How to detect endometritis

Patient's question:

My mother has been experiencing frequent lower abdominal pain recently, irregular menstruation, and an increase in yellow leukorrhea. She was told she has chronic endometritis. How should this be treated? Please ask; how is endometritis detected?

Doctor's answer:

Hello, what kind of careful examination is needed for endometritis? The main examination methods for endometritis include:
1. Cervical mucus examination: It can rule out the possibility of having vaginitis.
2. Pathological examination: There are many plasma cells and lymphocytes infiltrating the stroma of the endometrium. In cases of prolonged inflammation, fibroblasts and capillary fibrosis can be observed. In elderly endometritis, the blood vessels may appear thickened, hardened, and sometimes fibrotic. In severe cases, local ulcers may form.
3. Laboratory examination: Blood and endometrial cavity secretions can be cultured for bacteria and tested for drug sensitivity.
4. Diagnostic dilation and curettage (D&C): It can clarify the cause of the disease and rule out malignant lesions. Preoperative anti-inflammatory treatment should be administered for three days, and postoperative anti-inflammatory care should be meticulous.

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