Patient's question:
Abdominal and lower abdominal pain, especially during those days, I'm very afraid it will affect fertility, and I'm extremely afraid of cold and cold. Please ask what the doctor carefully checks during the gynecological examination to deduce how endometritis is obtained?Doctor's answer:
There are some plasma cells and lymphocytes infiltrating in the interstitial tissue of the endometrium. It is worth mentioning that the re-emergence of a large number of plasma cells is extremely important for diagnosis. In cases with prolonged duration, fibroblasts and capillary fibers can be observed. In chronic endometritis, the blood vessel walls appear thickened and hardened, and sometimes fibrosis is present. When the condition is severe, local ulcers may form. When the endometrial glands are dilated, the surface epithelium may undergo squamous metaplasia. When squamous metaplasia is extensive, large areas of squamous epithelium may cover the entire inner wall of the uterine cavity, which is referred to as "uterine fish scales." Postpartum endometritis should be noted for the presence of villi, decidua, and other tissues. Especially in cases of prolonged miscarriage, villi may become highly atrophic and even unidentifiable, but scattered patches of decidua tissue can often be found around blood vessels.