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Inflammation of the uterine cavity symptoms. Chronic inflammatory disease of the uterus

Content

Pain in the lower abdomen is familiar to, perhaps, every woman. For some, they occur in the first days of menstruation, for others they begin to bother a few days before their onset, and sometimes they appear completely unexpectedly and can cause a lot of inconvenience, preventing them from leading a normal lifestyle and forcing them to take painkillers.

Abdominal pain is always an alarming symptom, which can be a sign of many diseases, including inflammation of the pelvic organs and uterus in women and requires immediate treatment. What kind of disease is this? What symptoms indicate its development and how to treat it will be discussed further.

Inflammation of the uterus in women

Inflammation of the uterus occurs when viruses, bacteria or fungal infections enter its cavity. There are several types, depending on the localization of the process in the organ:

cervicitis - inflammation of the cervical canal;
endometritis - inflammation of the inner mucous membrane of the uterus;
myometritis - an inflammatory process in the muscular layer of the uterus of the myometrium;
endomyometritis is a disease of two layers at once - the myometrium and endometrium.

Inflammatory processes don't start randomly. The infection can only get so deep if the natural defenses of the female reproductive system are weakened. In most cases, the acidic environment of the vaginal mucosa and the cervical barrier do not allow infections to penetrate the uterus.

The main causes of inflammation of the uterus:

Complicated labor (weak labor, poor opening of the cervix, postpartum hemorrhage, incomplete emptying of the cavity from the placenta).
Surgical intervention in the pelvic area (failure to comply with septic and antiseptic rules, careless manipulation, treatment if there are infections in the body).
Diagnostic research methods (curettage, biopsy, hysteroscopy, cervicoscopy, colposcopy and others).
C-section.
Abortion or curettage after a frozen pregnancy or incomplete abortion.
Having sex during menstruation.
Failure to comply with the rules of genital hygiene after childbirth and operations, during menstrual periods.
Advanced or numerous diseases of the genitourinary system.
Having a large number of sexual partners.
Early onset of sexual activity.
Installation, removal or ingrowth of an intrauterine device.
Washing out the natural microflora of the vagina using douching.
Cervical ectopia (presence of mucous membrane on the surface of the cervix).

It is not always possible to accurately identify the cause of the inflammatory process if it was not caused by physical intervention in the organ cavity.

Symptoms

Inflammatory processes can be acute or chronic. Depending on this, the intensity of their manifestation will change.

Acute inflammation impossible not to notice:

a sharp increase in body temperature (38-40 degrees);
symptoms of body intoxication - weakness, headache, lack of appetite, dizziness;
bleeding or other unusual discharge from the genital tract (purulent, serous, sanguineous);
unpleasant odor of discharge;
sharp or nagging, possibly cramping pain in the lower abdomen and back.

Acute inflammation of the uterus most often occurs after curettage, childbirth, abortion, cesarean section, diagnostic procedures and other interventions in the internal organs of women. These diseases must be treated as quickly as possible, as soon as the first symptoms appear, otherwise the disease will become chronic.

Symptoms of chronic inflammatory process in the uterus are similar to the symptoms of many female diseases. You need to consult a gynecologist and start treating the disease if you have:

unusual vaginal discharge appears;
Periodically there is pain in the lower abdomen or sacrum (pain during menstrual periods is also not the absolute norm);
unpleasant odor from the genital tract;
dryness, itching and burning in the labia and vagina;
painful sensations appear during or after sexual intercourse;
slightly increased body temperature (37-37.5 degrees);
there is uterine bleeding at the wrong time;
irritability, loss of strength appeared, you began to get tired quickly for no reason, your pulse often increased and there were bouts of fever;
There are disruptions to the menstrual cycle (delays, cycles that are too short, lack of menstruation).
excessively abundant or scanty discharge from the genital tract during menstruation.

Symptoms in women with inflammation of the uterus can be very different, or may be completely absent. Therefore, it is necessary to undergo routine examinations with a gynecologist at least once a year in order, if necessary, to begin treatment for any disease on time.

Treatment

Acute inflammatory processes in women after childbirth, operations and diagnostic procedures are treated in a hospital. Treatment always begins with gynecological cleansing, which is necessary in order to get rid of the cause of inflammation (remnants of fertilized egg tissue, placenta, suture material). And also cleaning is carried out to speed up recovery in case of endometriosis and metroendometriosis, when it is necessary to free the uterus from infected tissues of the mucous layer (manually carry out complete peeling and removal of the diseased endometrium, which normally occurs during menstrual periods). After the operation, the doctor will prescribe treatment with antibiotics and hormonal drugs that stimulate the proper growth of new tissue in the uterus.

