How long does it take to cure endometritis?

Endometritis is a health problem that many people have and is also a gynecological disease that threatens many women. Endometritis is not easy to treat, but if not treated in time, it may even worsen the condition and cause many other types of gynecological inflammations. How long does it take for endometritis to heal? This mainly depends on the patient's condition, constitution and specific treatment method.

(1) The diet should be liquid or semi-liquid, easily digestible food containing high calories, high protein, and multiple vitamins. For those who cannot eat, they should be given intravenous nutrition and water supplements, and attention should be paid to correcting electrolyte disorders and acidosis;

(2) Patients with acute endometritis should rest in bed, preferably in a semi-recumbent position, to facilitate the limitation of inflammation and drainage of 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.

1. Antibiotic treatment

Antibiotic treatment is the main method. The principles of antibiotic treatment are: empirical, broad-spectrum, timely and individualized. The selection of antibiotics should cover all possible pathogens, or antibiotic treatment can be selected based on the results of pathogen culture and drug sensitivity.

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 catheter is inserted into the uterine cavity from the cervical os, with a depth less than 0.5 cm. The selected drug is slowly injected into the uterine cavity through the catheter. After all the drug liquid has entered the uterine cavity, the catheter is removed, and the patient should lie flat or in bed with the hips elevated for 1 to 2 hours. This method is repeated once a day and is discontinued during menstruation. Since this method can make the drug act directly on the lesion, it often has significant therapeutic effects.

3. Clean the uterine cavity

If endometritis occurs after delivery or abortion, if there is suspected placental tissue residue, it should be removed immediately while using antibiotics. When the antibiotics reach a certain dose 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.