Endometritis
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Clinic
- Endometritis is inflammation of the inner lining of the uterus (endometrium).
- Symptoms may include fever, lower abdominal pain, and abnormal vaginal bleeding or discharge.
- It is the most common cause of infection after childbirth. It is also part of spectrum of diseases that make up pelvic inflammatory disease.
Types
Acute endometritis
- Acute endometritis is characterized by infection
- High fever and purulent vaginal discharge.
- Menstruation after acute endometritis is excessive
- Mycoplasma genitalium and pelvic inflammatory disease.
Chronic endometritis
- Chronic endometritis is characterized by the presence of plasma cells in the stroma.
- Chlamydia trachomatis (chlamydia), Neisseria gonorrhoeae (gonorrhea), Streptococcus agalactiae (Group B Streptococcus), Mycoplasma hominis, MTB, and various viruses.
- Most of these agents are capable of causing chronic pelvic inflammatory disease (PID). Patients with chronic endometritis may have an underlying cancer of the cervix or endometrium (although infectious cause is more common).
- Chronic granulomatous endometritis is usually caused by MTB.
Pyometra
- Pyometra describes an accumulation of pus in the uterine cavity.
- In order for pyometra to develop, there must be both an infection and blockage of cervix.
- Signs and symptoms include lower abdominal pain (suprapubic), rigors, fever, and the discharge of pus on introduction of a sound into the uterus.