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Endometritis

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Contents of this page:

Illustrations

Pelvic laparoscopy
Pelvic laparoscopy
Endometritis
Endometritis

Definition    Return to top

Endometritis is an inflammation or irritation of the lining of the uterus (endometrium).

See also: Pelvic inflammatory disease

Causes    Return to top

The usual cause of endometritis is infection, such as

Endometritis may also occur from:

Other risk factors may include a history of acute salpingitis, acute cervicitis, and other pelvic infections, including many sexually transmitted diseases.

Symptoms    Return to top

Exams and Tests    Return to top

The health care provider will perform a physical exam. Exam of the lower abdomen may show abdominal tenderness. Bowel sounds may be decreased. A pelvic exam may reveal a tender uterus and cervix. There may be cervical discharge.

The following tests may be performed:

Treatment    Return to top

Complicated cases (those occurring after childbirth, or those involving severe infection) may require the patient to be admitted to a hospital. The patient may receive  intravenous antibiotics, followed by antibiotics taken by mouth.

Rest and hydration are important. Treatment for sexual partner(s), when appropriate, and the use of condoms throughout the course of treatment, are essential.

Outlook (Prognosis)    Return to top

Most cases of endometritis go away with antibiotics. Untreated endometritis can lead to more serious infection and complications with pelvic organs, reproduction, and general health.

Possible Complications    Return to top

When to Contact a Medical Professional    Return to top

Call for an appointment with your health care provider if symptoms of endometritis occur (particularly if within several days after childbirth, abortion, or IUD insertion).

Prevention    Return to top

The risk of endometritis is reduced by the careful, sterile techniques used by appropriate providers in performing deliveries, abortions, IUD insertions, and other gynecological procedures.

References    Return to top

Faro S. Postpartum endometritis. Clin Perinatol.  2005; 32(3): 803-14. 

Stenchever A. Comprehensive Gynecology. 4th ed. St. Louis, Mo: Mosby; 2001:708.

Update Date: 5/10/2006

Updated by: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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