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Pelvic laparoscopy


Endometritis
Endometritis


Definition:

Endometritis is an inflammation or irritation of the lining of the uterus (the endometrium).

See also: Pelvic inflammatory disease



Causes, incidence, and risk factors:

Endometritis is caused by infections such as chlamydia, gonorrhea, tuberculosis, or mixtures of normal vaginal bacteria. Endometritis is more likely to occur after childbirth, miscarriage, or placement of an intrauterine device (IUD).

Any surgical procedure that enters the uterus through the cervix will increase the risk of developing endometritis. Endometritis can occur at the same time as other pelvic infections such as acute salpingitis, acute cervicitis , and many sexually transmitted diseases (STDs).



Symptoms:

Signs and tests:

The health care provider will perform a physical exam and a pelvic exam. The lower abdomen may be tender. Bowel sounds may be decreased. A pelvic exam may cause the uterus and cervix to feel tender. There may be cervical discharge.

The following tests may be performed:



Treatment:

Treatment with antibiotics is important to prevent complications of endometritis.

Complicated cases (those occurring after childbirth, or involving severe symptoms) may require the patient to be admitted to a hospital. Intravenous (in the vein) antibiotics are usually needed, followed by antibiotics taken by mouth.

Rest and hydration are important.

Treatment for sexual partners, when appropriate, and the use of condoms throughout the course of treatment, are essential.



Support Groups:



Expectations (prognosis):

Most cases of endometritis go away with antibiotics. Untreated endometritis can lead to more serious infection and complications with pelvic organs, reproduction, and general health.



Complications:

Calling your health care provider:

Call for an appointment with your health care provider if you have symptoms of endometritis.

Call immediately if you recently had a baby, had an abortion, had an IUD placed, or had any surgery involving the uterus.



Prevention:

Endometritis caused by sexually transmitted infections can be prevented by:

  • Early diagnosis and complete treatment of sexually transmitted diseases in yourself and all sexual partners
  • "Safer" sexual practices

The risk of endometritis is reduced by the careful, sterile techniques used by appropriate providers in performing deliveries, abortions, IUD insertions, and other gynecological procedures.

If you've been prescribed antibiotics following a procedure, it is very important to finish all the medication and follow up with your health care provider.



References:

Duff P. Maternal and perinatal infection -- bacterial. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2007:chap 49.

Eckert LO, Lentz GM. Infections of the upper genital tract. In: Katz Vl, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 23.

Faro S. Postpartum endometritis. Clin Perinatol. 2005;32(3):803-814.




Review Date: 5/12/2008
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100