Diseases of the female reproductive system can be safely called one of the most common. And today, in gynecological practice, endometrial inflammation is often diagnosed. Why does endometritis occur ? What is this What are its symptoms? How dangerous is this disease? These questions are of interest to many women.
Endometritis: what is it?
The endometrium is a special tissue of the uterus, which provides implantation and further development of a fertilized egg. This shell consists of two layers - the functional (it is rejected every month in the absence of fertilization) and the basal, which ensures the development of new functional tissues.
Normally, the uterine mucosa is reliably protected from infection. Nevertheless, minor injuries contribute to the activation of bacteria, which leads to inflammation - thus, endometritis occurs.
The main causes of endometritis
As already mentioned, the cause of inflammation is most often pathogenic bacteria. The pathogen can be chlamydia, mycoplasmas and other microorganisms that are sexually transmitted. On the other hand, endometritis can also be nonspecific - in connection with the weakening of local immunity, conditionally pathogenic microflora (staphylococci, streptococci, etc.) are activated.
But the presence of infection is not enough for the development of inflammation. Endometritis most often develops against the background of mechanical damage to the functional layer of the uterus. This happens with various gynecological procedures (diagnostic curettage, abortion, hysteroscopy, installation of an intrauterine device). Risk factors include inept and frequent douching. Endometritis is often found in women who have had a difficult birth.
What are the symptoms of inflammation?
Most often, the disease begins with a general malaise: women complain of weakness, drowsiness and fatigue. There is a febrile condition. Along with this, pains appear in the lower abdomen, which are often given to the sacral region. The intensity of pain attacks can be different.
With endometritis, serous or purulent discharge from the vagina appears, sometimes blood impurities can be noticed in them. Having noticed the characteristic signs of endometritis, you should immediately consult a gynecologist. Indeed, in the absence of timely assistance, inflammation can spread to the muscle layer, which is extremely dangerous.
Chronic endometritis: what is it?
Most often, a chronic form of the disease develops as a result of improper or inadequate treatment of acute inflammation. Infertility, miscarriages, complications during pregnancy, proliferation of cysts and polyps - all these can be complications caused by chronic endometritis. Symptoms in this case are not so noticeable. Nevertheless, many patients notice changes in the menstrual cycle. There are pulling pains in the lower abdomen, as well as uncharacteristic vaginal discharge.
How is endometrial inflammation treated?
In no case should you self-medicate. Only the doctor knows why endometritis appears, what it is, and what treatment regimen is better to choose. As a rule, the pathogen is first identified and the appropriate drugs are selected - these are antibiotics, antifungal agents, and sometimes metronidazole (when anaerobic pathogens are attached). Therapy includes the administration of antihistamines and anti-inflammatory drugs, as well as multivitamins and immunomodulating drugs.