Patient's question:
After I had a medication abortion, I experienced bleeding for a week. Then, I had sex with my boyfriend. After that, I started bleeding again, but the blood was very light and the color was abnormal. In the dark, it seemed like there were small particles. I want to consult if it's because my uterus didn't contract properly that I had sex, allowing bacteria to enter, which then caused endometritis? Last month, an ultrasound showed nothing wrong, and they told me to get an IV drip. But I didn't go. Now that it's gotten worse, I realize how urgent it is to seek help. I'm worried about my health and hope everyone can help me find some answers. Thank you.Doctor's answer:
Generally speaking, during treatment, in addition to primarily using antibiotics, it is also necessary to remove obvious causes, such as removing an intrauterine device, completely clearing residual tissue in the uterine cavity, uterine polyps, etc. If there is uterine cavity abscess, it should be given cervical dilation to force pus drainage. For chronic cases, physical therapy may sometimes be considered, including electrocautery, cryotherapy, laser treatment, etc. During acute endometritis, sexual activity should be avoided to prevent further spread of inflammation. It is recommended that you take the time to have a thorough examination and diagnosis to determine which type you have—chronic or acute—and then receive symptomatic treatment. Only in this way can your problem be better resolved. Wishing you good health.