Endometritis diagnosis method

For women, gynecological diseases can cause great harm to the body, especially some gynecological diseases can cause infertility in women, which will have a certain impact on both physical and mental health. However, there are many types of gynecological diseases. If we want to get better treatment, we must diagnose the disease and prescribe the right medicine to get effective treatment. So what is the diagnosis method of endometriosis? Let's learn about it together.

Endometritis diagnosis method

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. Laboratory tests showed an increase in the total white blood cell count and neutrophil count.

2. 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 to reduce inflammation. 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.

3. Pathological examination

treat

1. General treatment

(1) The diet should consist of liquid or semi-liquid foods that are easily digestible and contain high calories, high protein, and multiple vitamins. For those who cannot eat, they should receive intravenous nutrition and water supplements, and pay attention to correcting electrolyte imbalance and acidosis.

(2) Patients with acute endometritis should rest in bed, preferably in a semi-recumbent position, to help limit the inflammation and drain uterine secretions.

(3) Apply hot compress to the lower abdomen to promote the absorption of inflammation and relieve pain;

(4) Maintain smooth bowel movements to relieve pelvic congestion and facilitate toxin excretion;

(5) Physical cooling can be used when the fever is high;

(6) Excessive gynecological examinations should be avoided to prevent the spread of inflammation.

2. Medication

(1) Intrauterine medication: For married patients, intrauterine medication can be used. Before the operation, the size and position of the uterus should be determined by bimanual examination. After the vulva and vagina are disinfected and the depth of the uterine cavity is detected, a sterile urinary catheter is inserted from the cervical os into the uterine cavity. The depth should be less than 0.5 cm. The selected drug is slowly injected into the uterine cavity through the urinary catheter. After all the drug solution has entered the uterine cavity, the urinary catheter is removed. The patient should lie flat or raise his hips for 1 to 2 hours. This method is repeated once a day and is discontinued during menstruation. Since this method allows the drug to act directly on the lesion, it is often effective.

(2) Antibiotic treatment and cleaning of the uterine cavity: For endometritis that occurs after delivery or abortion, if there is suspected placental tissue residue, it should be removed immediately while using antibiotics. When the antibiotic dose reaches a certain level and the inflammation is under control, curettage can be performed to prevent the spread of inflammation. If there is active uterine bleeding, the uterine cavity can be cleaned with the use of large amounts of antibiotics

The above is an introduction to the diagnosis method of endometritis. After understanding it, we know that we cannot rely solely on our own experience and some symptoms to diagnose the disease. We must believe in science and go to the hospital for examination and treatment. Only in this way can the disease be accurately diagnosed, and the treatment will not take many detours and can be treated more directly.