Patient's question:
Occasional pain in the lower abdomen, didn't pay much attention to it. Now, white discharge has also increased. The hospital examination said it was endometritis. Which methods are effective for treating endometritis?Doctor's answer:
Treat with broad-spectrum antibiotic penicillin after a negative skin test, administering 800,000 to 1,600,000 units of penicillin, intramuscularly twice daily. If the bacterial culture is aerobic bacteria, use gentamicin for intramuscular injection, 80,000 units each time, every 8 hours; if the culture result is anaerobic bacteria, metronidazole is more suitable, orally 0.4 grams each time, three times daily. If acute endometritis recurs postpartum or after miscarriage, consider removing retained placental and fetal membrane residues from the uterine cavity. If residual tissue remains in the uterine cavity, it should be removed after controlling the infection for 48 to 72 hours, followed by thorough uterine evacuation once the condition stabilizes. Postoperatively, administer oxytocin 10 units intramuscularly, and orally take motherwort ointment or postpartum transformation decoction to enhance uterine contraction. Continue to use antibiotics diligently.