Patient's question:
Female, unmarried, diagnosed with chronic endometritis. Current symptoms are abdominal pain and excessive menstrual flow. Should she take medication? What are the main symptoms of endometritis?Doctor's answer:
Endometritis is primarily characterized by fever, lower abdominal pain, increased vaginal discharge, which may sometimes be bloody or foul-smelling, and sometimes the uterus may be slightly enlarged with tenderness upon palpation. Chronic cases also present similarly and may include symptoms such as excessive menstrual bleeding, lower abdominal pain, and pronounced lumbosacral discomfort. Treatment primarily involves the use of antibiotics, but it is also necessary to remove obvious triggers, such as removing an intrauterine device, completely clearing residual placental tissue in the uterine cavity, or removing endometrial polyps. If there is an endometrial submucosal fibroid or endometrial cancer, additional measures should be taken based on the specific situation. In cases of uterine cavity abscess, the cervix should be dilated to promote pus drainage, followed by a diagnostic after the inflammation subsides, to rule out cancer.