As a result of difficult childbirth, abortion, miscarriage and various gynecological diseases, women are faced with a diagnosis of endometritis. Most cases are successfully treatable and completely cured.
Brief information about the disease
Endometritis is an inflammatory process that is localized in the uterine cavity, namely in the mucous layer - endometrium. There are acute forms of the disease, which is usually caused by infection, and chronic, due to the duration and depth of structural changes in the mucous layer. In acute endometritis, pain occurs during urination, during sex, in a calm state, there may also be a rapid pulse, chills, atypical discharge from the genital tract, fever and other symptoms of intoxication. The disease is especially rapidly developing in patients with uterine spirals.
With chronic endometritis, the menstrual cycle is disrupted, there can be either meager or too plentiful periods, characterized by irregularity. Uterine bleeding and discharge with an unpleasant odor from the genital tract, aching pain in the lower abdomen, and pain during sexual contact with a partner are characteristic of some patients. With a manual examination, a gynecologist reveals a slight increase in the uterus or organ densification.
The disease can cause cysts and polyps. In 10%, chronic endometritis causes female infertility, in about 60% - miscarriage. Therefore, at the first symptoms it is necessary to consult a doctor in order to timely begin treatment of this gynecological disease.
Treatment of acute endometritis
When the disease is in the acute phase, observation in a hospital is shown with full observance of bed rest, physical and emotional calm, an easily digestible diet and the correct drinking regimen. The exact treatment regimen for acute endometritis depends on the results of the examination of the patient. As a rule, broad-spectrum antibiotics are prescribed. Also shown are physiotherapeutic procedures, taking vitamin and mineral complexes, sometimes hormonal drugs and medications that improve microcirculation are needed. Traditional medicine is used in addition to the therapy prescribed by the gynecologist.
Antibiotics in the treatment of endometritis
A qualified specialist in acute illness (especially when it comes to treating postpartum endometritis) will prescribe antibiotics. Such drugs will help to effectively relieve inflammation and reduce discharge. Antibacterial therapy is most effective in the early stages of detection and course of pathology. If endometritis is not too severe, then the patient is prescribed medications, upon admission of which she can continue the natural feeding of the infant. In severe cases, you need to abandon breastfeeding and undergo treatment with strong antimicrobial agents.
Antibiotics for the treatment of endometritis can be prescribed in tablets, in a hospital setting they also put droppers and make intravenous injections. Topical preparations are indicated that help reduce itching and burning sensation in the perineum. In addition to broad-spectrum antimicrobials , the gynecologist can separately prescribe antifungal agents to the patient, but antibiotics are mandatory in the treatment of endometritis. Only such drugs can quickly and effectively stop the inflammatory process in the body.
Other treatments
The main groups of drugs that are used in the treatment of endometritis are as follows:
- Antispasmodic drugs. These drugs eliminate bouts of pain and discomfort in the lower abdomen and in the sacrum. In a hospital setting, the patient is given such medications twice a day.
- Broad-spectrum antibiotics. Antimicrobials are prescribed in the early stages of the disease. Mostly they are administered intravenously, and during treatment at home, tablets are prescribed.
- Antifungal drugs. They are prescribed only if necessary to eliminate the risk of candidiasis during treatment with antibiotics.
- Antipyretic drugs. Indicated at high temperature in the patient.
- Decongestants. Women with uterine endometritis are prescribed effective and safe drugs that relieve swelling of the mucosa. Such drugs reduce the size of the uterus, can remove tissue swelling and the inflammatory process.
Treatment of endometritis with antibiotics and other drugs with a pronounced effect can be carried out only under the supervision of a doctor and (preferably) in a hospital setting.
Topical drugs
In the event that the cause of the development of the disease is infections that are transmitted sexually, local drugs are also prescribed. Candles help to quickly eliminate secretions and destroy pathogenic microflora right in the focus of infection. Such suppositories and ointments are used in the treatment of uterine endometritis:
- Preparations with chlorhexidine, the action of which is aimed at combating fungal, viral diseases and pathogenic bacteria. Such candles are used in the treatment of endometritis caused by chlamydia and opportunistic bacteria. Candles are placed twice a day, usually done in the morning and before bedtime.
- Combined candles. These are universal medicines that are effective against fungi of the genus Candida, some other pathogenic microorganisms and bacteria. To cure the disease, you need to put candles twice a day for 10 days.
- Preparations with antioxidant, anti-inflammatory and immunomodulatory effects. Appointed only after confirmation of the presence of adhesions and a strong inflammatory process using ultrasound diagnostics. Such drugs destroy adhesions and stop inflammation.
- Combined capsules for insertion into the vagina. Suppositories containing antifungal and antimicrobial substances do not violate the normal microflora of the vagina, which distinguishes them from most similar drugs.
- Candles, which contain iodine. Such agents have a depressing effect on pathogenic bacteria and opportunistic microorganisms. In addition, the drugs are distinguished by antifungal, disinfectant, antiseptic and antiprotozoal effects.
Physiotherapeutic procedures
In the treatment of uterine endometritis, physiotherapy is an important component that contributes to the best effect of drug therapy and the patient’s speedy recovery. Physiotherapeutic procedures are prescribed to reduce pain, restore the endometrium, activate local immune defense, and eliminate the inflammatory process. The main methods that are used in the treatment of chronic endometritis (including IVF) and acute are as follows:
- UFO (ultraviolet radiation). UF of the vagina leads to the death of most of the pathogenic microflora, in addition, the method helps to reduce pain.
- Reparative-regenerative methods. Procedures are carried out using a laser with infrared radiation, paraffin therapy, iodine-bromine baths, peloid therapy, hydrogen sulfide baths. These methods contribute to the development of new connective tissue and limit the excretion of fluid, stop swelling of tissues.
