What are the symptoms of chronic endometritis?

Patient's question:

I went to the hospital for a check-up and found out that I have chronic endometritis.

Doctor's answer:

Hello, the symptoms of chronic endometritis include:
1. Dysmenorrhea: This occurs more frequently in nulliparous women, but severe dysmenorrhea is rare. It may be caused by excessive endometrial hyperplasia, which hinders the normal degeneration and necrosis of tissues, leading to excessive uterine spasmodic contractions.
2. Excessive menstrual flow: Regular menstruation is normal, but the menstrual flow volume tends to double. During the bleeding period, the duration of menstruation is also significantly prolonged. In very few cases of endometritis, symptoms such as dizziness and anemia may occur, primarily due to heavy bleeding or endometrial hyperplasia and inflammatory congestion. Irregular bleeding is uncommon, and sometimes bleeding may last for several hours or stop after 1–2 days.
3. Pelvic pain: Approximately 40% of patients experience lower abdominal dullness and distension pain, as well as lumbosacral soreness during the intermenstrual period.

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