Treatment with antibiotics in acute forms of the disease, it will help relieve symptoms within one or two days.

Chronic inflammation of the uterus in women can be treated on an outpatient basis. For this purpose they prescribe:

antibacterial drugs "Metrogil" or "Metronidozole" that stop and prevent further spread of infection, sulfonamides;
vitamin complexes, which necessarily contain vitamin “C”, vitamins “B” and “E”, folic acid and others;
antihistamines to relieve symptoms (itching, swelling) - “Ketotifen” or “Tavegil”;
tablets to improve blood supply and metabolism in the tissues of the pelvic organs;
immunomodulators to prevent relapse of the disease - “Immunal”, “Dekaris”;
medications to improve blood clotting;
biostimulants - “Peat” or “Bioset”;
physiotherapeutic treatment.

After completion of treatment Combined oral contraceptives are often prescribed for a period of two to four months to normalize hormonal levels and accelerate the recovery process in the organs and tissues of the body.

During treatment, the sexual partner must undergo examination and, if necessary, a course of therapy as prescribed by the doctor. During the recovery period, it is necessary to completely avoid sexual contact. And after two to three months, both partners need to retake all tests and make sure there are no infections in the genitourinary system.

Inflammation of the uterus in women is a fairly common disease, which can be successfully cured only with timely and correct treatment. Otherwise, inflammation can cause complications such as the formation of adhesions, cysts, fibroids, pregnancy complications (placental abruption, bleeding, premature birth, fetal infection, multiple miscarriages), infertility, ectopic pregnancy, chronic pelvic pain, the growth of malignant tumors and the development of sepsis . Do not delay treatment for any form of uterine inflammation.

Inflammation of the uterus is not fatal, but still a dangerous disease. If you do not treat it and leave everything to chance, the consequences can be very dangerous. As everyone knows, the uterus has three layers (peritoneum, muscular layer and mucous membrane). Inflammation may appear in one of these layers or in all of them at once. Very often, the disease first begins with one layer, and then moves to others.

For what reasons does inflammation of the uterus occur?

The cause of this disease is various types of infections (viruses, bacteria, fungi). In first place are, of course, the genitals. Mostly, gonococcus and chlamydia are detected during diagnosis. Much less common are mycoplasma, E. coli, staphylococcus, and so on.

As for the factors that lead to acute or chronic inflammation, they are of infectious or traumatic origin. With a traumatic origin, the inflammatory process is possible with mechanical damage to the uterus and its cervix:

simultaneously with violation of hygiene conditions during various types of gynecological manipulations;
with the addition of infections from other parts of the genital tract.

Thus, inflammation of the uterus after an abortion or after curettage during a missed pregnancy is diagnosed in every third woman. If the birth was difficult, then the disease manifests itself in one in ten women, and after a caesarean section the risk doubles. The situation becomes even worse if, with poor ability to contract after a cesarean section, a woman develops purulent inflammation.

During menstruation, when the genital tract is most likely to be subject to microbial infection, you should completely limit yourself from sexual intercourse. Otherwise, the risk of inflammation or uterine mucosa increases.

In addition, the cause of inflammation is very often long-term wearing of the IUD or other uterine contraceptive.

Symptoms of inflammation of the uterus

Pain in the lower abdomen is the main symptom of this disease. Throughout the entire period of the disease, sensations may be insignificant, but may become stronger due to further development. Some diagnostic difficulty may be caused by adnexitis on the right side, because the symptoms are very similar to acute appendicitis, which sometimes leads to unnecessary surgery. Acute pain, usually occurring on the affected side, can radiate to the right side, lower back or leg. Symptoms may not be pronounced, as patients use painkillers. If the pain spreads to the abdominal cavity and becomes unbearable, then a symptom of peritoneal irritation occurs.
Elevated body temperature is also a characteristic sign and, together with pain, should immediately indicate adnexitis to the doctor. The temperature usually does not rise above 38 degrees, but may increase as the process spreads.
Severe intoxication, manifested in weakness, dizziness and nausea. Mainly occurs at the initial stage of the process.
Irregularities in the menstrual cycle occur less frequently, but they can also occur.
Constant mild pain in the groin area, especially during physical activity, infertility - these symptoms may indicate chronic adnexitis.

