What is the best treatment for endometritis?

Everyone has heard of endometritis, but no one can explain exactly what it is. People may experience some symptoms in their life without knowing that they have this inflammation. Ignorance in the early stages and failure to seek timely medical treatment in the later stages will aggravate the condition. In fact, there are many ways to treat endometritis, and we must choose a method that suits us. Let’s learn about it together.

Treatment and care

In addition to the main use of antibiotics during treatment, obvious causes must be removed, such as removing the intrauterine contraceptive device, clearing residual placental tissue and endometrial polyps in the uterine cavity, etc. If there are submucosal uterine fibroids or endometrial cancer, appropriate treatment should be given according to the situation. Patients with uterine cavity pyometra should have their cervix dilated to facilitate drainage of the pus, and a diagnostic curettage should be performed after the inflammation is controlled to rule out the presence of cancer. Physical therapy may sometimes be considered for chronic cases. The main Western medical treatment for endometritis is the use of antibiotics. The appropriate antibiotics can be selected based on drug sensitivity tests. If the condition is severe, combination therapy should be used with reasonable compatibility.

1. General treatment

Patients with acute endometritis should rest in bed, preferably in a semi-recumbent position, to help limit the inflammation and drain the uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of inflammation and relieve pain; bowel movements should be kept open to reduce pelvic congestion and facilitate the excretion of toxins; excessive gynecological examinations should be avoided to prevent the spread of inflammation; physical cooling can be used for high fever; a diet of liquid or semi-liquid, easily digestible foods containing high calories, high protein, and multiple vitamins is recommended. Those who cannot eat should receive intravenous nutrition and water supplements, and pay attention to correcting electrolyte imbalances and acidosis.

2. Clear uterine cavity residues and other foreign matter

If endometritis occurs after delivery or abortion and there is suspected placental tissue residue, it should be removed immediately while using antibiotics. However, it is advisable to gently protrude the residue in the uterine cavity and try not to perform a curettage. Curettage can only be performed when the antibiotic dose reaches a certain level and the inflammation is under control 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. For those who have contraceptive devices in their uterus, they should be removed as soon as possible to eliminate the primary lesion and control the spread of inflammation.

3. Uterine dilation and drainage and estrogen therapy

For chronic endometritis and senile endometritis, the method of dilating the cervix can be used in conjunction with treatment to facilitate the drainage of uterine secretions and eliminate the inducement. Elderly patients can also use a small amount of estrogen.

Treatment of chronic endometritis:

When treating chronic endometritis, the first thing to do is to see if there are any causing factors, such as retained placenta, intrauterine contraceptive device, etc. How to treat chronic endometritis? If these causes are removed, chronic endometritis will heal quickly. Otherwise, simply reducing inflammation will not have significant therapeutic effects. The intrauterine contraceptive device should be removed. For chronic endometritis caused by delivery or abortion, a careful curettage should be performed to remove the residual degenerated placental tissue. Endometrial polyps should be removed. If submucosal uterine fibroids or endometrial cancer are found, active treatment should be given according to the situation. For senile endometritis, the cervix can be dilated to facilitate the outflow of blood or secretions. At the same time, 1 mg of diethylstilbestrol can be taken orally daily for 1 month. It can have therapeutic effects; if appropriate antibiotics such as penicillin, streptomycin, erythromycin, gentamicin, etc. are added, the efficacy can be improved. But it must be used under the guidance of a doctor. With proper treatment, the vast majority of patients can be cured. You must have confidence in your chances of recovery and persist in treatment. Otherwise, you will fail halfway.

There is no need to change color when you mention being sick. Our technology and medicine are developing so rapidly nowadays. As long as the disease is discovered and treated in time, there is a way to recover. Endometritis is not an incurable disease for us. Here the editor wants to tell you that if you find any problems, you must seek medical attention in time and cooperate with the doctor's treatment.