Inflammation of the uterine mucosa is called endometritis. It can be chronic and acute. This disease necessarily requires adequate treatment, otherwise it can lead to various pathologies, including infertility.
Moreover, with such a form, even IVF will not help a woman to become pregnant. In this case, the only option would be to use the services of a surrogate mother.
In general, chronic sluggish endometritis without obvious symptoms leads to such serious consequences. He almost does not manifest himself, and a woman goes to the doctor too late, when she can no longer get pregnant or bear a child.
As a rule, acute endometritis, the treatment of which should be carried out in a hospital, becomes chronic if measures are not taken timely, inadequately or not at all. Therefore, it is important to consult a gynecologist at the first sign of a disease, especially if it was preceded by childbirth, abortion, menstruation, installation of a spiral, surgical or diagnostic manipulation.
So, acute endometritis symptoms:
- temperature increase to 38;
- pain and heaviness in the abdomen;
- sleep disturbance, anxiety, irritability;
- purulent discharge with blood ;
- the uterus is enlarged, its consistency is softer;
- in the analysis of blood, ESR and white blood cells are increased.
Usually, inflammation is detected several days after infection. With adequate treatment, recovery occurs after 10 days. Otherwise, the disease will become chronic. And to deal with it is much more difficult.
Chronic endometritis symptoms:
- spotting after and before menstruation, and also between them;
- periodic purulent discharge;
- upon examination, palpation of the uterus is painless, but it is compacted and enlarged;
- aching abdominal pain, extending to the lower back;
- miscarriage or infertility.
For its diagnosis, curettage of the uterus is used, followed by an examination of endometrial scraping. Manipulation is carried out on the 9th day of the cycle. In addition, ultrasound helps to identify changes in the structure of the endometrium.
If the doctor suspects that the patient has acute endometritis, the symptoms are confirmed by studies, then she is sent to the hospital. There, she is prescribed bed rest, intestinal function control, and diet. A woman is prescribed antibiotics. Cold is applied to the stomach in the first few days. In addition, antihistamines, anti-inflammatory and general strengthening drugs are prescribed.
Endometritis can be specific, that is, caused by gonococci, chlamydia and other microorganisms, which normally should not be in the body. As a rule, an STD leads to it.
The causative agents of non-specific endometritis are opportunistic flora, that is, organisms that may be present in small amounts in the body. However, when there are too many of them, they cause inflammation.
For the treatment of chronic endometritis, restorative, sedative, antihistamines and vitamins are used. In addition, physiotherapeutic procedures are used, such as acupuncture, UV, UHF, electrophoresis with zinc or iodine, ultrasound.
If there is uterine bleeding, then use dicinone, aminocaproic acid, hormonal homeostasis. Immunostimulating therapy is used. If signs of exacerbation appear, then antibacterial drugs are used.
An important component of the treatment of chronic endometritis is the normalization of vaginal microflora. For this, vaginal tampons with bifidumbacterin, lactobacterin are used.
So, if a woman suspects acute or chronic endometritis, the symptoms and studies confirm the fear, then you should immediately consult a doctor. Since untimely and inadequate treatment can deprive her of the joy of motherhood, as well as cause uterine bleeding and other problems.