Endometritis

Endometritis is an inflammation of lining of the uterus. There are acute endometritis and chronic endometritis.

Acute Endometritis

Inflammation caused by infections such as bacteria, viruses, germs, fungi, microplasma and spirochetes.

Causative Factors:

  • Abortions
  • Childbirth (injures during delivery)
  • Prolapsus uteri
  • Diagnostic scrubbing of vagina
  • Cervical tear
  • Mechanic, thermal and chemical exposure to vagina (disinfection, chemical birth control medicines, frequent syringing, vaginal contraceptives)
  • Using tampons (when soaking up menstrual blood, favourable conditions occur for infectious bacteria to develop)
  • Residue from tissues, blood or ovule promotes bacterial flora growth in number

Symptoms:

  • High temperature
  • Mild chill
  • Increase of vagina, tender when examining with hands
  • Purulent, sometimes sanious discharge

Usually, signs appear on the third or fourth day after an infection got into body. Acute stage of endometritis lasts 8 to 10 days. If treated correctly, the process stops. It may turn semiacute or chronic as well.

Diagnosing Endometritis:

  • Clinical presentation
  • Gynecological exam
  • Laboratory test

Chronic Endometritis

Often, it results from insufficiently treated acute endometritis after childbirth or abortion. In rare cases, the reason for such endometritis may be residual parts of bones after abortion in late stages or scar matter after c-section. It may occur without preceding acute form.

Chronic endometritis does not hinder conception. However, accompanied by other genital infections may cause reproductive system disorders – infertility or miscarriages.

Mostly, chronic endometritis doesn’t show up and has no manifestations of any infection. Using usual bacteriologic methods of investigation does not always find a causative agent. Immunocytochemistry is used to detect the disease.

Symptoms of Chronic Endometritis

  • Vaginal bleeding. Blood discharges are linked with high vascular penetrability of endometrium during ovulation.
  • Serous purulent discharges from vulva
  • Lower abdominal aches
  • Slightly increased and firm vagina (noticeable when examining manually)

Diagnosing Chronic Endometritis

  • Clinical manifestation
  • Histological examination of endometrium scrubbing (recommended to do scrabbing from uterine mucous membrane on the 8th or 10th day of menstrual period)
  • Hysteroscopy
  • Ultrasound

Treating Endometritis

Complex treatment includes treatment for accompanying infections, taking bracing medication including vitamins, sedative and desensitizing medications.

Physiotherapy is used. It restores decreased ovarian function and activity of endometrial receptors. Depending on patient’s health state, ultrasound and electrophoresis are used.

Antibiotics are used in acute condition of the disease (particularly as a response to physiotherapeutic procedures). During remission antibiotics are not taken.

Doctor will prescribe hormone medicines if physiotherapy shows no result. Hormone therapy is performed taking into account patient’s age, longevity of the disease, menstrual periods and accompanying diseases.

Resort treatment, or balneotherapy, is used.