Pathogenesis (development of disease)
It is an ascending (ascending) infection. An open cervical canal (uterine canal), secretion or blood as a germinal route, and an endometrium injured by menstruation, miscarriage, puerperium, intrauterine device (IUD), and others are the basis for infection. If only the zona functionalis of the endometrium is affected, the inflammation may heal with shedding at the next menstruation. If the zona basalis is also affected, the inflammation persists, and endomyometritis inflammation of the endometrium and musculature usually develops). Descending (descending) or hematogenous (“spread by the bloodstream”) inflammation is possible but rare, and primarily involves endometritis tuberculosa (endometritis caused by tuberculosis).
Etiology (causes)
Behavioral causes
- Sexual intercourse
- Promiscuity (frequently changing sexual partners).
- Sexual practices
- Excessive intimate hygiene
Causes related to disease
- Sexually transmitted infections such as chlamydia, gonorrhea (gonorrhea), HIV infection and AIDS, syphilis (lues), ulcus molle (soft chancre).
Operations
- Operations in the perineal area, vagina (vaginal), cervix (cervix), intrauterine procedures.
Other causes
- Abortion
- Birth
- Intrauterine device (“IUD”)
- Pregnancy
- Abdominal hypothermia