Inflammation of the uterus

The uterus is an important part of the female reproductive system and plays a very important role in female fertility. In addition, some health problems of the uterus can also pose a great threat to human health. Many women have the problem of metritis. So, what is the most effective way to treat metritis? Here I will introduce to you the treatment methods for uterine inflammation!

The following methods can be adopted in the treatment of patients with acute endometritis: ① Supportive treatment, adjusting the patient's nutritional status, and correcting their water and electrolytes. If the patient has anemia or is seriously ill, plasma or fresh blood can be appropriately transfused. ② Timely uterine curettage. If ultrasound examination shows residual tissue in the uterine cavity, antibiotics should be used and then removed immediately [4]. If there is a foreign object such as an IUD in the patient's uterine cavity, it must be removed immediately. It should be noted that the patient should be in a semi-recumbent position to facilitate drainage. ③ The application of antibiotics requires the use of broad-spectrum and highly effective antibiotics based on the results of drug sensitivity tests. Before that, 8 million U of penicillin or 240,000 U of gentamicin can be used, combined with 200 mg of metronidazole. For patients with severe conditions, third-generation cephalosporin antibiotics can be used directly; for patients with severe poisoning symptoms, combined treatment with adrenal corticosteroids can be used in the short term to help improve the body's stress resistance.

Antibiotics are the first choice when treating patients with chronic endometritis while the cause is determined. If chronic endometritis is caused by miscarriage, delivery, or removal of an intrauterine contraceptive device, a strict curettage can be performed to remove the organization and residual placental tissue. If the patient has signs of submucosal fibroids or endometrial polyps, a hysteroscopy can be performed, followed by electrocautery resection under the microscope. If the patient is an elderly patient, diagnostic curettage is required to remove the outer endometrium of the malignant lesions. A small amount of estrogen can be used for treatment, with 1 mg of Progynova taken orally daily for 21 consecutive days. Starting on the 11th day, 8 mg of medroxyprogesterone can be added daily for 10 consecutive days.

When treating patients with intrauterine pyometra, an intrauterine probe can be inserted deep into the uterine cavity to allow the pus to flow out. In special circumstances, the cervix can be dilated or the intrauterine cavity can be suctioned to drain the pus. For some patients, when it is difficult to insert the probe due to scarring or curvature of the cervical canal, 600g of misoprostol should be placed in the posterior fornix of the vagina to facilitate uterine dilation. If the drainage effect is not good, a double-lumen catheter can be inserted into the uterine cavity for drainage, while preventing the uterine cavity from being blocked again in the short term, which may affect the discharge of pus. It should be noted that during the treatment process, patients need to be treated with combined antibiotics.