What are the causes and treatments of endometritis

Endometritis may be caused by bacterial infection, uterine cavity manipulation injury, sexually transmitted diseases, endometrial polyps, low immune function, etc. It can be treated through antibiotic treatment, physical therapy, traditional Chinese medicine conditioning, hysteroscopic surgery, daily care, etc.

1. Bacterial infection

Bacterial infection is the most common cause of endometritis and may be related to operations such as delivery, abortion, and uterine cavity surgery. Bacteria ascend through the vagina to infect the endometrium, causing endometrial inflammation. Patients may experience symptoms such as lower abdominal pain, fever, and increased vaginal discharge. During treatment, antibiotics such as cefixime dispersible tablets, metronidazole tablets, and levofloxacin tablets can be used as directed by the doctor.

2. Uterine cavity operation injury

Uterine operations such as induced abortion, dilation and curettage, hysteroscopy, etc. may cause endometrial damage and increase the risk of infection. After the endometrium is damaged, its defense ability decreases and it is vulnerable to bacterial invasion. Patients may experience symptoms such as abnormal menstruation and bloating in the lower abdomen. During treatment, antibiotics must be used to prevent infection as directed by the doctor, and uterine adhesions separation must be performed if necessary.

3. Sexually transmitted diseases

Neisseria gonorrhoeae, chlamydia and other sexually transmitted pathogens can ascend to infect the endometrium through sexual contact. This type of infection may lead to chronic endometritis and affect fertility. Patients may suffer from urinary system symptoms such as frequent urination and painful urination. Treatment requires the selection of sensitive antibiotics for the pathogen, such as azithromycin tablets, doxycycline tablets, etc.

4. Endometrial polyps

Endometrial polyps may block the discharge of menstrual blood and cause local inflammation. Polyp tissue has a rich blood supply and can easily breed bacteria. Patients may experience symptoms such as increased menstrual flow and prolonged menstrual periods. Treatment options include hysteroscopic polypectomy, followed by postoperative antibiotics to prevent infection.

5. Low immune function

Diabetes and long-term use of immunosuppressants may lead to a decline in immune function and increase the probability of endometritis. These patients may have atypical symptoms after infection, but they are prone to recurring symptoms. Treatment requires controlling underlying diseases, enhancing immunity, and extending the course of antibiotics if necessary.

Patients with endometritis should keep their perineum clean and avoid bathing and sexual intercourse. Eat more high-quality protein and vitamins in your diet to enhance your resistance. Properly engage in gentle exercise such as walking to promote pelvic blood circulation. Check regularly and complete the course of treatment as directed by your doctor to prevent inflammation from turning into chronic inflammation. If fever or abdominal pain worsens, you should seek medical attention promptly.