Endometritis: Symptoms and Treatment
What is endometritis? This disease, characterized by an inflammatory process in the mucous membrane of the uterus. This process does not affect the muscular layer of the affected organ. Very often this disease is confused with metroendometritom, although this is completely two different diseases. At the second variant the forecast is much sadder, in fact after the transferred metroendometrita to become pregnant not always it is possible.
The root cause of the disease is the damage to the mucous membrane of the uterus, which contributes to the formation of an inflammatory process. But in itself such a pathology can not provoke endometritis. An important role in this process is played by reduced immunity, non-compliance with sanitary norms when performing manipulation. In addition, there are the following common reasons:
- scraping of the uterus;
- probing the uterus;
- endoscopic diagnosis of the uterine cavity;
- installation of intrauterine contraceptives
- Inaccurate syringings.
Today, postpartum endometritis became especially important. They are associated with the restructuring of the immune system of the female body. Inflammatory process very quickly affects the muscular layer of the uterus and serves as a dangerous complication of the postpartum period.
Endometrit refers to polyethnic diseases, the occurrence of which is affected by many pathogens:
- Group B streptococci
- E. coli
- diphtheria bacillus
- Mycobacterium tuberculosis
Chronic endometritis occurs due to improper treatment of acute, as well as when the infection permanently settles in the tissues. The causative agents of the disease may be listed above.
How does the disease manifest itself?
Symptoms of endometritis are not pronounced, so a woman can not immediately detect them. This phenomenon contributes to the development of inflammation in severe form, as a result of which it affects the muscular layer of the organ. This situation implies immediate hospitalization and inpatient treatment.
Timely visit to the doctor will allow to carry out the endometritis treatment in time and avoid its transition to metroendometritis.
Distinguish between chronic endometritis and acute. If the diagnosis and treatment of acute endometritis is not difficult, then the chronic form causes a lot of difficulties. This is another factor that requires careful diagnosis if symptoms of endometritis occur.
Manifestations of acute disease
Acute endometritis is formed due to the artificial termination of pregnancy. In most cases this is due to non-compliance with all necessary sanitary standards. Acute endometritis manifests itself as follows:
- increase in body temperature to 38-39 ° C;
- occurrence of serous and bloody-purulent discharge from the vagina
- pain syndrome in the abdominal region, giving to the sacrum
- general malaise.
In this situation, immediate specialist help is required and it is forbidden to engage in self-medication, as acute endometritis is an inflammatory disease, so it can affect various tissues located near the primary focus.
If you delay the trip to the doctor, each woman increases the risk of severe pyo-septic complications, which require careful treatment. The result of such complications will be sepsis with a fatal outcome.
Manifestations of chronic disease
Chronic endometritis has almost the same symptoms as acute. Manifestations in this case have a blurred character. The chronic endometrium manifests itself as follows:
- Elevated body temperature that lasts for a long time.
- Irregular bleeding from the uterus. This process is typical for healthy women, but blood cells are invisible in secretions. The factors contributing to the formation of uterine bleeding are a decrease in the contractile activity of the genital organ and a violation of aggregation properties of platelets.
- Vaginal discharge that is putrid.
- Painful sensations during defecation
Chronic endometritis and pregnancy are compatible concepts? As a rule, such an ailment does not interfere with conception, which occurs when there is ovulation. Another thing is when chronic endometritis is combined with other genital pathologies. In this case, you can get pregnant, but more often it leads to spontaneous miscarriages.
Endometritis and childbearing
Endometritis and pregnancy — these words are very frightening for many women who decided to become moms? You can get pregnant, but only on condition that the treatment was started on time and there were no complications. Although it is impossible to say exactly here. Many doctors in the matter of pregnancy and endometritis are inclined to conceive and tolerate the baby will be impossible, since this disease causes adhesions leading to infertility. As practice shows, during pregnancy and endometritis, this disease does not affect the functioning of the ovaries, but the actual question remains about the engraftment of the embryo and its further bearing.
Most patients refuse to take antibiotics and completely in vain, since after conceiving a baby, let alone taking it out will be much more difficult. You can take antibiotics even during pregnancy, since pregnancy after treatment of acute or chronic endometritis will last until the end of the period without pathologies for the child.
