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. How can endometritis be detected?Doctor's answer:
The careful examination methods for endometritis mainly include:1. Cervical discharge examination: It can rule out the possibility of vaginitis.
2. Pathological examination: Some plasma cells and lymphocytes infiltrate the stroma of the endometrium. In cases of prolonged inflammation, fibroblasts and capillary fibrosis can be observed. In elderly patients with endometritis, the blood vessels may appear thickened, hardened, and sometimes fibrotic. Severe inflammation may lead to the formation of ulcers locally.
3. Laboratory examination: Blood and endometrial cavity secretion bacterial culture and drug sensitivity tests can be performed.
4. Diagnostic curettage: It can clarify the cause of the disease and rule out malignant lesions. Three days of anti-inflammatory treatment should be controlled before surgery, and postoperative anti-inflammatory care should be focused on. Post-abortion endometritis may retain embryonic tissue, which should be carefully and thoroughly scraped for examination.