The inner surface of the uterus is regularly renewed, however, and it is prone to inflammatory processes, so women's health is very fragile and one needs to notice the slightest unpleasant sensations. It is with the inner surface of the uterus that the disease is associated, which you can read about in this article, meaning chronic endometritis.
Usually, the disease only inflames the endometrium, the inner layer of the cells of the uterus, but sometimes the infection also penetrates into the middle, muscle layer or even affects the connective tissue membrane of the uterus. Chronic endometritis is classified into a related and unrelated to pregnancy variety. If the condition is not associated with pregnancy, it is called inflammation of the pelvic organs, since it spreads to other female genital organs: the ovaries, the fallopian tubes. Sometimes even the peritonitis of the lower floor develops, and this is a direct threat to life.
Symptoms of chronic endometritis include not only fever, but also discharge with a bad smell from the vagina, tenderness during sex, and just below the abdomen, irregular bleeding not associated with menstruation. Exacerbations can be very dangerous. If you suddenly have a fever and take a value of 38 degrees on the background of soreness in the lower abdomen or pelvic region, immediately call an ambulance, this is very serious.
Most often, chronic endometritis is caused by pathogens of infections that become sexually transmitted. This is in most cases those microorganisms that cause chlamydia and gonorrhea. It is also possible to enter other pathogens when installing an intrauterine device, miscarriage, abortion or childbirth. In addition, you run the risk if you took a sample of endometrial tissue without meeting the necessary hygiene requirements.
At risk, women younger than 25 who have many sexual partners and use non-barrier remedies. If there was a history of sexually transmitted diseases, the likelihood of getting an endometritis is extremely high. Also at risk are women who use the shower very actively for hygienic procedures and violate the natural balance of the vagina. Therefore, you need to know the measure even in hygiene.
For the diagnosis, urine samples and swabs from the vagina are taken. Also, ultrasound is used, which allows to estimate the scale of inflammatory processes. Sometimes a biopsy is required in order for the doctor to be sure of the correctness of the conclusion.
How to treat chronic endometritis? When the diagnosis is made accurately, the doctor prescribes antibiotics, as a rule, this is taking the medication at home in the form of tablets. Only in cases of exacerbation and urgent conditions the patient will be taken to the hospital, where antibiotics will be administered intravenously. Even severe conditions are well treated within forty-eight to seventy-two hours at the time of initiation of therapy. However, it is not recommended to try to heal on your own, because an improperly chosen treatment regimen will make the pathogens resistant to the antibiotic, and the doctor to whom you contact will find it very difficult to choose an effective remedy. It is recommended to drink more liquid during treatment. If in your case, chronic endometritis is caused by gonococci or chlamydia, you need to treat all your partners, because for men "bad" infections, although not so dangerous, are still fraught with infertility.
What is the prevention of such a disease as chronic endometritis? Use condoms during sexual intercourse, be very selective when choosing sexual partners, refuse hygienic procedures with the use of a direct shower jet, wash out with movements from front to back, choose the best available medical facilities for your pregnancy and delivery. With the slightest suspicion of chlamydia or gonorrhea, take the appropriate tests.