Gynecological disease of endometritis, whose symptoms and treatment depend on the stage of the pathological process, is more common in women of reproductive age. The disease develops suddenly, against a background of general well-being, and often has an acute onset.
Endometrite of the uterus - what is this available language?
Under the endometritis in gynecology, it is customary to understand the inflammation of the uterine mucosa, caused by the action of pathogenic microorganisms or a mechanical factor. Endometrium, afflicted with the disease, is the inner shell of the genital organ. Every month, he gradually changes his structure during the cycle, and in the absence of fertilization at the end of the cycle goes out together with menstrual blood.
Normally, this layer is reliably protected from the effects of infectious agents, but under certain conditions, pathogens penetrate into the uterus and attack its mucous layer. As a result, an inflammatory reaction occurs with the formation of one or more foci. Endometrium loses its ability to transform, which leads to a violation of menstrual function, a decrease in the fertility of the female body.
Endometritis and endometriosis - what's the difference?
Endometritis and endometriosis are different diseases that have similar names. Pathologies have different symptoms, origin, clinical picture, methods of therapy. The main differences between these two diseases are the nature of changes in the endometrial tissue. So, with the endometrium, the inflammatory process develops, which extends to the cells of the uterine mucosa. The tissue structure does not change.
The main sign of endometriosis is the transfer of endometrial cells to neighboring organs and tissues. Cellular structures excel in the peritoneum, fallopian tubes, ovaries and begin to function there. Every month they undergo the same changes as the uterine endometrium, undergoing destruction and re-development. The disease is difficult to treat, often there are relapses.
What is the danger of endometritis?
The most frequent complication of endometritis, the symptoms and treatment of which are caused by the type of pathogen, is the spread of infection beyond the uterine cavity. In the absence of necessary therapy, untimely its beginning, the pathological process extends to the ovaries, fallopian tubes, pelvic organs. Purulent endometritis can provoke peritonitis, in some cases - sepsis. The result of such changes are spikes in the small pelvis, uterus, intestines, which impede the development of pregnancy.
Endometritis - Causes
To determine the factor that provoked inflammation of the uterus, the causes of the disease, doctors conduct a long-term diagnosis. During the research, the type of pathogen, its concentration, the stage of the disease is established. Among the pathogenic microorganisms that can cause endometritis, physicians distinguish the following:
- Mycobacterium tuberculosis;
- E. coli;
- Proteus;
- chlamydia ;
- diphtheria bacillus;
- streptococcus;
- staphylococcus aureus;
- mycoplasma .
For the development of the disease endometritis, the symptoms and treatment of which are discussed in the article, certain conditions are necessary in which trauma to the mucous membrane of the uterus occurs. Among the factors provoking the development of endometritis:
- carrying out gynecological procedures (inaccurate syringing);
- sounding of the uterine cavity;
- research of uterine tubes;
- scraping;
- abortion.
Endometritis - symptoms
The initial stages of the pathological process have a hidden clinical picture. Because of this, the inflammation of the uterus, the symptoms of which appear after a time, is often found in the height of the disease. Initially, women feel a slight malaise, which many do not pay attention. Weakness, loss of appetite, sleep disturbance are considered by them as a sign of fatigue, and not the onset of an inflammatory process. Anxiety women begin to beat when there is an increase in body temperature to 38-39 degrees, and signs of a cold are completely absent.
As the pathology progresses, the symptoms become brighter, the following signs of endometritis appear:
- Painful sensations in the lower third of the abdomen. In most cases, they have a aching or pulling character, the patients fix irradiation in the lower back and sacrum.
- Allocations from the vagina are pathological. They have no connection with menstrual and appear long before the date of menstruation. Their consistency, color, and volume often depend on the type of bacterial microorganism. It can be yellow, green, often purulent thick discharge with an unpleasant odor.
Acute endometritis
This inflammation of the uterus appears almost immediately after birth, abortion, diagnostic procedures and surgical operations on the uterus, in which the mucous membrane is injured. So does postpartum endometritis. A short time after injury to the endometrium, the woman notices the appearance of the following symptoms:
- deterioration of general well-being: headache, weakness, unreasonable fatigue;
- weak pain in the lower abdomen, giving back to the lower back or sacrum;
- increase in body temperature to 39 degrees;
- the appearance of blood from the vaginal cavity or discharge with an unpleasant odor, reminiscent of clots of pus.
Chronic endometritis - symptoms
Chronic inflammation of the uterus develops on the background of a long absence of therapy. Often this form of the disease has a close connection with the presence of sexually transmitted diseases. Among the signs of this form of the disease:
- Periodic, weak pains in the lower abdomen of the aching nature.
- Pathological discharge from the vagina, the nature of which is determined by the type of pathogen: in gonorrhea they are greenish, purulent, with trichomoniasis pinnate and abundant.
- A slight increase in body temperature to 38 degrees, followed by its normalization.
- Increase in the volume and duration of menstruation up to 7 days.
Endometritis - treatment
Before treating endometritis, doctors conduct a comprehensive examination of the female body, whose goal is to identify the source of the disease and the type of pathogenic microorganism. In the early stages, treatment can be performed on an outpatient basis. In most cases, hospitalization is required. In general, treatment of endometritis in women includes:
- reception of antibacterial agents;
- purification of the uterine cavity;
- physiotherapy aimed at the rapid restoration of the endometrium.
Endometritis - treatment, drugs
In order to determine how to treat inflammation of the uterus in a particular case, what drugs to use, doctors initially establish the type of pathogen. With antibiotic therapy, doctors are trying to ensure the removal of a wide range of possible pathogens. Sometimes for complete cure, patients have to undergo several courses of treatment, with the change of medicines. Candles for endometrium are prescribed at least as often as tablets. Among the drugs more often use the following antibiotics in the endometrium:
- nitroimidazoles - Metronidazole, Ornidazole;
- fluoroquinolones - Ciprofloxacin , Levofloxacin;
- penicillins - Roxithromycin.
For the speedy recovery of the mucous uterus, the normalization of the cyclic processes are prescribed physioprocedures:
- magnetotherapy ;
- electropulse therapy.
Endometritis - folk remedies
Talking about how to treat chronic endometritis, it is necessary separately to identify folk recipes. Medicinal plants, when properly used, help to relieve the symptoms of the disease, to facilitate general health. Among the effective recipes are the following.
Infusion of ivy
Ingredients:
- ivy leaves - 1 tbsp. a spoon;
- water 250 ml.
Preparation, application
- The leaves are ground and poured with boiling water.
- Insist 12-14 hours, then put on fire, bring to a boil, cool.
- Filter and take 100 ml 3 times a day.
Decoction of St. John's wort from endometritis
Ingredients:
- St. John's wort - 1 tbsp. a spoon;
- water - 200 ml.
Preparation, application
- The grass is poured with a glass of boiling water, put on a stove and boiled for 15 minutes.
- Filter and take 3 times a day for 50 ml.
Infusion of ferns
Ingredients:
- leaves of fern - 1 tbsp. a spoon;
- water 250 ml.
Preparation, application
- The leaves are ground, poured with boiling water, insist 20 minutes, filter.
- Eat 70 ml 4 times a day, before meals.
Endometritis and pregnancy
Endometritis, the symptoms and treatment of which are described in the article, is reflected in the reproductive function of the female body. Thus, endometritis of the uterus often becomes an obstacle for the onset of pregnancy. With this disease, the fertility of a woman is sharply reduced, the sensitivity of the endometrial tissue and reproductive functions are only partially preserved. Pregnancy in endometriosis is possible only in the early stages, thanks to the compensatory abilities of the reproductive system. In other situations, long-term therapy is required.