Chronic endometritis is a prolonged slow inflammation of the inner layer of the uterus with a violation of its structure and function. The main cause of inflammatory diseases in the endometrium are sexual infections, such as gonorrhea, chlamydia, mycoplasma, spirochetes.
In the second place there is mechanical damage to the endometrium during medical abortion, medical-diagnostic curettage and manual examination of the placenta, after which bacteria, viruses and fungi can enter the weakened organism on the damaged surface of the uterus. The lack of adequate treatment of acute endometritis leads to the development of chronic inflammation. We will try to consider all the clinical signs of chronic endometritis and its manifestations on ultrasound.
Chronic endometritis - symptoms
The clinical picture of exacerbation of chronic endometritis is similar to that of an acute process. There are pronounced symptoms of intoxication: high fever, weakness, malaise, lower abdominal pain, headache, turbid stench from the vagina. Sluggish chronic endometritis presents a great difficulty in its diagnosis, as it can be detected for the first time during a woman's examination for problems with conception (a positive result of the analysis for one or more sexual infections).
In vaginal examination, a gynecologist can determine a slightly enlarged and compacted uterus. The most characteristic clinical sign of endometritis in the chronic course is the violation of the monthly cycle, which is accompanied by bloody discharge after the end of menstruation.
How to identify chronic endometritis?
Chronic endometritis can be determined if you carefully collect anamnesis, find out complaints about menstrual irregularity, a recurring picture of the aggravation of the inflammatory process, and also long unsuccessful attempts to conceive a child. Important diagnostic criteria are the definition of characteristic echoprsigns of chronic endometritis in ultrasound. So, ultrasound is determined by the inflammatory nature of thickening and condensation in the endometrium, mainly near the blood vessels and glands.
Thus, we examined how chronic endometritis manifests itself. I would like to recommend that all girls and women have a more responsible attitude to their health: avoid accidental connections, use contraception and undergo medical examinations on time.