Patient's question:
Can women with endometritis undergo IVF?Doctor's answer:
Endometritis cannot undergo IVF. Endometrial lesions (endometritis, excessive endometrial damage) or poor secretory response of the endometrium can affect implantation. IVF has certain indications:1. The female partner is under 40 years old, in good health, and capable of pregnancy;
2. The female partner's uterine cavity is basically normal, and the endometrium has physiological cyclical changes;
3. Both partners have no history of mental illness;
4. If there is pelvic inflammation or adhesions, laparoscopic examination should be performed, ensuring that at least one ovary can be accessed for egg retrieval.
It is recommended that you seek timely examination and treatment at a formal hospital before considering IVF. The treatment methods for endometritis can be divided into two major categories: Western medicine and traditional Chinese medicine (TCM).
Western medicine treatment primarily focuses on removing the cause:
- If the condition is due to retained placenta or fetal membrane, it can be treated by curettage to remove the lesion;
- If it is caused by endometrial polyps or submucosal fibroids, surgical removal of the polyps and fibroids is necessary;
- If it is due to an intrauterine device (IUD), the IUD should be removed promptly;
- In elderly patients with chronic endometritis, diagnostic curettage should be performed, and the cervical canal should be dilated to ensure smooth drainage.
During treatment, oral antibiotics should be taken to prevent reinfection.
TCM treatment is primarily based on syndrome differentiation, and dietary therapy can be combined for additional support.