endometritis symptoms

Symptoms of endometritis mainly include lower abdominal pain, abnormal vaginal discharge, abnormal menstruation, dyspareunia, fever, etc. Endometritis is usually caused by bacterial infection, uterine manipulation, sexually transmitted diseases and other factors, and may be accompanied by pelvic tenderness, elevated white blood cells and other symptoms.

1. Lower abdominal pain

Patients with endometritis often experience persistent dull pain or swelling in the lower abdomen, and the pain may radiate to the lumbosacral region. Pain is worsened during acute attacks and may be accompanied by abdominal muscle tension. This symptom is related to inflammation stimulating endometrial nerves and pelvic congestion. Clinically, antibiotics such as metronidazole tablets, levofloxacin tablets, and cefixime dispersible tablets are commonly used for treatment, and bed rest is required at the same time.

2. Abnormal vaginal discharge

The patient's vaginal discharge increases, is purulent or bloody, and may have a peculiar smell. Abnormal secretions are caused by increased endometrial inflammatory exudates, and yellow-green pus may appear when combined with infection. Secretion culture needs to be performed to identify the pathogen, and clindamycin phosphate vaginal gel, Baofukang suppository, and oral azithromycin capsules can be used for treatment.

3. Abnormal menstruation

It manifests as prolonged menstruation, increased menstrual flow, or non-menstrual bleeding. In severe cases, anemia may occur. Inflammation leads to impairment of endometrial repair and increased vascular permeability. Treatment requires controlling the infection and using ethinyl estradiol and cyproterone tablets to regulate the cycle. Those with anemia can supplement with ferrous succinate tablets to replenish blood.

4. Pain during sexual intercourse

Severe pain in the lower abdomen during sexual intercourse is often caused by pelvic congestion and inflammation. Sexual life should be prohibited in the acute phase, and recovery should be gradual in the chronic phase after the inflammation is controlled. It can be combined with infrared physiotherapy to promote the absorption of inflammation, and diclofenac sodium suppositories can be used to relieve pain.

5. Fever

Acute endometritis may present with high fever above 38°C, accompanied by systemic symptoms such as chills and fatigue. Fever is related to the entry of bacterial toxins into the blood, and intravenous infusion of broad-spectrum antibiotics such as ceftriaxone sodium for injection is required, along with physical cooling. If a pelvic abscess forms, surgical drainage is required.

Patients with endometritis should keep their perineum clean and avoid bathing in the bath and sexual intercourse during menstruation. The diet needs to increase the intake of high-quality protein such as fish and eggs, and supplement vitamin C to enhance immunity. People with fever in the acute stage should drink no less than 2000 ml of water every day. After treatment, a review ultrasound is required to confirm the recovery of the endometrium. Those with chronic and recurrent disease are advised to undergo hysteroscopy. If you have persistent fever or severe abdominal pain, you should seek medical treatment promptly.