therefore, when you have signs of illness, you should go to specialized medical facilities for examination, to be detected and treated promptly.
In order to help customers detect and treat other gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, which helps customers detect inflammatory diseases early and help treat diseases. Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding. To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register for an online examination HERE
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