What are the symptoms and dangers of pelvic inflammatory disease and endometritis?

Endometritis is a common disease in life. There are many women around us suffering from endometritis. So what are the symptoms of endometritis? What are the dangers of endometritis?

Symptoms of endometritis

(1) Pelvic pain

During the menstrual interval, there is distending pain in the lower abdomen and soreness in the lumbar region.

(2) Increased vaginal discharge

Caused by increased secretion of endometrial glands. It is usually thin, watery, light yellow, and sometimes bloody. Senile endometritis presents as purulent leucorrhea, which often contains a small amount of blood. When there is pyometra, the discharge is purulent and has a foul odor.

(3) Excessive menstruation

Patients with endometritis will experience increased blood volume during menstruation, and the bleeding time will also be significantly prolonged. However, irregular bleeding is relatively rare.

(4) Dysmenorrhea

It is more common in nulliparous women, but severe dysmenorrhea is rare. It may be caused by excessive thickening of the endometrium, which hinders the normal degeneration and necrosis of tissues and stimulates excessive spasmodic contractions of the uterus.

Signs

In mild inflammation, no abnormalities may be found during bimanual examination. When uterine pyometra occurs, the uterus will be enlarged, spherical, soft and tender. Speculum examination can reveal that the cervix is ​​discharging bloody pus with a foul odor.

Endometritis test

For us, if we have a disease, we have to go to the hospital for treatment, and we need to be examined before treatment, right? So what kind of examinations are needed when we suffer from endometritis?

1. Speculum examination

Whenever possible, uterine fluid should be sent for bacterial culture and drug sensitivity testing, and smear testing should be performed for reference of the drug to be used. Speculum examination showed a large amount of purulent or foul, bloody and smelly secretions overflowing from the uterine opening. Cervical motion tenderness on bimanual examination. The uterus is swollen due to congestion and edema, and is soft and tender.

2. Routine blood test

The total white blood cell count and neutrophil count increased.

3. Diagnostic curettage

It can identify the cause of the disease and rule out malignant lesions. Inflammation should be controlled for three days before surgery, and antibiotics should continue to be given after surgery. The operation should be gentle during the operation because the infected uterine wall is fragile and can easily cause uterine perforation. The endometrium of senile endometritis is thin, so more care should be taken when scraping it. Endometritis after miscarriage may leave residual embryonic tissue, which should be carefully and thoroughly scraped out, which can often play a therapeutic role at the same time.

4. Pathological examination

The cause can be identified.

The dangers of endometritis

1. Lead to boring fun

Patients with endometritis, in addition to increased vaginal secretions, may also experience symptoms such as lower back pain and abdominal pain, which can cause the woman's sexual interest to drop rapidly.

2. Harm to the fallopian tubes and pelvic cavity

When acute endometritis is severe, the endometrium will become congested and the uterus will be tender. As it develops further, myometritis, salpingitis and pelvic inflammatory disease will occur.

3. Cause infertility

Since the main pathological changes of endometritis are endometrial congestion and edema, a large amount of inflammatory exudates, and a large number of plasma cells and lymphocyte infiltration in the interstitium, these changes are not conducive to the upward migration of sperm and the implantation and development of fertilized eggs, thus causing infertility.