Patient's question:
Occasional lower abdominal pain, 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 detailed examination methods for endometritis mainly include:1. Cervical discharge examination: It can rule out the possibility of vaginal infection.
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 secretions can be cultured for bacteria and tested for drug sensitivity.
4. Diagnostic curettage: It can clarify the cause of the disease and rule out malignant lesions. Three days of anti-inflammatory treatment should be administered before the procedure, followed by attentive postoperative anti-inflammatory care. Post-abortion endometritis may retain embryonic tissue, requiring thorough and comprehensive curettage for examination.