General characteristics of the disease
Dysmenorrhea - an inflammation of the mucous membrane inside of the uterus.
Factors provoking the beginning of endometritis include stress, vitamin deficiencies, chronic diseases, toxicity and other phenomena causing low immunity.
Chances are the first symptoms of endometritis after injury to the cervix during an abortion, the introduction of an intrauterine device, diagnostic or therapeutic curettage or childbirth.
Acute endometritis is caused by inflammation of the mucous primary uterine epithelium. To it leads the rising infection such as: broken through the barrier deep cervical cancer.
In acute endometritis inflammation may spread to the muscle layer of the body. In this case, the disease becomes complicated forms of acute endometritis - endomyometritis. In the most severe cases of infection on all layers of the wall of the uterus develops panmetrit.
Chronic endometritis often occurs as a consequence of not cured in time of acute endometritis. About half of births complicated by deep breaks cervix, without adequate follow-up treatment end chronic endometritis.
Other possible causes of chronic endometritis - repeated curettage of the uterus, the remains of the suture after giving birth by caesarean section. Significantly aggravates the chronic endometritis dysbiosis vagina caused by an increase in the vaginal environment, the number of opportunistic bacteria.
Symptoms of endometriosis
Acute endometritis begins with a sharp rise in temperature. Among the symptoms of acute endometritis is also known as severe pain in the abdomen and a feeling of chill. The signs of this type of endometritis include more abundant purulent or sukrovichno-purulent vaginal discharge.
The duration of acute endometritis - 7-10 days. Without treatment, the disease becomes chronic endometritis form or ends generalization of the process:
- thrombophlebitis of the pelvic veins,
- pelvic abscess
- or sepsis.
Recurrence of the disease is characterized by the following features endometritis chronic form: menstrual irregularities, drawing pains in the abdomen, the slim serous-purulent vaginal discharge.
In the history of patients with symptoms of chronic endometritis such as frequent spontaneous abortions. The temperature rise does not apply to signs of chronic endometritis form. The health of patients, as a rule, not much has been lost.
Diagnosis of endometritis
In the diagnosis of endometritis important role played by medical history - the regularity of the menstrual cycle, the presence of the patient in the history of intrauterine interventions, the use of intrauterine contraceptive devices, unprotected sex with non-regular partner.
During the physical examination can be found signs of endometritis following:
- increasing the size of the uterus,
- seal body
- special sensitivity of the side walls of the body palpation.
In the laboratory blood tests of patients with symptoms of acute forms of endometriosis diagnosed leukocytosis, increased erythrocyte sedimentation rate and C-reactive protein, indicating inflammation in the body. An important role in the diagnosis of acute and chronic endometritis also plays a vaginal smear microscopy. To confirm further signs of endometritis apply pelvic ultrasound and histological study scraping the uterine endometrium.
Treatment of endometriosis
In the treatment of acute endometritis mandatory application of antibiotic therapy as a primary cause of inflammation of the mucous membrane of the uterus in most cases an infectious etiology.
After the relief of acute treatment of endometritis is complemented by the use of anti-inflammatory and physical therapy, bracing vitamin preparations and immunomodulators. To prevent deterioration of the patient receiving oral contraceptives is recommended, at least for 3-5 menstrual cycles.
Treatment of chronic endometritis form is desirable to begin the first day of the menstrual cycle. If the disease is not infectious and functional nature, caused by the prescription process, used in the treatment of endometritis cyclic hormone therapy.
Surgical treatment of endometriosis is used in the case of complications of the disease, and endometrial polyps cuts. Removal of polyps and scraping the uterine endometrium with numerous signs of scarring, promotes renewal of tissue, restoration of the menstrual cycle and successful gestation.
Endometritis - often the cause of women's issues related to child bearing. It can also lead to placental insufficiency, and postpartum hemorrhage. To prevent endometritis recommended exclusion casual sex without barrier methods of contraception.
This same type of contraception is advisable to use for the prevention of pregnancy in order to prevent the use of medical abortion. Therefore, such gynecological diseases such as endometriosis, it is necessary to begin to heal as soon as possible, and be sure to bring the treatment to the end.