Acute inflammation

The acute form of inflammation (endometritis), as a rule, makes itself felt a few days after the infection was introduced. It is characterized by elevated body temperature (39-40 degrees), chills, and general deterioration of the condition. In addition, nausea, vomiting, rapid heartbeat and pulse occur. A sharp pain appears in the lower abdomen, radiating to the lower back and rectum. If the inflammation spreads to the pelvic peritoneum, then signs of peritoneal irritation appear.

In addition, patients complain of gray-yellow discharge. Very often the discharge is a little bloody. During a gynecological examination, the doctor feels an enlargement and softening of the uterus. A characteristic symptom is severe pain when palpating the uterus from the sides, where large lymphatic vessels are located. Displacement behind the cervix is very painful. With endometritis, which develops against the background of the remains of the fertilized egg, severe bleeding occurs. If acute endometritis is treated on time, the condition will last no more than ten days.

Chronic

As a rule, chronic endometritis may not manifest itself for a long time and may not have any pronounced symptoms. A characteristic symptom is bleeding. First of all, this occurs due to disruption of the menstrual cycle and restoration of the functional layer, which causes bleeding. Also, this kind of bleeding is caused by increased permeability of the uterine vessels during ovulation. With chronic inflammation of the uterus, the contractility of the uterus decreases and blood clotting is impaired. The secretory function of the uterus is also impaired, which is expressed by gray and gray-purulent discharge. Patients are bothered by constant aching pain, and upon examination the uterus is enlarged and hardened.

Diagnostics

When contacting a doctor, it is imperative to describe to him in detail all the symptoms that you have, because already at this stage he will be able to assume that you have endometritis. In addition to the preliminary diagnosis, the doctor will definitely do the following:

A gynecological examination was performed using speculum and palpation of the uterus. Basically, it will increase in size and react painfully to touch. Even during the examination, the doctor will characterize the discharge (color, smell, consistency and quantity).
Smears are taken, thanks to which it is possible to detect most of all bacteria that can lead to endometritis.
Material was taken for sowing, which will allow a more thorough study of the nature of the pathogen by growing it in a special environment, as well as determining its response to medications.
A blood sample was taken for clinical and biochemical tests. As a rule, clinical analysis will indicate the presence of the disease.
If possible, an ultrasound scan of the uterus was performed. If the patient comes with an already advanced form, then the study may be postponed for a while. Based on the main ultrasound signs, such as thickened mucous membrane, blood clots and pus, placental remnants, changes in the echogenicity of myometrial tissue, the presence of endometriosis will be determined. Very often, inflammation affects the fallopian tubes and ovaries, which will be very clearly visible on an ultrasound.

Diagnosing chronic endometritis can be difficult, as the symptoms will be very similar to other diseases. In this situation, the most effective would be sowing the same flora, as well as constant, sluggish inflammation.

How to treat inflammation of the uterus?

If the diagnosis was detected at an early stage, then it is possible to treat it on an outpatient basis, but under the mandatory supervision of a doctor. As a rule, treatment in women consists of taking antipyretic and antibacterial drugs.

The treatment method depends on the form of inflammation:

How is acute inflammation treated?

Unfortunately, most women turn to doctors when it is too late, and then hospitalization and long-term treatment are required. In such a situation, it is necessary to very carefully study the condition of the patient, and how widespread the process is, as well as the reasons that caused it.

Very often, treatment of uterine inflammation is carried out as follows:

Antibiotics are administered intravenously for 5-10 days, depending on the severity.
If there are any “residues” in the uterine cavity (bad curettage, placental remains, unsuccessful abortion), then curettage is prescribed and treatment with antibiotics is carried out.
Vitamins and remedies are used to strengthen the immune system.
Physiotherapy is used.

Treatment of chronic inflammation

Chronic endometritis is treated by targeting a specific pathogen. To do this, it is necessary to take smears for culture and susceptibility to antibiotics. In this case, an antibacterial treatment regimen and drugs that relieve inflammation are used.

A high therapeutic effect can be achieved by introducing medications, including antibiotics, directly into the uterus itself. This method ensures the creation of a high concentration of the drug at the site of inflammation.

In addition, it is mandatory to separate adhesions through surgery, and also use hormonal therapy. In addition, it is necessary to use oral contraceptives, especially if a woman is planning a pregnancy in the future.

Physiotherapy is successfully used to treat both acute and chronic forms of inflammation, when the first, most difficult period has already passed and the woman becomes compensated. This is required to be done only in a hospital. First of all, this procedure allows us to ensure that the outflow of fluid and pus that has accumulated in the uterine cavity is improved and helps to strengthen local reparative functions.

