How should endometritis be treated?

Patient's question:

Female, 32 years old. Recently, she has found that her private area is always itchy and feels hot, as if it were being burned. Is this a sign of inflammation? How should endometritis be treated if it occurs?

Doctor's answer:

Pelvic inflammatory disease (PID) is characterized by severe lower abdominal pain and significant pelvic inflammation upon gynecological examination. For such cases, broad-spectrum antibiotics such as penicillins and cephalosporins, combined with metronidazole, should be administered intravenously after the menstrual period. If pelvic masses are present or the inflammation is severe and recurrent, surgical treatment may be necessary.
Additionally, physical therapies such as shortwave, ultrashortwave, infrared, and drug iontophoresis can improve pelvic blood circulation and aid in the absorption of inflammation, and may be used as appropriate. Chinese herbal medicines that promote blood circulation and clear heat-toxin can also be considered.
Endometritis is a gynecological condition prone to recurrence. During medication, women should pay attention to self-care, particularly in terms of hygiene. It is recommended to avoid sexual activity during treatment and maintain good cleanliness. Finally, we wish all female patients a speedy recovery!

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