Chronic Endometritis: Symptoms, Causes, and Treatment

Chronic endometritis is a condition where the lining of the uterus becomes inflamed over a long period. It can lead to issues with fertility and recurrent miscarriages. This condition is more common than previously thought, impacting around 15-30% of women with infertility problems. The inflammation can prevent a fertilized egg from implanting properly in the uterus, affecting a woman's ability to conceive. Seeking medical help early can improve outcomes and increase the chances of a successful pregnancy.

Causes of Chronic Endometritis

Chronic endometritis can develop due to various factors. These may include:

• Previous uterine infections.
• Prolonged use of intrauterine devices (IUDs).
• Complications post childbirth or miscarriage.
• Sexually transmitted infections (STIs).
• Chronic conditions like diabetes or autoimmune disorders.

Symptoms of Chronic Endometritis

Chronic endometritis is a condition that can have serious implications if left untreated. Recognizing its symptoms early is crucial for timely intervention and better outcomes. Here are some key symptoms to watch out for:

• Abnormal uterine bleeding
• Pelvic pain or discomfort
• Painful intercourse
• Unusual vaginal discharge
• Fever or chills

Early detection of chronic endometritis based on these symptoms can lead to prompt treatment and improved reproductive health outcomes. If you experience any of these symptoms, it's essential to consult a healthcare provider for proper evaluation and management.

Diagnosis of Chronic Endometritis

Accurate diagnosis of chronic endometritis is crucial for effective treatment and improved reproductive outcomes. The diagnostic process typically involves a combination of clinical evaluation and laboratory tests to confirm the presence of persistent endometrial inflammation. Methods used in diagnosing chronic endometritis include:

• Transvaginal ultrasound
• Endometrial biopsy
• Hysteroscopy
• Blood tests to check for specific biomarkers

Treatment Options for Chronic Endometritis

Chronic endometritis requires individualized care to effectively manage the condition. Treatment approaches may vary depending on the underlying cause and severity of symptoms.

Antibiotic Therapy

• Antibiotic therapy involves the use of specific antibiotics to target and eliminate bacterial infections in the endometrium.
• The rationale behind antibiotic therapy is to eradicate pathogens causing inflammation and infection in the endometrial lining.
• The primary objective is to reduce inflammation, eliminate infection, and restore the normal endometrial environment.
• The treatment typically involves a course of antibiotics prescribed by a healthcare provider, followed by reassessment to ensure clearance of the infection.

Hysteroscopy with Curettage

• Hysteroscopy with curettage is a minimally invasive procedure that allows direct visualization of the uterine cavity and removal of abnormal tissue.
• This approach is used to diagnose and treat chronic endometritis by removing infected tissue and promoting healing of the endometrium.
• The primary objective is to improve the health of the endometrium, reduce inflammation, and alleviate symptoms associated with chronic endometritis.
• The procedure involves inserting a hysteroscope into the uterus to visualize the endometrium and performing curettage to remove abnormal tissue or debris.

Prevention and Management of Chronic Endometritis

Chronic endometritis can be managed effectively through lifestyle changes and proactive measures. By incorporating the following strategies, individuals can help prevent or better control this condition:

Lifestyle Modifications:

• Eating a balanced diet rich in fruits, vegetables, and whole grains
• Maintaining a healthy weight through regular exercise
• Avoiding smoking and excessive alcohol consumption
• Managing stress through relaxation techniques like yoga or meditation

Regular Screenings:

• Ensuring regular gynecological check-ups for early detection and management
• Discussing any abnormal symptoms with a healthcare provider promptly
• Following recommended screening guidelines for early intervention

Supportive Care:

• Complying with prescribed medications and treatment plans
• Seeking emotional support from friends, family, or support groups
• Engaging in open communication with healthcare providers for optimal care

By adopting these lifestyle changes, staying on top of screenings, and seeking necessary support, individuals can take proactive steps towards preventing and managing chronic endometritis more effectively.

If you’ve been having any symptoms or worries about chronic endometritis, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.