Inflammation of the uterus after childbirth

A special place is given to postpartum endometritis, which is a very common complication of complications after childbirth. As a rule, it is inseparable from metroendometritis, which occurs in an acute form and quickly makes itself felt.

The most important reason is the remains of the placenta, which were infected due to non-compliance with sanitary standards.

Inpatient treatment is aimed at effective antibacterial therapy, and when the process subsides, all remnants are removed from the uterine cavity. Unfortunately, very often there are complications that lead to septic complications, and then the prognosis can be far from unfavorable - urgent surgical intervention, including removal of the uterus.

If a woman is breastfeeding, she will have to exclude it during antibiotic treatment and for a week after stopping it.

You are not required to follow a specific diet outside the hospital setting. It will be enough to simply limit your intake of fatty foods, large amounts of liquid, and fruit consumption. During inpatient treatment, it is mandatory to comply with bed rest and a diet excluding fatty and difficult-to-digest foods.

Usually, if you start treating inflammation of the uterus in an acute form on time, no special rehabilitation is required. It is enough to remain under the supervision of a doctor for some time after completing the course of treatment. It is also very important to complete all therapeutic procedures.

What are the complications?

The most terrible complication of endometritis is the spread of infection through the blood, lymph, fallopian tubes, cervix or vagina. This can lead to blood poisoning, that is, sepsis. Other complications are:

chronicity and transition into a chronic form;
the occurrence of pyometra - accumulation of pus in the uterus due to obstruction of the cervix and the inability of the pus to escape;
involvement of the fallopian tubes and appendages in the process;
pelvioperitonitis as a result of pus entering the uterus.

A late complication that occurs in the absence of proper treatment is menstrual irregularities, infertility and constant pain in the lower abdomen.

These are not all the complications that can arise, because the inflammatory process can be caused by another pathology that will appear later. Accordingly, with early treatment and adequate treatment, severe complications can be prevented.

Treatment of inflammation with folk remedies

It’s definitely worth talking about folk remedies for those who prefer to self-medicate. Endometritis is an inflammatory disease, which can result in various serious consequences. Its treatment must be carried out by a qualified specialist. All the latest available means are used for treatment in order to obtain the most effective results in the shortest possible time. Endometritis is very common in women after childbirth. From the 17th to the 20th centuries, this disease occurred in half of postpartum women. Therefore, various remedies that some believe can be used for self-medication can be very dangerous to health.

Prevention

Preventive measures for uterine inflammation include eliminating those factors that influenced the development of the disease. Timely treatment for infections transmitted through sexual intercourse and all complications that occur during childbirth, as well as refusal of abortion, is the most correct way to prevent endometritis.

In addition, early breastfeeding and the administration of a contracting and immunomodulating agent can also become a means of nonspecific prevention.

It is mandatory for a woman to undergo a postpartum examination, an ultrasound scan and a gynecological examination.

But the biggest preventive measure can only be a very attentive attitude towards yourself and timely contact with a specialist.

Many women have experienced inflammation of the uterus. However, not everyone pays due attention to alarming symptoms. As a result, this disease can develop into chronic inflammation of the uterus, into a more complex infection, and also cause the development of infertility. The symptoms of inflammation of this organ cannot be confused with any other disease. One of the signs of chronic inflammation of the uterus is severe pain during menstruation in the lower abdomen, especially on the first day. To avoid complications, when symptoms appear, it is necessary to immediately begin treatment for this unpleasant disease.

Features of the disease

Inflammation of the uterus is one of the most common diseases among the female half of the planet's population. Treatment should only be prescribed by a specialist when the diagnosis is finally clarified and the causes of the disease are identified. The main provocateur of the development of the pathological process is considered to be an infection that has entered the uterine cavity from the outside. To choose the right treatment methods, you need to know that inflammation of the uterus can be chronic, acute and subacute. Based on the type of pathogen, these pathological conditions are divided into specific and nonspecific.

Features of the disease

Experts note that chronic inflammation of the uterus occurs mostly hidden. Its main symptom is the presence of severe bleeding. Its appearance is explained by cycle disorders, as well as high permeability of endometrial vessels.

Chronic is also characterized by a reduction in organ function. During the development of cervicitis, the patient experiences abnormal platelet function. But after some time, other symptoms of chronic inflammation of the cervix appear, which include purulent discharge and pain. During the diagnosis, you can notice that the female organ has become larger in size and also denser.

