Acute endometritis: causes and methods of effective treatment

The organs of the female reproductive system have a whole range of special protective mechanisms, the work of which is aimed at preventing the development of pathological processes in the reproductive organs. The factors of local protection in the uterus are especially well developed, since it is this organ that provides normal conditions for the development and growth of the unborn fetus. However, protective factors are not always able to cope with the impact of an infectious agent. With insufficient efficiency of the protection factors, an inflammatory process of the uterine mucosa develops - acute endometritis. This condition requires the immediate initiation of complex therapy, as it can lead to serious complications.

What factors lead to the development of acute endometritis?

Most often, infection of the uterine mucosa occurs against the background of a decrease in local protective factors. In the female reproductive system, this often occurs as a result of intrauterine surgery, such as abortion or diagnostic curettage. Bacteria, viruses, fungi, mycoplasmas and spirochetes provoke an infectious process. The most common combination of aerobic and anaerobic infection. To date, the leading role in the development of acute endometritis is played by herpesvirus and chlamydial infections. The presence in the uterine cavity of the remains of placental tissue after childbirth, the fetal egg, blood clots or decidual tissue, as well as a decrease in general immunity are factors predisposing to the development of acute endometritis.

Clinical presentation and diagnosis of acute endometritis

The onset of the disease is acute, with symptoms of acute endometritis appearing a few days after infection. The earliest symptoms of acute endometritis are fever to febrile values, chills, pain in the lower abdomen, which can radiate to the groin. Later, yellow-green purulent discharge from the genitals appears. During a gynecological examination, the same purulent discharge into the vagina is determined, while the cervical canal is often dilated, the uterus is enlarged and painful on palpation, especially on the sides, where the lymphatic vessels are located. Laboratory blood tests show all the signs of an inflammatory process: leukocytosis with a shift of the formula to the left, an increase in ESR, acute phase proteins.

Methods of conservative treatment of acute endometritis

The main thing in the treatment of acute endometritis is the appointment of antibiotic therapy. Preparations and their dosages should be selected strictly individually, taking into account the sensitivity of pathogens to antimicrobial therapy. It makes sense to prescribe antiprotozoal drugs, since, often, protozoa also play a role in the development of acute endometritis. They also carry out detoxification, desensitizing and restorative therapy. With the help of antiseptic chilled solutions, you can wash the uterine cavity in order to achieve the maximum therapeutic effect. If there is a substrate in the uterine cavity that supports the infectious process, the uterine cavity is scraped. With timely effective treatment, the disease lasts no more than 10 days. Otherwise, complications such as as metroendometritis, inflammation of the peritoneum and uterine vessels, which can lead to sepsis and death. There is also a high probability of transition of acute endometritis to a chronic process.