Chronic metroendometritis is a fairly common problem that is mainly encountered by adult women. The disease is accompanied by inflammation of the mucous membrane and muscle layer of the uterus. Often, in the absence of therapy, serious complications are possible, in particular inflammation of the peritoneum and vessels of the pelvis and even sepsis.
Chronic metroendometritis: causes of the disease
In most cases, chronic inflammation occurs as a result of improper treatment of the acute form of the disease. Nevertheless, chronic metroendometritis can also be an independent, primary disease.
The most common cause of the inflammatory process is a bacterial infection. It can be chlamydia, gonococcus and other sexually transmitted microorganisms. But in addition, the activation of opportunistic microflora is possible, which is associated with a local or general decrease in immune defense.
Risk factors include abortion, diagnostic curettage, and other gynecological procedures. Chronic metroendometritis often occurs as a postpartum complication. Sometimes the disease appears after removal of polyps or tumors of the uterus. In any case, it is extremely important to notice the first symptoms and consult a doctor in time.
Chronic metroendometritis: the main symptoms
Unfortunately, the chronic form of this disease is often accompanied by inexpressive symptoms, which greatly complicates the diagnosis process. Some patients complain of pulling pains in the groin, which either arise or disappear altogether. Sometimes there is the appearance of copious mucous or purulent discharge.
As already mentioned, the disease is dangerous to health. The fact is that the infection can spread through the lymphatic vessels, affecting neighboring organs. In the absence of therapy, complications can occur, in particular phlebitis of the vessels of the pelvis, as well as inflammation of the peritoneum. Since the inflammatory process penetrates the uterine muscle layer, as the disease develops, the muscle tissue is replaced by connective tissue elements - the organ becomes denser, increases in size and loses its basic functions.
Chronic metroendometritis: treatment and diagnosis
Of course, in order to make a final diagnosis, the doctor will need the results of the tests. For example, in a blood test, you may notice an increase in white blood cell count. A vaginal smear with further laboratory inoculation helps to determine the type of pathogen. Informative is the ultrasound examination of the reproductive system.
As for therapy, in this case antibacterial agents are used, including antibiotics from the penicillin series. In addition, patients are prescribed vitamins (ascorbic and folic acid, B vitamins) and immunomodulating drugs - this helps activate the body's defense system and speed up the treatment process.
Physiotherapy is also considered necessary. It is proved that UHF procedures and infrared radiation have a positive effect on the state of the reproductive system and effectively eliminates the inflammatory process.
Treatment of chronic inflammation is a long process. It will be important to proper nutrition, stay in the fresh air, physiotherapy exercises, which normalizes blood circulation and eliminates fluid congestion. Doctors also recommend physiotherapy and spa treatment.