How to treat endometritis

How to treat endometritis

Endometritis is a common gynecological disease that has a great adverse effect on women's health. When this symptom appears, you must go to the hospital for examination and treatment in time. There are many treatment methods, such as physical therapy, surgical treatment, drug therapy, etc. You can choose different treatment methods according to the specific symptoms. You should also emphasize regular care and do a good job of prevention.

1. Drug treatment: For senile endometritis, 0.25-0.5 mg of diethylstilbestrol can be taken orally once a day for 1-2 weeks, and appropriate antibiotics can be used for treatment for 5-7 days. At the same time, treatment is given for senile vaginitis (see senile vaginitis).

2. Physical therapy: When drug therapy is ineffective, patients with moderate to severe conditions can choose physical therapy. However, physical therapy can cause harm to the body and has significant side effects. It can easily lead to insensitivity of the vaginal wall nerves, lack of pleasure in sexual life, and infertility. Therefore, infertile women should not use this therapy.

3. Surgical treatment: When both drug therapy and physical therapy are ineffective, severe patients can choose to undergo cervical conization or total hysterectomy. Surgical treatment is not recommended unless it is absolutely necessary.

1) Patients with uterine pyometra should immediately dilate the cervix and drain the pus. After the operation, a rubber drainage tube was placed in the cervical tube until no pus flowed out, and the above-mentioned drugs were used at the same time. In order to rule out cancer, the cervical canal and uterine cavity can be gently scraped after pus drainage, and the tissue obtained can be sent for pathological examination.

2) If diagnosed as cancer, treat it as such. Pus should be sent for bacterial culture and drug sensitivity test as a reference for selecting antibiotics.

3) Non-cancerous intrauterine pyometra can be treated with intrauterine lavage using disinfectant solutions such as 1:5000 potassium permanganate solution or iodine solution (3% iodine dissolved in normal saline, the alcohol content should be less than 50%). The pressure should be low and the speed slow during lavage. If there is no double-lumen uterine lavage tube, the catheter can be inserted into the uterine cavity and the drug solution can be injected with a 100ml syringe. The amount of irrigation fluid for one time depends on the amount of pus accumulation, usually 30 to 50 ml. The irrigation fluid must be drained out before the second injection of the medicine. This process should be repeated several times until the outflowing fluid is clearer, and then a rubber tube should be placed for drainage. Do this once a day.

3. If any obvious inducement is found, it should be removed.

Patients with acute endometritis should receive prompt and thorough treatment to prevent the disease from becoming chronic. You should keep a good mood, pay attention to nutrition, combine work and rest, enhance your own resistance and improve your physical fitness.

Western medicine is more thorough in treating chronic endometritis, especially surgical treatment can directly reach the lesion for chronic endometritis, and the prognosis is good. Patients with chronic endometritis can try Western medicine for treatment.

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