Endometritis

ExitCare ImageEndometritis is an irritation, soreness, and swelling (inflammation) of the lining of the uterus (endometrium).

CAUSES

  • Bacterial infections.

  • Sexually transmitted infections (STIs).

  • Having a miscarriage or childbirth, especially after a long labor or cesarean delivery.

  • Certain gynecological procedures (such as dilation and curettage, hysteroscopy, or contraceptive insertion).

SIGNS AND SYMPTOMS

  • Fever.

  • Lower abdominal or pelvic pain.

  • Abnormal vaginal discharge or bleeding.

  • Abdominal bloating (distention) or swelling.

  • General discomfort or ill feeling.

  • Discomfort with bowel movements.

DIAGNOSIS

A physical and pelvic exam are performed. Other tests may include:

  • Cultures from the cervix.

  • Blood tests.

  • Examining a tissue sample of the uterine lining (endometrial biopsy).

  • Examining discharge under a microscope (wet prep).

  • Laparoscopy.

TREATMENT

Antibiotic medicines are usually given. Other treatments may include:

  • Fluids through an IV tube inserted in your vein.

  • Rest.

HOME CARE INSTRUCTIONS

  • Take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your health care provider.

  • Take your antibiotics as directed. Finish them even if you start to feel better.

  • Resume your normal diet and activities as directed or as tolerated.

  • Do not douche or have sexual intercourse until your health care provider says it is okay.

  • Do not have sexual intercourse until your partner has been treated if your endometritis is caused by an STI.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You have swelling or increasing pain in the abdomen.

  • You have a fever.

  • You have bad smelling vaginal discharge, or you have an increased amount of discharge.

  • You have abnormal vaginal bleeding.

  • Your medicine is not helping with the pain.

  • You experience any problems that may be related to the medicine you are taking.

  • You have nausea and vomiting, or you cannot keep foods down.

  • You have pain with bowel movements.

MAKE SURE YOU:

  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if you are not doing well or get worse.