What are the symptoms of tuberculous endometritis?

Tuberculous endometritis is also a type of endometritis, which is mainly caused by endometritis infection. Some symptoms of tuberculous endometritis are somewhat similar to the needle-like symptoms of ordinary endometritis, so everyone needs to learn how to distinguish them.

Pyometra sometimes has no systemic symptoms, but because it is often combined with senile vaginitis, foul-smelling leucorrhea is sometimes easily attributed to this lesion. Special attention should be paid to the presence of uterine cancer (diagnostic curettage), and care should also be taken not to misdiagnose an enlarged and soft uterus as an ovarian cyst.

(1) Pelvic pain: About 40% of patients complain of lower abdominal distension and pain and lumbar pain during the menstrual interval.

(ii) Increased leucorrhea: This is caused by increased secretion of endometrial glands and is generally thin, watery, light yellow, and sometimes bloody.

(III) Menorrhagia: Menstrual periods remain regular, but the menstrual volume doubles and the bleeding period is significantly prolonged. Only a very small number of patients develop anemia due to heavy bleeding, which may be caused by endometrial thickening and inflammatory congestion. Irregular bleeding is rare and may last for several hours or 1 to 2 days before stopping.

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

Senile endometritis is often accompanied by atrophic vaginitis and the appearance of purulent leucorrhea, which often contains a small amount of blood and is often easily mistaken for uterine malignancy. When pyometra occurs, the secretions are purulent and have a foul odor. In addition to dull abdominal pain, the patient may have symptoms of systemic inflammatory response, but there are also asymptomatic patients.

Signs: For patients with mild inflammation, no abnormalities may be found during bimanual examination, so it is often diagnosed as dysfunctional uterine bleeding clinically. Someone performed pathological tissue examination on 1,000 patients with dysfunctional uterine bleeding and found that 11% had endometritis.