What to do when you have chronic endometritis?

The article is professionally consulted by Master, Doctor Tran Lam Khoa - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.

Chronic endometritis is an infection that is not too dangerous, but if not diagnosed and treated early, it will greatly affect future fertility.

The endometrium is the soft, spongy lining inside the uterus, which receives eggs after fertilization and nurtures them to develop into a fetus. If an egg is not released, the endometrial tissue is destroyed and expelled, forming the menstrual cycle.
Endometritis is inflammation of the innermost layer of the uterus, it can present in an acute or chronic form.

Patients with endometritis usually have the following symptoms:
Abdominal pain Abnormal vaginal bleeding Abnormal vaginal discharge Fever Pain in the lower abdomen, pelvis or rectal area.

Endometritis is usually caused by an infection. Factors that can cause endometritis include:
Sexually transmitted infections, such as Chlamydia and gonorrhea, Tuberculosis, Bacterial infections. Normally, in the vagina there will be a carpet of resident bacteria. Endometritis can be caused when the amount of this natural bacteria changes after certain conditions. You are at risk for endometritis from an infection caused after a miscarriage or after giving birth, especially after a long labor or a cesarean section. You are also more likely to develop endometritis after a procedure involving the uterus through the cervix. Medical procedures that may increase your risk of developing endometritis include:
Hysteroscopy IUD insertion Removal of the uterus

To diagnose endometritis, your doctor will perform a physical exam and a pelvic exam. They will look at your abdomen, uterus, and cervix for signs of pain and discharge. In addition, you may be asked to have the following tests:
Take a sample or culture from your cervix to check for bacteria that can cause infections, such as chlamydia and gonorrhea (the bacteria that cause infections). gonorrhea) A small amount of tissue is taken from the lining of the uterus for examination, called an endometrial biopsy Laparoscopic leucopenia Blood test may also be done to measure white blood cell count (WBC) and your erythrocyte sedimentation rate (ESR). Endometritis will cause an increase in both your WBC and ESR counts.

You may experience complications if the infection is not treated early. Possible complications include:
Infertility Pelvic peritonitis Pelvic, uterine abscess Blood infection Septic shock, this is a life-threatening emergency.

Endometritis can be treated with antibiotics. Your sex partner may also need treatment if your doctor finds out that you have a sexually transmitted infection. Severe or complicated cases may require intravenous (IV) fluids and rest in the hospital.
You need to see a doctor immediately if you experience symptoms of endometritis. It is important to get treatment early to prevent any serious complications from arising.

You can reduce your risk of endometritis from giving birth or having another gynecological procedure by having it done in a reputable facility, making sure your doctor uses the right equipment and techniques. sterile surgery during childbirth or surgery. Your doctor will also most likely prescribe you antibiotics as a precaution during a cesarean section or just before surgery begins.
You can help reduce your risk of endometritis caused by a sexually transmitted infection by:
Practice safe sex, such as using a condom during sex Check Routine and early diagnosis if a sexually transmitted infection is suspected, in both you and your partner

In summary, the prognosis for patients with endometritis and prompt treatment is generally very good. Endometritis usually responds to antibiotics with no further problems. However, fertility problems and severe infections can occur if the condition is left untreated. Dangerous complications can occur including infertility or septic shock.
Currently, Vinmec International General Hospital has a basic gynecological examination and screening package, with a team of medical - doctors who are leading experts, highly qualified, dedicated and devoted to the cause. The patient's benefits will help women detect gynecological diseases early and get timely treatment, avoiding affecting fertility later on.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online.
Master, Doctor Tran Lam Khoa is trained and used to specialize in fetal medicine and prenatal diagnosis at Necker Hospital - Prenatal diagnosis center - Fetal intervention and treatment center France's largest. This is also the place where difficult and complicated diseases are concentrated with the world's leading professors of fetal medicine and fetal intervention. Currently, Doctor Khoa is working at Vinmec Central Park International General Hospital, he will directly diagnose, treat, and intervene in fetuses to bring healthy babies and bring happiness to parents. future mother.