Endometritis - what is it? Endometritis treatment. Endometritis and endometriosis: differences
Quite often, the fair sex after childbirth, abortion, and various gynecological procedures have to deal with such a problem as endometritis. Fortunately, such a disease today is successfully treatable. Many are tormented by the question of what are its main causes and methods of prevention. That is what we will discuss in this article.
Endometritis. What it is?
Endometritis is a pathology of the lining of the uterus, characterized by inflammatory character. Inside the uterus lining the endometrium. Each cycle it grows and re-ripens, thus preparing for the attachment of a previously fertilized egg. If the pregnancy does not occur, the endometrium is rejected. When an infection enters the uterus, the mucous membrane becomes a favorable environment for the functioning of microbes, which leads to the development of the inflammatory process.
This disease is more susceptible to women of childbearing age after complex abortions and childbirth, various gynecological procedures (curettage, insertion of the intrauterine device) against the background of an existing infection of the genital tract.
According to the nature of the pathology, there are two forms: acute and chronic.
Endometritis and endometriosis: differences
By endometriosis is meant a pathology characterized by the formation of nodular benign neoplasms, which in their structure resemble uterine mucosa. This disease develops as a result of disorders at the hormonal level. Such nodes can appear in any of the organs of the small pelvis (ovaries, uterus, bladder). Presumably the prerequisites for the formation of this disease is the weakening of the immune defense of the body.
Endometritis is an infectious-inflammatory process in the membrane that lines the uterus from the inside.
With the onset of menstruation, the healthy mucosa of this organ is rejected and goes out. In the case of hormonal disorders, endometrial cells can penetrate the fallopian tubes, settle on them and form a new tissue.This is how endometriosis occurs and the benign node begins its formation. Over time, the number of such tumors increases, and the thickness of the uterine mucosa decreases.
Endometritis develops due to the appearance of inflammatory processes in the endometrium. In this case, the thickness of the uterus can reach impressive sizes (up to 20 cm). As a consequence, the menstrual cycle is disturbed, because the inflamed mucosa cannot fully exfoliate and regenerate again.
Thus, it becomes clear that endometritis and endometriosis (the differences in pathologies presented in this article) are completely different diseases, each of which is characterized by a specific clinical picture.
Endometrium consists of two layers: functional and basal. At the beginning of each cycle, the functional layer is exfoliated. The basal is required in order to form the next functional layer.
The latter has a cylindrical epithelium. These are special cells that look like cylinders in appearance. Between them are localized branches of the spiral arteries and the so-called glandular cells that produce a special mucus.Such a structure is fragile, with any violations becomes very sensitive.
Endometritis is the disease that most often develops due to damage to the lining of the uterus. However, it should be taken into account that the violation of such a structure in itself cannot lead to serious consequences. They, as a rule, appear due to the active vital activity of bacteria and viruses that enter the female body through these injuries. The main causes of injury to the uterine lining include the following:
- Poor quality douching.
- Probing the uterus.
- Scraping, which is carried out with abortion or suspected oncology.
- Studies of the uterus with clinical signs of infertility or during its treatment.
The main causative agents of endometritis include the following: chlamydia, E. coli, Klebsiella, Streptococcus, mycoplasma.
Also, experts identify a number of factors contributing to the development of this pathology:
- Sexually transmitted diseases.
- Non-compliance with basic rules of personal hygiene.
- Diseases of the vagina and fallopian tubes inflammatory nature.
- Promiscuous sex life.
- Sex during menstruation.
The disease of endometritis in the acute form develops as a result of infection in the uterus. It is characterized by pronounced symptoms:
- Lack of appetite, deterioration of general well-being.
- Increase the temperature to 39 degrees.
- Discharge from the genital tract with a characteristic odor and admixture of pus.
- Pulling pain in the lower abdomen, which can give to the lower back.
The disease usually begins to appear in 3-4 days after direct infection. Especially heavy and rapid development is observed in patients with intrauterine devices.
When gynecological examination revealed an enlarged uterus, the presence of sero-purulent discharge. The acute stage can last from a week to approximately 10 days. With timely treatment to the doctor ends with complete recovery. Otherwise, the disease becomes chronic.
How does chronic endometritis manifest?
In most cases, this form of pathology is not associated with gynecological manipulations (childbirth, abortion),and due to the clinical manifestation of various diseases that are transmitted directly through sex. That is why the clinical symptoms coincide with the signs of the infection, which is the initial cause. These include the following:
- Discomfort and discomfort in the lower abdomen.
- Temperature increase up to 38 degrees.
- Vaginal discharge. Their nature depends on the type of infection that caused the disease (for example, in trichomoniasis they are frothy, and in gonorrhea they have a greenish tinge with admixtures of pus).
Especially dangerous are the complications that accompany chronic endometritis. What it is? First of all, structural changes in the endometrium can provoke the formation of polyps and cysts. In addition, in 10% of cases the disease is the cause of infertility, and in 60% of cases of miscarriage.
Endometritis and pregnancy
In the period of carrying a baby in the womb, this pathology is considered one of the most dangerous. When the primary symptoms appear, it is necessary to immediately contact the appropriate specialist, to undergo a full examination.If the diagnosis is confirmed, you should immediately begin therapy. It is indicated even if antibiotics are prescribed. With endometritis, any neglect of therapy can adversely affect a woman’s health.
