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What is endometritis?
Endometritis - inflammation of the inner mucous membrane of the uterus (endometrium). It can be caused by staphylococcus, streptococcus or gonococcal, as well as E. coli and some other microbes. An often occurring inflammatory disease of female genital organs.
Causes of endometritis
The cause of endometritis is the penetration of infection into the uterine cavity. This is facilitated by non-compliance with the rules of personal hygiene, a disorderly change of sexual partners, a general decrease in immunity. Any gynecological interventions - abortions, diagnostic and therapeutic scraping, uterine sensing, hysteroscopy - can become a mechanism of penetration of the infection into the uterine cavity. It's no secret that about 10 percent of abortions result in endometritis.
Infection occurs not because of violation of any rules for these interventions by physicians, but because of the very violation of the protective barrier at the entrance to the uterus and the reduction of local immunity after a mechanical trauma.
Endometritis and intrauterine device
Any spiral, even modern, containing hormones - a foreign body. This is how it is perceived by the body, it is on this basis the mechanism of its action is based. The spiral itself does not increase the frequency of endometritis development. But her presence in the uterus can make the disease worse. When the endometrium is always removed the spiral. A woman with a spiral should visit the gynecologist more often.
Symptoms of endometritis
Heat and pain in the lower abdomen.
Bloody or purulent discharge.
Pain in the lower abdomen after any gynecological intervention conducted recently - an occasion to consult a doctor. Typically, endometritis begins immediately after menstruation, labor or gynecological intervention. As with any other inflammatory disease, the course and prognosis of endometritis depends on the treatment.
Treatment of endometritis
Usually for 7-10 days of competent treatment it is possible to cope with endometritis. On the 2-3 day after the onset of antibiotic therapy, pain disappears, and discharge decreases. Severe course of the disease requires hospitalization and inpatient treatment. During the treatment of endometritis, sexual activity is contraindicated. One cycle must pass, only after the next month you can live a sexual life.
At a very high temperature, signs of intoxication require inpatient treatment, detoxification therapy, drip intravenous drug administration.
In cases where the cause of the endometritis is the remains of the fetal egg after an unsuccessful abortion or with postpartum endometritis, when the uterus retains a part of the placenta, therapeutic-diagnostic hysteroscopy is performed. During the study, you can and put an accurate diagnosis, and remove the cause of the disease.
In acute endometritis, an intravenous infusion of a solution of clindamycin or gentamicin is prescribed. Treatment continues until there is a stable improvement lasting at least 24 hours. Reception of oral antibiotics after such treatment is usually not required.
For the treatment of chronic endometritis, amoxicillin, gentamicin, or metronidazole may be used for oral administration, or a combination of these types of antibiotics. If endometritis is caused by chlamydia, doxycycline is prescribed.
Complications of endometritis
The most dangerous complication of endometritis is the spread of infection. Tubes and ovaries can be affected, peritonitis, and even septicemia may develop. The consequences of these complications are adhesions of the uterus, pelvic organs, intestines. Adhesive process causes disruption of the intestines, fallopian tubes, ovaries and can cause abdominal pain, infertility or ectopic pregnancy.