Therapeutic target
The therapeutic goal, in addition to healing and limiting endometritis to the zona functionalis (layer of varying width (up to 5 mm) that is subject to marked cyclic change and is completely shed in phases), is to prevent, if possible, extension of the disease to the myometrium (middle layer of the wall of the uterus consisting of smooth muscle), the adnexa (fallopian tubes and ovary), and the lesser pelvis and to prevent sepsis (blood poisoning).
Therapy recommendations
- Antibiosis (antibiotic therapy): penicillins, cephalosporins nitroimidazoles.
- Analgesia (analgesics/painkillers: non-acid analgesics, e.g., acetaminophen), antiphlogistics (anti-inflammatory drugs: non-steroidal anti-inflammatory drugs), antipyretics (antipyretic drugs).
- For fever > 38 °C, i.v. therapy, inpatient.
- See also under “Further therapy“.
