How to treat endometritis safely?

Patient's question:

How to treat endometritis safely? I had an episode last year and after checking at the hospital, I was prescribed medication, which quickly controlled the condition through both local and oral administration. However, recently, I've been experiencing discomfort in my private area again, with abnormal discharge and a strong odor. Should I go to the hospital?

Doctor's answer:

Endometritis is the inflammation of the endometrium. The main symptoms of acute endometritis include fever, lower abdominal pain, increased vaginal discharge, sometimes bloody or foul-smelling, and sometimes a slightly enlarged uterus with tenderness. Chronic cases also present similarly, but may also include heavy menstrual bleeding, lower abdominal pain, and significant lumbosacral discomfort. Based on the duration of the course, it can be divided into acute endometritis and chronic endometritis. During the acute phase of inflammation, it is first necessary to thoroughly remove the inflammatory secretions accumulated in the uterus. This involves using physiological saline and povidone-iodine solution or potassium permanganate solution to scrub the uterus. After scrubbing, it is essential to drain out any residual solution. Finally, penicillin or chlortetracycline can be infused into the uterus for treatment.

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