Post Date November, 17 2024
Endometritis is a gynecological disease, and its incidence rate is also very high. It also does great harm to women's friends' psychology and health. We must pay attention to it after we get sick, and we must immediately treat it reasonably. Next, let's investigate the symptoms of endometritis
Types of endometritis
1. Acute endometritis: The main causes of acute endometritis are miscarriage, postpartum infection, intrauterine device placement, cervical dilation, diagnostic uterus, cervical electrocautery, laser therapy, and other physical treatments. Infections caused by ascending pathogens such as sexually transmitted diseases can also be caused. In addition, endometrial polyps and submucosal fibroids often cause endometritis.
2. Chronic endometritis: The etiology of chronic endometritis is basically the same as the above categories. The lesion is limited to the mucosa inside the cervical canal and its underlying tissues. The cervical and vaginal parts can be very smooth, with only purulent secretions blocking the cervical opening, sometimes with mucosal hyperplasia and cervical lipstick and bloodstains.
Symptoms and manifestations of endometritis
1. Dysmenorrhea: It often occurs in nulliparous women, but severe dysmenorrhea is rare. The endometrium is too thick, hindering normal tissue degeneration and necrosis, and stimulating excessive spasmodic contractions of the uterus.
2. Excessive menstruation: The physiological day is still regular, but the physiological volume doubles and the bleeding period is significantly prolonged. A very small number of patients may experience anemia due to extensive bleeding, endometrial thickening, and inflammation and congestion. Irregular bleeding is rare and can occasionally last for several hours or stop for a day or two.
3. Pelvic region pain: About 40% of patients complain of lower abdominal pain and lumbosacral pain during menstrual intervals.
4. Increased vaginal discharge: caused by increased secretion of endometrial glands. It is generally a dilute water sample, light yellow, and sometimes bloody leukorrhea.
Etiology of endometritis
1. Chronic endometritis can be caused by long-term salpingoovarianitis or severe cervicitis.
2. Chronic endometritis without obvious causes can also exist, and the pathogen mostly comes from the vagina and cervix.
3. The pathogens that cause infection are mostly parasitic bacteria on the vagina and cervix, and the causes of endometritis are such as Escherichia coli, Staphylococcus, and Para Escherichia coli.
4. Although there is periodic exfoliation of the endometrium, the basal layer does not peel off. Once there is chronic inflammation in the basal layer, it can infect the functional layer of the endometrium for a long time, leading to chronic endometritis.