- UHF therapy. By using the electromagnetic field on the patient’s body, the inflammatory process in the uterine cavity can be reduced.
- LOC-therapy, UV-radiation, treatment with air baths, heliotherapy, thalassotherapy and similar methods are used to activate local immunity.
- The impact on the body of currents of medium frequency, which has a positive effect on the tissue. In addition, this method of therapy raises the pain threshold, so that pain is reduced on a subjective level.
- Laser therapy. Exposure to tissues enhances local immunity, promotes rapid healing, improves microcirculation. In addition, radiation has a certain bactericidal effect.
- UZT. Ultrasound of a certain frequency promotes the activation of metabolic processes and causes a number of positive changes in the tissues of the body. The procedure also prevents the formation of adhesions.
- Magnetotherapy. This alternative medicine method is used in the treatment of endometritis to relieve swelling, reduce the inflammatory process, improve microcirculation, and speedy healing of damaged tissues. In addition, magnetotherapy activates local immunity.
- Electrophoresis Used to relieve pain. During the procedure, the drug is injected inside under the influence of electric current and with the use of zinc, copper, iodine, calcium iodide .
Contraindications to physiotherapy
Physiotherapeutic procedures are relatively safe, but there are still some contraindications:
- acute phase of the disease;
- pregnancy period;
- polycystic ovary;
- uterine bleeding;
- pelvioperitonitis (inflammation of the peritoneum in the pelvic region);
- the presence of a tumor in the area of exposure;
- proliferation of the endometrium beyond the uterine cavity.
In other cases, the need for physiotherapy is determined by the attending gynecologist and physiotherapist.
Hormonal drugs for the treatment of endometritis
What treatment for endometritis is still prescribed? The cause of inflammation in the uterine cavity can be not only infections and viruses, but, for example, a violation of the processes of development and rejection of the inner layer of the uterus. This process normally occurs regularly: during menstruation, the rejected epithelium leaves the body, and after their completion (when the body begins to prepare again for a possible pregnancy), a new one grows. If conception does not occur, then the endometrium is rejected again - the next critical days come.
If there are abnormalities in this process, the doctor may prescribe hormonal drugs, which usually need to be used within three to six months. As a rule, these are oral contraceptives. Taking such drugs helps to normalize the menstrual cycle. In addition, when planning pregnancy, treatment of endometritis is mandatory so that the long-awaited event occurs sooner. Against the background of the so-called contraceptive withdrawal syndrome, many women almost immediately manage to conceive a child.
Treatment of chronic endometritis
Treatment of endometritis (chronic) requires an integrated approach and is carried out in stages. First, you need to eliminate the infectious agents that cause the inflammatory process. Then antibiotics and other drugs are used to treat endometritis. Often prescribed "Doxycycline" or "Sparflocacin." The further course of recovery is based on a combination of hormonal and metabolic therapy aimed at enhancing metabolic processes and microcirculation, which is necessary for the speedy restoration of damaged tissues.
Folk remedies in the treatment of the disease
Treatment of chronic endometritis with folk remedies is possible only in addition to the main therapy prescribed by a doctor, but in no case in its place. Usually, as part of alternative therapy, douching with decoctions and infusions of medicinal herbs is carried out. Here are some recipes for traditional healers:
- Bay leaf. 20 grams of dry raw materials, pour 0.5 liters of water and boil for five minutes. Allow the broth to cool slightly. Pour liquid into a bucket, sit on it for 10-15 minutes, wrapping a terry towel. The procedure should be performed before bedtime for two weeks. It also helps with other diseases of the genitourinary system.
- St. John's wort Twenty grams of raw material pour 0.5 liters of water and cook over low heat for about ten minutes. Ready strain broth, take half a tablespoon three times a day.
- Blueberries Pour a hundred grams of dried berries with a liter of water, boil and do not remove from the heat for another ten minutes. Cool the broth and take half a tablespoon three times a day. Such a drug has an antimicrobial, astringent and minor diuretic effect.
- Coltsfoot. Fill fifty grams of raw materials with a liter of boiling water and leave for four hours. Strain the broth and take a teaspoon four or five times a day. The tannins that make up this plant have anti-inflammatory and antibacterial effects.
- Orange and lemon. Wash and dry citrus fruits. Then grind using a blender or in a meat grinder. Add ten drops of onion juice and ten grams of sugar to the mass. Place the composition in a glass container, cover and shake. Take a teaspoon three times a day for three weeks.
Treatment of chronic endometritis with folk remedies improves the results of drug therapy and physiotherapeutic procedures, but it must be agreed with the attending physician.
Evaluation of treatment results
The effectiveness of therapy for uterine endometritis in modern medical practice is evaluated according to the following criteria:
- restoration of the regular menstrual cycle;
- elimination of pathogenic microflora, infection, pathogen;
- restoration of the structure of the endometrium (evaluated by ultrasound);
- the disappearance of signs of the disease (bleeding, pain);
- restoration of reproductive function.
Possible complications and consequences
The endometrium is the functional layer of the uterus that ensures the normal course of pregnancy. Various inflammatory processes localized in this area entail difficulties in conceiving and problems in bearing a child: the threat of miscarriage, placental insufficiency, heavy postpartum hemorrhage. Therefore, if a woman has endometriosis, pregnancy management should be carried out with special attention from the observing gynecologist.
The consequences of endometriosis are the formation of adhesions in the uterine cavity (which can cause difficulties with conception), cysts and polyps, menstrual irregularities, peritonitis. Adhesive disease is especially dangerous, which is accompanied by severe pain and subsequently leads to female infertility.