Endometritis symptoms

 Endometritis symptoms

Acute endometritis

In the acute stage of endometritis, endometrial congestion, edema, inflammatory cell infiltration, and suppuration in severe cases. The main manifestations of acute endometritis are fever, lower abdominal pain, increased leucorrhea, sometimes bloody or malodorous, sometimes slightly larger uterus and tenderness of uterus. Chronic patients also have basically the same performance, but also have menorrhagia, lower abdominal pain and obvious lumbosacral distention. Acute endometritis can further develop into uterine myositis, salpingitis and pelvic inflammation, aggravating the condition.

In addition to the main application of antibiotics, obvious inducements must be removed during treatment, such as removal of intrauterine device, removal of residual placental tissue and endometrial polyps in uterine cavity, and corresponding treatment should be done according to the situation when there is submucosal myoma or endometrial cancer. Those with uterine cavity pus should expand the cervical mouth to promote pus drainage. After the inflammation is controlled, make diagnosis and curettage to eliminate the existence of cancer.

Avoid sexual life when acute endometritis, because it is easy to cause further spread of inflammation. Because of the increase of vaginal secretions, abdominal pain, low back acid, falling and swelling and other diseases, the woman's interest in sex decreases and is boring. Even if the inflammation is controlled, it should not be too many times just to restore sexual life, so as to avoid the recurrence of pelvic congestion and low resistance. Endometritis can also be treated with professional gynecological drugs.

Clinical manifestations of acute endometritis

The onset is acute, with chills or even chills, fever (38 ~ 40 ℃), accelerated pulse, general weakness, sweating, severe pain in the lower abdomen, falling and sour waist. A large number of bloody, purulent or watery leucorrhea with odor. Postpartum infection, lochia was earthy.

Signs: tenderness in the patient's lower abdomen. Speculum examination showed that there was a large amount of purulent or filthy blood odor secretion overflow at the uterine mouth. Cervical pain during double diagnosis. The uterine body swells due to congestion and edema, soft and tender. The total number of leukocytes and neutrophils increased.

Symptoms of acute endometritis

(1) Patients may have mild fever, lower abdominal distension and pain, mostly persistent.

(2) Leucorrhea increased significantly, which can be purulent, smelly or bloody. Acute endometritis in puerperal period often has lochia dripping profusely. When there is odor, it is mostly infected by Escherichia coli and anaerobic bacteria. When it is infected by hemolytic streptococcus or Staphylococcus aureus, there is generally a small amount of lochia and no obvious odor, but it is easy to spread through lymph.

(3) Gynecological examination showed purulent leucorrhea at the mouth of the cervix, cervical lifting pain and mild tenderness of the uterine body. Laboratory examination showed elevated leukocytes and neutrophils.

Chronic endometritis

Chronic inflammation of the endometrium is called chronic endometritis. It can be transformed from acute endometritis; It can also spread from long-term salpingitis or severe cervicitis; Chronic endometritis can also be caused by intrauterine device, a small amount of placental residue after delivery or abortion and incomplete involution of placental attachment; In postmenopausal women, due to the decrease of estrogen level in the body, the endometrium and vaginal endometrium become thin, vulnerable to bacterial invasion and chronic inflammation; In addition, submucosal fibroids and mucosal polyps can also cause chronic inflammation of endometrium.

The main symptoms of chronic endometritis are irregular menstruation or uterine bleeding; Lower abdominal pain or swelling feeling; Leucorrhea increased; Fever, etc; In addition, the uterus is enlarged with tenderness, and the surrounding tissues near the uterus are thickened and tender. If the elderly suffer from chronic endometritis, there will be vaginal bleeding again after menopause, and leucorrhea increases, becoming thin and bloody. When treating chronic endometritis, we should first see whether there are inducements, such as residual placenta, intrauterine device, etc. Remove these incentives, chronic endometritis will soon recover. Otherwise, blindly anti-inflammatory and curative effect will not be significant. The placed IUD should be removed. For chronic endometritis caused by postpartum or abortion, careful curettage should be performed to remove the residual degenerated placental tissue; Endometrial polyps should be removed; If submucosal myoma or endometrial cancer is found, active treatment should be carried out according to the situation; Senile endometritis can dilate the cervix to facilitate the outflow of blood or secretion. At the same time, diethylstilbestrol can be taken orally 1 mg per day and changed to 0.5 mg per day after 7-10 days, for a total of 1 month. Can have therapeutic effect; If appropriate antibiotics are added, such as penicillin, streptomycin, erythromycin and gentamicin, the curative effect can be improved. But it must be used under the guidance of a doctor.

Most patients with chronic endometritis can be cured by appropriate treatment. We must establish the confidence of cure and adhere to treatment. Otherwise, it will give up halfway.