Inflammation of the inner mucous membrane of the uterus, or endometrium, is called endometritis . The danger of this disease is that for a long time a woman can not guess about the presence of this inflammatory process and miss the time, valuable for the beginning of treatment.
Endometrium is a functional layer lining the uterine cavity. Its main purpose is to take a fertilized egg for pregnancy. During the menstrual cycle, the endometrium undergoes changes: it grows, swells, and is rejected monthly. The uterus is arranged in such a way that this nutrient layer is reliably protected from external influences, and under normal conditions, infections are not able to penetrate the uterus.
Causes of endometritis of the uterus
As a rule, the onset of endometritis is provoked by the conduct of any intra-uterine research or manipulation. This includes abortions, scraping, hysteroscopy and other procedures. The most common cause of endometritis is delivery and caesarean section - after them there are 20 to 40% of cases of inflammation of the endometrium.
The injured endometrium, blood clots, the remains of the membranes in the uterus become an ideal environment for the development of pathogenic bacteria and other pathogens: viruses, fungi, etc. Frequent causes of endometritis of the cervix and the body of the uterus are untreated sexual infections and inflammatory processes in the vagina.
Symptoms of endometritis of the uterus
The onset of uterine inflammation is characterized by vivid manifestations, such as fever, fever, abdominal pain, abnormal vaginal discharge. Such symptoms appear about 3 to 4 days after the penetration of the pathogen into the uterine cavity and last for a week, a maximum of 10 days. In the absence of treatment or illiterate therapy, endometritis passes into a chronic stage, in which the symptoms are smeared, but pathological processes occur in the internal genital organs, resulting in menstrual cycle disorders, infertility, and proliferation of cystic formations.
Consequences of endometritis of the uterus
With inflammation of the endometrium, the main adverse effect is the impossibility of a normal pregnancy. Pregnancy against the background of endometritis is accompanied by a threatening miscarriage, insufficiency of the placenta, postpartum hemorrhage. Also, problems with the onset of pregnancy are likely.
As a result of inflammation in the uterine cavity spikes, adhesions, cysts and polyps of the endometrium may occur.
Treatment of endometritis of the uterus
Endometrite of the uterus is treated with an integrated approach. Patients are shown antimicrobial therapy with broad-spectrum antibiotics. Then it is necessary to restore the structure of the endometrium. To do this, prescribe hormonal drugs (Utrozhestan) in combination with the metabolic means (vitamin E and C, enzymes, Ribokisin, Actovegin).
The disease is considered completely cured, if the ultrasound confirms the restoration of the endometrium, the menstrual cycle came back to normal, the pathogens of the infection were destroyed, all the symptoms of the disease disappeared. After that, a woman can plan a pregnancy, but even with complete cure, the endometritis transferred is an occasion for closer attention on the part of doctors. Complicated pregnancy and postpartum risks, such as bleeding or placenta accretion, can not be ruled out completely.