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Endometritis is usually a complication after childbirth or diagnostic procedures (e.g. curettage when not aseptic). Treatment is necessary because endometritis can lead to inflammation of the appendages (fallopian tubes and ovaries). What symptoms are endometritis? How is endometritis treated?
Endometritisoccurs when bacteria in the vagina are transferred to the uterus - this occurs mainly during various gynecological procedures and examinations, after childbirth or miscarriage.
Endometritis may appear:
- after intrauterine procedures (e.g. curettage) or when fragments of the fetal egg or placenta remain in the uterus (e.g. after a miscarriage)
- as a result of mechanical introduction of bacteria into the uterine cavity during obstetric surgery
- after intrauterine diagnostic procedures, e.g. after hysterosalpingography (radiological examination of the uterus and appendages)
Endometritis often accompanies cancer or endometrial polyps and fibroids.
Symptoms of inflammation of the endometrium are:
- abnormal spotting or bleeding
- pains in the lower abdomen
- sometimes increased temperature.
In acute inflammation, the body of the uterus can become enlarged, painful and swollen.
Treatment of endometritis consists in exfoliating the mucosa and administering antibiotics, painkillers and antispasmodics. In chronic endometritis, hormone therapy (estrogens) is used.
When inflammation affects the smaller pelvis, it becomes the cause of adhesions that can lead to obstruction of the fallopian tubes and make it difficult or even impossible to get pregnant. very rarely, in very acute inflammation, it is sometimes necessary to remove the appendages on both sides.