Under the generalized concept of "inflammation of the uterus" is usually understood as inflammation:
- its mucous membrane - endometrium ( endometritis );
- cervix (cervicitis);
- simultaneous inflammation of the mucous membrane of the uterine cavity and its neck (endocervicitis).
Causes of inflammation of the uterus
The cause of inflammation of the uterus are infections (viral, bacterial, fungal), the first place among which belongs to the sex. Most often diagnosed gonococcal and chlamydial inflammation, less inflammatory process is provoked by mycoplasmas and E. coli, streptococci, staphylococci and enterococci, spirochetes, herpes virus and other pathogens.
The factors contributing to the development of acute and chronic inflammation of the uterus are of an infectious and traumatic origin. The traumatic origin of the inflammatory process is possible with mechanical damage to the uterus and its cervix:
- with simultaneous violation of aseptic and antiseptic conditions during various gynecological manipulations;
- in case of infection from the lower genital tract.
So, the inflammation of the uterus after an abortion and after scraping with a frozen pregnancy is diagnosed in every third woman. After a difficult birth, inflammation of the uterus is determined in every tenth woman in labor, meanwhile, as with Caesarean section, the risk of hearing the same diagnosis is doubled. The situation is exacerbated if, due to poor contractile function of the uterus after cesarean section, women develop purulent inflammation of the uterine cavity.
During menstruation, when the genital tract is more susceptible to microbial infection, sexual activity should be ruled out, otherwise there is a high risk of inflammation of the cervix and the uterine mucosa.
In addition, the cause of inflammation of the uterus is often the prolonged wearing of spirals or other intrauterine contraceptives.
Possible signs of inflammation of the uterus
For inflammation of the uterus, there are three classic signs: pain in the lower abdomen, elevated body temperature and the presence of unnatural vaginal discharge. A woman has every reason to suspect an inflammation of the uterus if she observes in her state of health the following changes:
- discharge from the genital tract acquired a yellow color (sometimes with a trace of blood) and a sharp putrefactive odor;
- in the lower abdomen there is constant aching pain, which "walks" along the pelvic floor and is felt in the coccyx, then in the sacrum, then in the lower back;
- body temperature is constantly raised and is within 37.0-37.5 ° C (for acute inflammation - up to 39 ° C);
- possible uterine bleeding;
- in the general state of health, changes are observed: rapid fatigue, weakness, irritability, dizziness, sweating, rapid pulse.
Symptoms of chronic inflammation of the uterus are not always pronounced, and sometimes completely absent. Most often, women complain about:
- poor or copious character of menstrual flow;
- irregular menstrual cycle;
- causeless intermenstrual spotting spotting.
Treatment of endometritis
The use of antibiotics for inflammation of the uterus is a necessary therapeutic measure. Apply broad-spectrum antibiotics or those antibacterial agents that are active against a particular pathogen.
In addition to the main, additional treatment is prescribed: antimicrobial and desensitizing preparations, vitamins, tissue metabolites, hormones, biostimulants, homeopathic preparations, gynecological massage, physiotherapy procedures and so on. The effects of uterine inflammation are always negative. In the best case, the infection will acquire a chronic form and cause an adhesion process,
Especially dangerous is the inflammation of the walls of the uterus during pregnancy. Such pathology threatens premature outpouring of amniotic fluid, placental abruption, thrombosis, etc. Fortunately, in pregnant women, the uterine cavity is inflamed extremely rarely, where they are more often diagnosed with the inflammatory process of the cervix, which should be treated only after the pathogen is identified.