The field of diseases studied by gynecology, unfortunately, is very extensive. Among them there are acute forms and diseases that have become chronic. One of these ailments is chronic endometritis.
Medicine has well studied the causes of chronic endometritis, diagnosis, symptoms, investigated one of the main directions in the study of the disease - chronic endometritis and pregnancy, found effective treatment methods. A similar diagnosis is now made in 14% of cases of gynecological pathologies.
To begin with, chronic endometritis is an inflammatory process. It occurs due to poor treatment of acute endometritis. Inflammation occurs due to various factors causing trauma to the uterus, cervix as a result of abortions, other surgical interventions (blowing tubes, curettage, numerous cervical ruptures during childbirth, etc.). A powerful catalyst that enhances the symptoms of chronic endometritis is weakened immunity.
The whole essence of the problem called chronic endometritis and pregnancy is the formation of intrauterine adhesions, the so-called synechia, and intrauterine seals (sclerosis). As a rule, such "traces", formed from a single case of inflammation of the walls of the uterus, remain there forever. Further, the endometrial receptors as a result of sustained trauma begin to function incorrectly. This is expressed in malfunctions of the menstrual cycle, abnormal maturation of the endometrium (thickening) in the second period of the cycle. These pathologies are already sufficient for doubts in combining endometritis and pregnancy, because they cause spontaneous miscarriages and often even infertility.
But chronic endometritis and pregnancy are not always mutually exclusive concepts. Due to malfunctions in the functioning of the endometrium, its poor preparedness, important processes on the path to conception are complicated, the introduction of the fetal egg and its development are disrupted. Of course, in a woman whose diagnosis is chronic endometritis, pregnancy may occur, but the likelihood of this is very small and a preliminary examination by a specialist is considered the best way.
In order to properly treat chronic endometritis, it must be accurately diagnosed. The diagnosis of the disease is based on its clinical manifestations, namely, aching abdominal pains, uterine bleeding of varying degrees at any period of the cycle, seals in the uterus and its pain during gynecological examination, purulent discharge, which has an unpleasant odor. The diagnosis is clarified during an ultrasound examination, the final confirmation is made by the method of histological examination of endometrial scraping.
It also happens that during a gynecological examination a woman is diagnosed with chronic endometritis, and pregnancy still occurs.
An illness that is alarming for any woman during this period becomes much more dangerous. If at an early stage it is not possible to detect inflammation and not undergo a course of treatment, then the disease can affect the membranes, and then the fetus. The sad end in this scenario may be the death of a child in the womb.
As a rule, treatment of chronic endometritis is complex. It includes the treatment of diseases that are concomitant, and is based on the adoption of restorative, sedative drugs, vitamins. Physiotherapy is also prescribed to activate endometrial receptors.
At the stage of exacerbation of endometritis, the doctor prescribes antibiotics, the most effective is their introduction directly into the mucous membrane of the uterus. Unreasonable is considered antibiotic treatment during the period of remission.