Endometritis

Endometritis is inflammation of the endometrium, the inner lining of the uterus, usually caused by an infection. It can be classified as acute or chronic. Acute endometritis typically occurs after childbirth, miscarriage, or surgical procedures like dilation and curettage, and is often caused by sexually transmitted bacteria such as Chlamydia trachomatis and Neisseria gonorrhoeae. Chronic endometritis, on the other hand, is a mild but persistent inflammation that may be asymptomatic or cause non-specific symptoms like abnormal uterine bleeding, pelvic discomfort, and leukorrhea. Symptoms of acute endometritis include pelvic pain, fever, abnormal vaginal discharge or bleeding, and general malaise.

Early diagnosis and antibiotic treatment are important to prevent complications like infertility, chronic pelvic pain, or spread of infection to other pelvic organs. Endometritis is diagnosed based on clinical evaluation and sometimes confirmed by endometrial biopsy or imaging if needed. Risk factors include cesarean delivery, prolonged labor, and pelvic procedures. Prevention involves proper hygiene and timely treatment of genital infections.