Early symptoms of endometritis

The main symptoms of endometritis in the early stage include dull pain in the lower abdomen, abnormal vaginal secretions, menstrual disorders, fever, and pain during sexual intercourse. Endometritis is usually caused by factors such as bacterial infection, uterine cavity manipulation injury, low immunity, endometriosis, and the spread of inflammation in adjacent organs. It can be improved through antibiotic treatment, physical therapy, traditional Chinese medicine conditioning, surgical drainage, and lifestyle adjustments.

1. Dull pain in lower abdomen

The most common symptom in the early stages of endometritis is persistent dull pain or swelling in the lower abdomen, and the pain may radiate to the lumbosacral region. This pain usually worsens during menstruation or after sexual intercourse, and may be related to inflammation stimulating uterine contractions. Patients can try hot compresses to relieve pain, but they need to seek medical attention promptly to determine the cause. If it is accompanied by fever or severe pain, it indicates that the infection has worsened, and antibiotics such as cefixime dispersible tablets and metronidazole tablets need to be used as directed by the doctor.

2. Abnormal vaginal discharge

Patients often have purulent or bloody vaginal discharge, which is abundant and smelly, and the discharge may appear yellow or yellow-green. This is related to endometrial inflammation leading to glandular hypersecretion and inflammatory exudation. Keep the perineum clean every day and avoid using irritating lotions. If the secretion continues to be abnormal, routine examination of leucorrhea is required, and topical drug treatment such as clindamycin phosphate vaginal gel is used if necessary.

3. Menstrual disorders

Inflammation may affect the normal shedding of the endometrium, resulting in shortened or prolonged menstrual cycles, increased menstrual flow, or incomplete menstruation. Some patients experience increased abdominal pain during menstruation. This situation needs to be differentiated from endocrine disorders, and endometrial thickness can be checked by ultrasound. Doctors may recommend using a levonorgestrel sustained-release intrauterine system to regulate menstruation, along with Chinese patent medicines such as Fuke Qianjin Tablets to reduce inflammation.

4. Fever

Acute endometritis may cause low fever, with body temperature usually between 37.5-38.5°C, accompanied by chills and fatigue. Fever is the body's immune response to infection, prompting the need for timely routine blood tests. If the body temperature exceeds 38.5°C, follow the doctor's advice to use ibuprofen sustained-release capsules to reduce fever, and intravenously inject ceftriaxone sodium for injection to control infection. During fever, you should drink plenty of fluids and rest in bed.

5. Pain during sexual intercourse

Inflammation causes uterine congestion and edema, and collision during sexual intercourse can cause significant pain. Some patients experience contact bleeding afterwards. In this case, sex life needs to be suspended to avoid aggravating the infection. After the inflammation is controlled, the pain can often be relieved. Patients with chronic endometritis can cooperate with infrared physiotherapy to promote the absorption of inflammation, and if necessary, use doxycycline hydrochloride enteric-coated capsules for anti-infection treatment.

Patients with endometritis should pay attention to menstrual hygiene, avoid bathing and swimming, choose cotton breathable underwear and change it daily. In the diet, consume more foods such as broccoli and kiwi fruit that are rich in vitamin C to enhance immunity, and limit spicy and irritating foods. Practice low-intensity exercise such as yoga and walking in moderation to avoid overexertion. If symptoms persist for more than a week or high fever or severe abdominal pain occurs, you must seek medical attention immediately for pelvic ultrasound and pathogen testing to prevent the spread of inflammation and lead to complications such as pelvic adhesions or infertility.