Patient's question:
I had my period on the 12th of last month. About 18 days later, after it ended, I had a small amount of bleeding again (the same color as my period) and it has been going on until today. I went to the hospital today. After explaining my symptoms to the doctor, they asked me to have an ultrasound and a urine test (I don't understand why they need a urine test because I told the doctor that I had sexual intercourse with my boyfriend during the New Year holiday (the doctor suspected I might be pregnant). The ultrasound results showed "endometrial thickness of about 17mm. No abnormalities were found on both sides." Then the doctor prescribed me two boxes of "Gynecological Hemostatic Tablets" and two boxes of "Progesterone Capsules." The doctor said I should come back for a follow-up after my period ends. To be honest, I've always felt that the hospital is just trying to make as much money as possible.Doctor's answer:
Causes of Chronic Endometritis:1. Intrauterine Contraceptives. The irritation caused by intrauterine contraceptives often leads to chronic endometritis.
2. Postpartum vaginal delivery, postcesarean section surgery, residual fetal membranes or placenta, or incomplete uterine involution at the placental attachment site are common causes of chronic endometritis.
3. After menopause or the postmenopausal period, the decline in estrogen levels causes the endometrium and vaginal mucosa to become thin, making them more susceptible to bacterial invasion and chronic endometritis.
4. Long-standing tubo-ovarian inflammation or severe cervical inflammation can lead to chronic endometritis.
5. Although the endometrium undergoes cyclic shedding, the basal layer does not shed accordingly. Once chronic inflammation occurs in the basal layer, it can lead to long-term infection of the functional layer, resulting in chronic endometritis.
6. Chronic endometritis without obvious triggers may also exist, with pathogens originating from an imbalance in the vaginal flora.
7. When submucosal fibroids, polyps, or endometrial adenocarcinoma are present in the uterine cavity, the endometrium is more prone to bacterial infection and inflammation. Statistics show that endometritis accounts for 9.4% of infertility cases among infertile women. Therefore, there is no need to worry too much. Currently, Ameza is highly praised. I think you could give it a try. It is specifically designed to address common gynecological inflammation, clearing heat, reducing dampness, killing bacteria, and relieving itching. It is highly effective for conditions such as vulvitis, vaginitis, endometritis, cervical inflammation, cervical erosion, pelvic inflammation, abnormal leukorrhea, and adnexitis, while also protecting the vagina and nurturing the ovaries. It is recommended for use.
How to Prevent Endometritis:
(1) Strengthen prenatal care. Regular check-ups during pregnancy are essential to detect and treat complications promptly. Adequate nutrition and vitamin intake should be maintained during pregnancy. Maintain good hygiene during pregnancy, take frequent showers, and change clothes regularly. After the 8th month of pregnancy, as the cervix gradually loosens, avoid tub baths and sexual activity to prevent infection.
(2) Choose a reputable hospital for delivery. Strict sterile procedures should be followed during delivery, avoiding unnecessary digital exams and vaginal examinations. Properly manage the delivery process to prevent prolonged labor, ensuring adequate rest and nutrition for the mother. After the placenta is delivered, check carefully for any residual tissue and remove it promptly to reduce postpartum bleeding. Use antibiotics immediately if the membranes rupture prematurely.
(3) Avoid illegal abortions. Some women, to avoid detection, may resort to illegal abortions with unqualified "doctors" or family members. This is extremely dangerous. Not only may the abortion fail, but it can also lead to infection, organ damage, sepsis, tetanus, or even death. Therefore, such risky practices must be avoided.
(4) Pay attention to postpartum hygiene. Maintain clean external genitalia, take frequent showers, and change underwear. Avoid sexual activity and tub baths for at least one month during this period.
(5) Pay attention to menstrual hygiene. Sanitize menstrual pads. Avoid sexual activity and tub baths during menstruation. Try to avoid gynecological exams during this period.
(6) Avoid gynecological exams and surgeries during menstruation, such as vaginal surgeries, fallopian tube irrigation tests, or intrauterine device insertion, to prevent pathogens from ascending and causing infection.