Endometiets

Endometritis is an inflammation or infection of the endometrium, the innermost lining of the uterus. It commonly occurs as a postpartum complication but can also result from other causes such as pelvic infections, subgroup of sexually transmitted infections, or instrumentation of the uterus.

Symptoms of endometritis may include abnormal uterine bleeding, foul vaginal discharge, pelvic pain, fever, and malaise. In postpartum cases, women may experience delayed lochia, uterine tenderness, or subfebrile temperatures. The condition is often diagnosed through clinical examination, including pelvic exam and ultrasound, supported by laboratory tests such as endometrial culture and histopathology.

Etiology of endometritis frequently involves bacterial infections, with common pathogens including Streptococcus species, Escherichia coli, and anaerobic bacteria. In cases related to sexually transmitted infections, organisms like Chlamydia trachomatis and Neisseria gonorrhoeae may be implicated.

Treatment typically involves the administration of broad-spectrum antibiotics targeting the suspected organisms. Supportive care includes pain management and, in some cases, surgical intervention if abscess formation or chronic infection occurs. Prevention strategies emphasize aseptic techniques during gynecological procedures, prompt treatment of genital infections, and proper postpartum care.

Complications of untreated or recurrent endometritis can include the development of pelvic inflammatory disease, abscess formation, infertility, or adverse pregnancy outcomes. Early recognition and appropriate management are essential to prevent long-term reproductive health issues.