Many women are perfectly sex worrying whether you can conceive a child with such a disease. Opinions on this issue are very diverse. However, most doctors believe that it is impossible to get pregnant. The fact is that the chronic course of the pathology can lead to the formation of adhesions, as well as infertility. On the other hand, this disease does not affect the functioning of the ovaries, therefore, it is possible to get healthy eggs.
It is necessary to remember about chronic endometritis, that this is a terrible disease, which over time "erases" its manifestations and is complicated by adhesions. The stronger the disease is, the less likely it is to conceive a child. That is why experts recommend to undergo an appropriate course of therapy in order to increase the likelihood of a successful pregnancy at the planning stage.
When you first go to a specialist, a woman should tell about all the symptoms of the disease that concern her. At the initial stage, the doctor usually confirms endometritis.The diagnosis cannot be definitively made based solely on the attendant signs of illness.
The doctor should conduct a physical examination of the patient in a gynecological chair, take smears. Based on the test results, it is possible to identify the main causative agents of the disease, to check their response to certain medications. Additionally, an ultrasound of the uterus is appointed. Through this study, you can determine the presence of seals on the mucosa, blood or purulent clots.
As practice shows, performing the above actions is often enough to confirm the final diagnosis. After that, the doctor must tell how to cure endometritis and prevent its occurrence in the future.
In the acute phase of the disease, patients are shown treatment in the hospital with the obligatory observance of a special diet, bed rest, complete physical / mental rest. The basis of drug therapy is the administration of antibiotics ("Amoxicillin", "Clindamycin", "Gentamicin"). When mixed microflora shows a combination of several drugs.For removal of the existing intoxication, intravenous injection of saline / protein solutions is recommended. It is advisable to include antihistamines, immunomodulators, antifungals and probiotics in the treatment regimen.
How to treat endometritis of the uterus in a chronic form? In the treatment of this variant of the disease, modern gynecology suggests applying an integrated approach.
At the initial stage, infectious agents are eliminated, then a course on the restoration of the endometrium follows. For these purposes, treatment of endometritis with broad-spectrum antibiotics is usually prescribed (Doxycycline, Sparfloxacin). The recovery course is based on a combination of hormonal (“Divigel” + “Utrozhestan”) and metabolic therapy. Medicinal preparations are recommended to be injected directly into the uterine mucosa, due to which an increased concentration of active substances occurs in the very center of inflammation.
The effectiveness of the treatment of the chronic variant of the disease is assessed according to the following criteria: elimination of infection, normalization of the menstrual cycle, elimination of clinical manifestations, restoration of fertility.
Help traditional medicine
It is not recommended to refuse conservative therapy with such a diagnosis, but as an additional method of treatment, you can use the recipes of our grandmothers.
- Noble laurel. Add 20 g of bay leaves to a bucket of water, put on the fire and boil. The resulting broth should be diluted with cool water to a comfortable temperature. Take a sit-bath can be every day for 20 minutes until the symptoms disappear.
- Plantain. Of course, candles with endometritis are the most effective means than many tablets drugs, as they "work" directly in the inflammation. However, some plants also have beneficial effects on pathology. One of them is the well-known plantain. This plant has a hemostatic effect. One tablespoon of dried plantain is necessary to pour a glass of boiling water, let it brew in a thermos. After about two hours, the broth should be drained. Take the infusion is recommended for one tablespoon four times a day, it is better before meals.
- Wormwood and Yarrow.Pour 200 ml of water into a saucepan, add 4 tablespoons of wormwood and one spoon of yarrow. The mixture should be put in a water bath and roasted for 15 minutes. The resulting decoction must be filtered, consumed three times a day in small portions.
All the above recipes of traditional medicine can reduce the manifestations of the symptoms that accompany uterine endometritis. Treatment by such methods should be carried out only under the supervision of a specialist. Pregnant women should not resort to the help of unconventional therapy, since there is a high probability of negative effects on the fetus inside the womb.
Complications and consequences
- The spread of the pathological process throughout the thickness of the uterine wall, into the ovaries and the region of the appendages. Lack of timely treatment can lead to death.
- The formation of adhesions in the abdominal cavity and uterus often leads to a violation of the menstrual cycle and even tubo-peritoneal infertility.
- Anemia against the background of the chronic variant of the disease.
- Sepsis (development of purulent processes in various tissues and organs).
If the treatment of endometritis with antibiotics is prescribed in a timely manner, the patient fulfills all the recommendations from the doctor, the prognosis is in most cases favorable.
To prevent the development of such a disease, doctors strongly recommend that you follow the basic rules of personal hygiene, exclude casual sex, always use barrier contraceptives.
In the event of chronic diseases, including reproductive organs, it is very important to diagnose and treat them in a timely manner. Before the implementation of intrauterine interventions, it is necessary to undergo a preliminary examination for the detection of diseases that are transmitted directly through sex and other urogenital infections.
Prevention of endometritis also implies a general strengthening procedures (hardening, active lifestyle, balanced diet, rejection of bad habits), the main purpose of which is to maintain the normal functioning of the immune system. Every woman who has already begun to have an active sex life is recommended to go to the gynecologist twice a year for preventive purposes. Remember, the sooner the disease is detected, the higher the likelihood of successful treatment and rapid recovery.
In this article, we told in as much detail as possible what symptoms are accompanied by endometritis, what it is, what are the main causes of the disease. Pathology of this kind with timely referral to the appropriate specialist can be successfully treated. Otherwise, the likelihood of developing quite serious complications, which include infertility and the formation of adhesions, increases. Be healthy!