Chronic Endometritis: Symptoms, Diagnosis, and Treatment

Chronic endometritis is an inflammation of the uterine lining that can impact a woman's reproductive function. This type of inflammation often occurs without noticeable symptoms, making timely diagnosis difficult.

What is Chronic Endometritis?

Endometritis can be acute or chronic. The acute form is accompanied by lower abdominal pain, fever, and unpleasant discharge. However, chronic endometritis often goes unnoticed, with symptoms like scant bloody discharge during menstruation or mid-cycle. Pain may only be noticeable during a pelvic exam when the uterus is palpated.

Causes of Chronic Endometritis

• Frequent abortions and curettage procedures
• Sexually transmitted infections
• Presence of an intrauterine device (IUD)

Clinical Manifestations

Chronic endometritis is often associated with issues related to conception, recurrent miscarriage, or unsuccessful IVF attempts. It may also lead to a thin endometrium, preventing proper embryo implantation.

Diagnosis of Chronic Endometritis

Diagnosis of chronic endometritis is carried out using Pipelle biopsy or hysteroscopy, followed by histological examination of the obtained material. An examination to confirm the diagnosis, including immunohistochemistry, is performed.

How to Treat Chronic Endometritis?

The main treatment method is a prolonged course of antibacterial therapy, which can last from 14 to 21 days. The treatment aims to eliminate inflammation and restore the normal condition of the endometrium.

Treatment of Chronic Endometritis

• Antibacterial therapy with tetracycline group drugs
• It is essential to complete the treatment in a single course, as re-treatment is ineffective
• Treatment of chronic endometritis helps normalize the endometrial condition

When Should You See a Doctor?

If you have trouble conceiving, recurrent miscarriage, or unsuccessful IVF attempts, it is crucial to be examined for chronic endometritis. By receiving the correct diagnosis and undergoing treatment, you can address one of the factors affecting pregnancy chances.

We hope the information provided in this article helps you better understand chronic endometritis and its treatment. If you experience symptoms, do not delay visiting your doctor.

Chronic endometritis is an inflammation of the uterus that can hinder conception. Learn about its symptoms, diagnosis, and effective treatment methods.