Difference from acute process

Treatment and symptoms will depend on the degree of development of the pathology, as well as on the severity of the inflammatory process. In acute inflammation of the cervix, clinical manifestations appear already 2-4 days after the infection enters the internal cavity. Considering the differences between acute and chronic inflammation of the uterus, the symptoms of the first manifest themselves in the form of a general deterioration in the woman’s condition. The patient feels tired and has severe headaches. At the same time, the heartbeat quickens, the body feels chilly, and the woman begins to feel sick and vomit.

When the uterus becomes inflamed, severe pain appears in the lower abdomen. It radiates to the lumbar region, as well as the anus. If the disease is severe, then symptoms of peritoneal irritation appear. With an exacerbation of chronic inflammation of the uterus, as with an exacerbation of acute inflammation, discharge appears that is purulent-serous in nature. The inflammatory process of the endometrium is accompanied by severe bleeding. If treatment is provided correctly and in a timely manner, the symptoms of this pathology will be observed for one and a half weeks.

During the diagnosis, the specialist notices a painful uterus, enlarged in size. Quite often, during lateral palpation the patient feels severe pain. Lymph nodes are located on the side, which in some cases can be felt during a digital examination.

Possible complications

If there is no timely treatment for chronic inflammation of the uterus and the symptoms are ignored, then some complications may develop. The main danger is hematogenous lymphogenous spread of infection. The path can be either descending or ascending. Possible complications may be:

Inflammation of the fallopian tubes.
Inflammation of the ovaries.
Pelvioperitonitis.
Purulent inflammation of the uterus.

Speaking about whether it is possible to get pregnant with chronic inflammation of the uterus, you should pay attention to the fact that the complications described above can lead to infertility. Therefore, it is so important to promptly visit a specialist who will prescribe methods of treatment for this disease.

The main reasons for the development of the disease

Treatment for chronic inflammation of the cervix should begin only after the doctor has identified what exactly triggered this disease. Possible reasons for the development of the disease may be as follows:

Scraping of the uterine cavity.
Difficult childbirth.
Dangerous abortion.
Presence of an intrauterine device.
Sex during menstruation.

Another possible reason for the development of this pathological process is cesarean section. Inflammation develops due to the penetration of ureaplasma, gonococci, mycoplasma, chlamydia and streptococci into the female body.

Carrying out diagnostics

Before starting treatment for chronic inflammation of the uterus, a woman must undergo a series of diagnostic measures. This inflammatory process is diagnosed using the following tests and procedures:

Oral history taking.
Examination of organs using a special mirror.
Palpation of the organ.
Sowing.
Smear.
Ultrasound examination of organs.

With the help of an examination, you can find out exactly how much the mucous membrane has increased. In addition, this event helps to detect blood clots, adhesions, accumulation of pus, as well as remnants of placental tissue. In the same way, chronic inflammation of the uterine appendages, ovaries, and organ tubes can be detected.

Therapeutic measures

Therapy for this pathological process must be comprehensive. Treatment methods will largely depend on the form of the disease. How to treat chronic inflammation of the uterus? Only a qualified specialist can answer this question correctly. As a rule, patients are prescribed complex therapy. In this case, the treatment strategy will depend on the form of this pathological process. The specialist must prescribe medications and also give recommendations regarding the patient’s lifestyle and nutrition.

Treatment of the chronic form with medications

Treatment of uterine inflammation involves eliminating the main causative agent of this pathology. Another priority goal is to manage complications. Chronic inflammation of the uterus can be cured if the patient is prescribed:

Antiviral medications.
Antibiotic drugs.
Vitamin complexes.
Hormonal agents.
Immunomodulators.

Doxycycline is considered the most effective antibiotic. As for the best hormonal drug, doctors recommend using Utrozhestan. Thanks to the use of this medication, the patient’s hormonal levels are restored. Metabolism is normalized by taking Actovegin. To strengthen the general condition of the body, experts prescribe Riboxin to patients.

Quite often, to eliminate the inflammatory process, patients are prescribed the use of vaginal suppositories. They are used simultaneously with antimicrobial medications. The duration and intensity of such a treatment course should be determined only by the attending physician. To eliminate inflammation, drugs such as Diclofenac, Movalis, and Voltaren can also be prescribed. Bleeding in the chronic form of inflammation of the uterus is eliminated with the help of antifibrinolytics.

