Uterine Inflammation (Endometritis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate endometritis (inflammation of the uterus/myometritis):

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, often evening temperature spikes.
      • Headache, typically forehead headache
    • Puerperal sepsis-endotoxin shock, toxic shock syndrome (TSS; synonym: tampon disease) due to streptococcus A or staphylococcus.
      • Patchy, flush-like exanthema (acute onset rash).
      • Fever ≥ 39 °C
      • Coagulation disorders
      • Gastrointestinal complaints (gastrointestinal symptoms) such as nonspecific abdominal pain, vomiting, diarrhea.
      • Hypotension (low blood pressure)/circulatory shock.
      • Myalgia (muscle pain)
      • Confusion, clouding of consciousness
      • Multi-organ failure (MODS, Multi organ dysfunction syndrome; MOF: Multi organ failure) – simultaneous or sequential failure or severe functional impairment of various vital organ systems of the body.

Associated symptoms

  • Non-specific endometritis
    • General feeling of weakness
    • Lower abdominal pain
  • Specific endometritis: puerperal endometritis.