The diagnosis of the presented disease should begin with the fact that the doctor will listen carefully to all complaints of the patient. There are situations when already on the basis of manifestations of acute endometritis it is possible to diagnose. Nevertheless, to confirm the illness the doctor must perform the following series of actions:
- Examine the woman on the gynecological chair. Such a diagnosis will allow him to evaluate the present secretions: color, odor and quantity.
- Take the smears and send them to the study. The results of swabs can help to find out about the presence of pathogens of endometritis. The doctor takes smears for seeding to more accurately determine the nature of the pathogen and its response to certain drugs.
- A general blood test.
- Uterine ultrasound. Such research is appointed if necessary. With the help of ultrasound, mucosal seals, characteristic blood and purulent clots and affected ovaries, ovaries can be detected.
After the diagnosis was made, you can proceed to the treatment of endometritis. It is the gynecologist who, on the basis of the results of the tests, can make an effective therapy regimen.
Endometrite and pregnancy may not depend on each other if the therapeutic measures were started on time and there were no complications. Treatment of endometritis should take place in an outpatient setting under the clear guidance of the attending physician. Scheme therapy provides the following plan of action:
- antibacterial drugs
- mechanical cleaning of the uterus;
- cleansing plasma from harmful toxins and bacteria.
How to treat the disease in the acute phase?
With early diagnosis of acute endometritis and modern therapy, you can prevent all complications and calmly become pregnant. Acute endometritis can be cured with the following plan of action:
- Immunomodulators and vitamins.
- Antibiotics. Assign such drugs: Metryl in combination with Cephalosporins intravenously. The course of therapy is 5-10 days.
- If the rest of the fetus or placenta has been found after abortion, it is advisable to re-scrape the uterine cavity.
- Treatment of endometritis with physiotherapy methods
How to treat the disease in the chronic phase?
Chronic endometritis has its symptoms, distinct from acute form. Therefore, the treatment of chronic endometritis consists in arresting the causative agent of the disease.
First of all, the doctor should take smears to plant and test the susceptibility of a particular type of pathogen to various antibiotic drugs. After this, he will be able to draw up a specific scheme for the treatment of chronic endometritis. Further, an effective therapy regimen is prescribed, including the joint intake of antibiotics and antiviral drugs.
The most effective treatment for chronic endometritis is the injection of medicinal medicines into the uterine mucosa. This approach contributes to the concentration of the maximum number of drugs in the focus of inflammation. In addition to the above, the following therapeutic methods are used to treat chronic endometritis:
- Hormone therapy. Here, oral contraceptives are used. Such activities should be carried out in case a woman dreams of pregnancy and chronic endometritis in this it will not be a hindrance.
- Separation of formed adhesions by surgical method
- Physiotherapy for the treatment of chronic endometritis. If the patient’s condition returned to normal, then it is advisable to use physiotherapy methods of therapy. They increase the outflow of mucus and pus from the uterine cavity, and also improve local repair functions.
Purulent endometritis therapy
Treatment of chronic purulent endometritis includes mechanical cleansing of dead tissue and pus of the uterine cavity. Such manipulation is characterized by unpleasant sensations, therefore they perform it under general anesthesia. After that, appoint hormonal drugs.
Postpartum endometritis occurs after unsuccessful removal of the placenta after delivery. Therapy of this form of the disease includes the use of antibacterial medications. The scheme of therapy is made individually for each breast-feeding woman. In time, diagnosed postpartum endometritis does not need a rehabilitation course. In order for postpartum endometritis to disappear, you must always be under the supervision of a doctor and perform all of his appointments.
If there is a chance that postpartum endometritis will form, then prevention includes taking antibacterial medications. Prevention after therapy is based on the implementation of all health standards during uterine bleeding, abortions, childbirth. A prerequisite is a regular visit to a gynecologist, who would be able to detect all pathologies in a timely manner. To protect yourself from exacerbations of the endometritis, you need to constantly strengthen your immunity.
Endometrite is a dangerous female disease, which most often arises because of non-compliance with sanitary norms when performing such manipulations as childbirth and abortion. Characteristic symptoms of the pathology are purulent discharge from the genital organs and fever. Treatment of the disease is selected individually, taking into account the form of the disease: chronic or acute.