Endometritis

Endometritis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate endometritis (endometritis/inflammation of the muscular layer): Leading symptoms Nonspecific endometritis Bleeding disorders (usually painless, even with ovulation inhibitors): spotting (pre-lubrication, esp. post-lubrication), metrorrhagia (intermittent bleeding), menometrorrhagia (intermittent bleeding lasting longer than 14 days) Specific endometritis: Puerperal (postpartum) endometritis. Low-flow puerperal (postpartum congestion). Malodorous lochia Fever 38-40 ° C, … Endometritis: Symptoms, Complaints, Signs

Endometritis: Causes

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 … Endometritis: Causes

Endometritis: Therapy

General measures Observance of the general hygiene measures! Genital hygiene Once a day, the genital area should be washed with a pH neutral care product. Washing several times a day with soap, intimate lotion or disinfectant destroys the natural acid mantle of the skin. Pure water dries out the skin, frequent washing irritates the skin. … Endometritis: Therapy

Endometritis: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), and leukocytes [are elevated only in advanced stages (myometritis, adnexitis) or in puerperal endometritis]. Fluorine diagnostics (discharge diagnostics) in the native preparation [bacteria?, lymphocytes?] Measurement of the pH of the vaginal secretion / vaginal secretion [alkaline?] Laboratory parameters … Endometritis: Test and Diagnosis

Endometritis: Drug Therapy

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 … Endometritis: Drug Therapy

Endometritis: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound using an ultrasound probe inserted into the vagina) – to evaluate the endometrium (lining of the uterus), uterus (womb), adnexa (fallopian tubes and ovaries), and lesser pelvis. Differentially important because there are no specific sonographic findings of endometritis.

Endometritis: Prevention

To prevent endometritis (endometrial inflammation), attention must be paid to reducing individual risk factors. Behavioral risk factors Sexual intercourse Promiscuity (frequently changing sexual partners). Sexual practices Excessive intimate hygiene Disease-related risk factors Sexually transmitted infections such as chlamydia, gonorrhea (gonorrhea), HIV infection and AIDS, syphilis (lues), ulcus molle (soft chancre). Other risk factors Intrauterine device … Endometritis: Prevention

Endometritis: Medical History

Medical history (history of illness) is an important component in the diagnosis of endometritis (inflammation of the endometrium/muscular layer of the uterus). Current anamnesis/systemic anamnesis (somatic and psychological complaints). Is the period regular? Prelubrication? Relubrication? Doesintermittent bleeding occur? When? Do you have lower abdominal pain (cramps, constant pain, load-dependent,digestion-dependent?). Burning when urinating? Diarrhea? Constipation? Pain … Endometritis: Medical History

Endometritis: Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Sexually transmitted infections such as: Chlamydia Gonorrhea (gonorrhea) HIV infection and AIDS Syphilis (Lues) Ulcus molle (soft chancre) Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Appendicitis (appendicitis). Enteritis (inflammation of the small intestine) Colitis (inflammation of the intestine) Neoplasms – tumor diseases (C00-D48) Cervical carcinoma (cervical cancer). Endometrial … Endometritis: Or something else? Differential Diagnosis

Endometritis: Complications

The following are the most important diseases or complications that can be caused by endometritis (inflammation of the endometrium/muscular layer of the uterus): Infectious and parasitic diseases (A00-B99). Sepsis (blood poisoning) Toxic shock syndrome (TSS; synonym: tampon disease). Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Adnexitis (ovarian inflammation). Pelveoperitonitis (peritonitis confined to the … Endometritis: Complications

Endometritis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vaginal) [fluorine/discharge?, color?, foetor/odor?] Cervix uteri (cervix), … Endometritis: Examination