Does endometritis after affect fertility?

Patient's question:

I had an abortion surgery before, and now my menstruation is still not normal. Every time it comes, the color is a bit dark. I went to the hospital for a thorough check-up and was told it was endometritis. They suggested surgery. I feel like the abortion hasn't fully recovered yet. Will it affect future fertility?

Doctor's answer:

What should be done if endometritis occurs after an induced abortion? If endometritis recurs after an induced abortion, if there is suspicion of retained placental tissue, it should be completely removed immediately while using antibiotics. However, it is advisable to gently remove the weak residual tissue in the uterine cavity, avoiding scraping as much as possible. Only when the antibiotic dosage reaches a certain level and the inflammation is controlled can a scraping procedure be performed to prevent the spread of infection. If there is active erosion in the uterus, the uterine cavity can be cleaned under the use of large amounts of antibiotics. For women with intrauterine devices (IUDs), these should also be removed as soon as possible to completely eliminate the original focus of infection and control the spread of inflammation.

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