How to judge acute and chronic endometritis?

Patient's question:

Suddenly, my menstrual period became less, and I thought I had a cold, so I drank Motherwort. As a result, I kept bleeding intermittently. Yesterday, I had an ultrasound and it was said to be endometritis, but I don't know if it's acute or chronic.

Doctor's answer:

Hello, acute endometritis is characterized by a rapid onset, with chills, fever (38-40°C), rapid pulse, general weakness, sweating, severe lower abdominal pain, a sense of heaviness, and lower back pain. There may be a large amount of bloody, purulent, or watery vaginal discharge with a foul odor. The clinical manifestations of chronic endometritis are not prominent. Some patients may have a history of infection, increased vaginal discharge and menstrual flow, chronic pelvic pain, and dysmenorrhea. If it is acute, it is recommended that you receive treatment with intravenous fluids and physical methods. If it is chronic, you can choose Western medicine or traditional Chinese medicine for treatment.

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