Endometritis - Symptom, Causes, Treatment of Endometritis

Endometritis is a feature of pelvic inflammatory disease. Endometritis is an infection of the endometrium or decidua, with extension into the myometrium and parametrial tissues.


What is Endometritis

Endometritis may also occur following childbirth; abortion (therapeutic, elective, or spontaneous - all of which can lead to septic abortion), or intrauterine device (IUD) insertion. Acute endometritis is characterized by the presence of neutrophils within the endometrial glands. Chronic endometritis is characterized by the presence of plasma cells and lymphocytes within the endometrial stroma. More recent work has questioned whether endometritis is a discreet condition or part of a continuum.

Causes of Endometritis

  • Chlamydia
  • Gonococcal endometritis
  • Salpingitis
  • Tuberculous endometritis
  • Purulent endometritis
  • Childbirth
  • Abortion (therapeutic, elective, or spontaneous)
  • Intrauterine device (IUD) insertion
  • Surgery or other gynecological procedures that require insertion of medical instruments

Symptoms

  • General discomfort,
  • uneasiness, or ill feeling
  • Fever  
  • Lower abdominal or pelvic pain (uterine pain)
  • Abnormal vaginal bleeding
  • Abnormal vaginal discharge
  • Discomfort with bowel movement (constipation may occur)
  • Abdominal distention