What are the symptoms of endometritis?

Endometritis, also known as endometritis, is a condition in which the structure of the endometrium changes due to some reason. For example, bacteria can ascend through the vagina and cause endometritis. This disease often leads to repeated attacks, menstrual pain, soreness in the lumbar region, etc. In addition, women will experience increased vaginal discharge, increased menstruation, etc. Let's take a look at the symptoms of endometritis.

What are the symptoms of endometritis?

1. Chronic endometritis

1. Symptoms

(1) Pelvic pain: Pain in the lower abdomen and lumbar pain during the menstrual interval. Some patients may not have any symptoms.

(2) Increased vaginal discharge is 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) Menorrhagia: Menstrual periods are regular but the amount of menstrual blood doubles and the bleeding period is significantly prolonged. Irregular bleeding is less common.

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

2. Physical signs

The uterus may be enlarged and tender; the parauterine tissue may be thickened and tender. 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.

(ii) Acute endometritis

1. Symptoms

Mild fever, lower abdominal pain, increased leucorrhea, sometimes bloody, and with a foul odor if it is an anaerobic infection. The symptoms of acute endometritis that occurs after delivery or abortion are more severe, while endometritis caused by other reasons is mostly mild.

2. Physical signs

The uterus may be mildly tender during examination. If the condition is not controlled in time, it will further cause uterine myositis, acute salpingitis, pelvic inflammatory disease, etc. The patient's body temperature will rise significantly, reaching above 39°C, and there will be obvious tenderness in the lower abdomen.