Patient's question:
Doctor, hello! What is endometritis of the cervix? This was found during a colposcopy. Also, I have chronic cervicitis. How should it be treated? If it's not simple cervical erosion, can I not have microwave therapy? I haven't given birth yet. How should I be treated?First follow-up question: Thank you for your answer. I currently have purulent discharge and have been using Ai Bao Liao suppositories for three months without improvement. The doctor told me to use a disposable rinse with warm water before medication. Should I use medication to rinse? The solutions you mentioned are available for sale? I haven't heard of them before. I'm really sorry. Can I still have microwave therapy now?
Doctor's answer:
Endometritis is a type of pelvic inflammatory disease, which can be acute or chronic. Symptoms: In patients with acute endometritis, symptoms are generally mild and often overlooked. They may experience low-grade fever, with body temperature slightly above 37°C but rarely exceeding 38°C. There is persistent light vaginal bleeding, with abundant purulent or faintly bloody discharge. If there is a mixed infection with anaerobic bacteria, the discharge may have an odor. Abdominal pain is usually not prominent. When the inflammation affects the uterine muscle layer, symptoms worsen, including fever with occasional temperatures exceeding 38°C, severe persistent lower abdominal pain that may radiate to both thighs, and continuous vaginal bleeding. If it occurs postpartum, after cesarean delivery, or after miscarriage, there may be prolonged lochia. Untreated inflammation can develop into adnexitis, connective tissue inflammation, or even sepsis. In milder cases of chronic endometritis, patients are often asymptomatic. Severe cases may present with irregular vaginal bleeding or menstrual irregularities, sometimes accompanied by increased leukorrhea.