Endometritis

Endometritis: Causes, symptoms and treatment

Endometritis is one of the inflammatory diseases of the pelvic organs that affects a large number of women. In combination with adnexitis and salpingitis, endometritis constitutes a chain of diseases associated with inflammation of the female reproductive organs. Ideally, the uterine cavity and fallopian tubes should be sterile, that is, protected from infection. However, disruption of the composition of the vaginal microflora and a decrease in its protective properties can contribute to the development of endometritis.

The body's main defense systems include the acidic environment of the vagina, which destroys most bacteria, cervical mucus, which has antibacterial properties, and the uterine cavity. However, dishormonal disorders and cycle disorders can lead to disruption of the microflora and a decrease in the protective properties of cervical mucus. In recent years, there has been an increase in the incidence of inflammatory diseases, which is associated with changes in sexual behavior, such as polygamy and promiscuity.

Local immunity of the vagina and cervical canal plays an important role in preventing the development of infections. Most women have reduced local immunity, which makes them more susceptible to inflammatory diseases. Inflammatory diseases and their consequences constitute a significant part of gynecological diseases, accounting for about 60-70 percent of the total number of cases.

One of the reasons for the development of endometritis is the penetration of infection into the uterine cavity. This can happen due to poor personal hygiene, having a large number of sexual partners and a general decrease in immunity. Gynecological interventions, such as abortion, diagnostic and therapeutic curettage, uterine probing and hysteroscopy, can also become a mechanism for infection to enter the uterine cavity. It is important to note that infection does not occur due to violation of the rules for carrying out these procedures, but due to a decrease in local immunity. If there are bad smears, the doctor should refuse to perform an abortion, first recommending treatment.

An intrauterine device, even a modern one containing hormones, is a foreign body for the body. Although the IUD itself does not increase the incidence of endometritis, it can become a risk factor for infection if other predisposing conditions are present.

Symptoms of endometritis may include:

1. Vaginal discharge: It may be yellow-green in color, have a foul odor, and be heavier than usual.
2. Pain in the lower abdomen or pelvic area: the pain may be severe or paroxysmal.
3. Increased body temperature: often accompanied by fever and chills.
4. General weakness and fatigue.

If you suspect endometritis, it is important to see your doctor for diagnosis and treatment. The doctor may prescribe the following procedures:

1. Gynecological examination: includes examination of the cervix and vagina to assess the condition and presence of inflammation.
2. Laboratory tests: include smears and blood tests to look for signs of inflammation and infection.
3. Ultrasound: can be used to evaluate the condition of the uterus and its appendages.
4. Endometrial biopsy: In some cases, it may be necessary to take a sample of endometrial tissue for further testing.

Treatment for endometritis usually involves taking antibiotics to fight the infection. It is important to take medications as recommended by your doctor and complete the full course of treatment. Additionally, medications may be prescribed to relieve symptoms, such as pain relievers and anti-inflammatory drugs.

In some cases, if endometritis becomes chronic or leads to complications, hospitalization and more intensive treatment, including intravenous antibiotic therapy or surgery, may be required.

It is important to seek medical help if you suspect endometritis to prevent complications and receive the necessary treatment.

The endometrium is the inner layer of the uterus, which is responsible for fertilization and embryo development during pregnancy. Endometritis is inflammation of the endometrium, or inner layer of the uterus. The disease is widespread in women of reproductive age

Endometritis is often asymptomatic or hidden under various manifestations of vaginal discharge. These include: general weakness, fatigue and malaise, as well as abnormal vaginal discharge. However, the course of the disease is accompanied by pain of varying intensity depending on the degree of development of the process. The pain can radiate to the lumbar region, lower abdomen, pelvis, rectum or perineum. They begin in the absence of menstruation and, as a rule, before it. Sometimes the pain is dull in nature and occurs periodically several times a day, lasting from several minutes to an hour. It is common to experience increased pain during labor, which can lead to false contractions and pain during menstruation. Typically the temperature rises to 37–38 °C, and the disease lasts up to one week. Manifestations also occur in men. In them, endometritis is manifested by impaired sexual function, pain during erection, bloody discharge from the urethra

However, no one is immune from this disease. It is important to consult a doctor in a timely manner, because endometritis can cause inflammatory diseases of the internal genital organs, endometritis, cervical erosions, even infertility. Besides,