Physiotherapy

Physiotherapy for chronic inflammation of the uterus involves undergoing electrophoresis. In parallel with this, the patient undergoes magnetic therapy and UHF. In some cases, treatment of the pathological process may be surgical. It should be prescribed only when a specialist detects adhesions.

The use of folk remedies

Drug treatment can be combined with alternative medicine recipes. But it is necessary to use grandma’s recipes only if the attending physician has approved it. Many medicinal herbs have an anti-inflammatory effect. Our ancestors cured this ailment with St. John's wort, viburnum, flax seeds, medicinal clover, and marshmallow.

Various infusions and decoctions can be prepared from these herbs. In addition, plants are used to prepare solutions for sitz baths.

The most effective remedy is a decoction prepared from marshmallow root. To make this healing remedy, it does not require much effort and time. To do this, you need to pour fifty grams of raw material with one glass of boiled water. After a day, the product should be put on low heat for several hours. When the decoction is removed, the root must be dried and ground. After this, the ground root should be mixed with pre-melted lard. The finished mixture should be put on fire for another 2 hours. After this time, the resulting composition is ready for use. The finished product is used internally for 2 weeks. This mixture is taken three times a day.

St. John's wort is best used as douches, and also used as a decoction. To prepare it, you need to take 100 g of raw material, pour 1 liter of cold water. Put everything on the fire and boil for 5 minutes. Use half a glass of prepared decoction per day. You can use the same solution for douching.

To eliminate pain during inflammation of the cervix, it is recommended to use an infusion based on medicinal clover.

For douching, a solution is prepared based on flax seeds. To do this, you need to take 200 g of raw material, pour two glasses of boiling water. Boil this mixture for a quarter of an hour, then strain thoroughly. When the broth has cooled, you need to add 4 tablespoons of liquid natural linden honey to the liquid, as well as one teaspoon of sage in the form of dry herbs. It will be possible to use the finished product only after a day, when the decoction has infused. After this, a tampon is soaked in the infusion and then inserted into the vagina.

An infusion based on nettle leaves is effective in combating the inflammatory process. The fact is that this herb has an antimicrobial and anti-inflammatory effect, at the same time it improves metabolism in the body and increases the contractile activity of the myometrium. To prepare the infusion, you need to take one spoon of crushed dry nettle leaves, pour in 1 liter of boiled water, and let it brew for 3 hours. After this, strain the product and take it orally in the amount of one tablespoon. The frequency of administration should be 4-5 times a day. The decoction is consumed 30 minutes before meals, as well as at night.

A decoction based on blueberries has an astringent, anti-inflammatory, antimicrobial and diuretic effect. To prepare this remedy, you need to take 100 g of dried blueberries, pour one liter of cold water over them, and put on fire. Boil, cook for 10 minutes. Cool the finished composition at room temperature, then take 100 ml orally three times a day.

When using alternative medicine recipes in the treatment of inflammation in the uterine area, it is necessary to remember that such therapy is only an addition to taking medications. If a woman is treated only with her rights, then the desired effect may not be expected.

Is it possible to get pregnant

With any type of inflammation of the uterus, a woman will not be able to get pregnant and give birth to a healthy baby. Moreover, if the disease was not cured in time, then the complications that arise can provoke the development of infertility.

At the initial stage of pregnancy, key processes are observed, the normal course of which is very important for the future development of the fetus. At conception, sperm enter the uterine cavity, after which they penetrate the fallopian tubes, where they merge with one of the eggs. The formed cell begins to divide, after which it moves into the uterine cavity. A week after conception, implantation of the future embryo into the functional layer of the endometrium is observed. Finger-like protrusions appear on the surface of the future embryo, which penetrate deep into the endometrium, performing nutritional and fixation functions. Under the influence of the hormone progesterone, the functional layer of the endometrium thickens. This happens until it surrounds the attached embryo.

If a woman experiences acute or chronic inflammation, then all of the above processes will be disrupted, making fetal development impossible.

In conclusion, it is worth noting that chronic inflammation of the cervix is a very unpleasant disease. If you ignore the symptoms, complications may arise that can cause infertility. Therefore, it is so important to treat the inflammatory process in a timely manner.

Inflammation of the uterus is a pathology that develops as a result of infection entering the cavity of the organ. In most cases, inflammatory processes occur in the ovaries and fallopian tubes. Often the pathology occurs as a result of infection with chlamydia or gonorrheal bacillus, and improper hygiene. If you do not consult a doctor in time, treatment will be greatly complicated by the disease becoming chronic.

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Reasons for the development of the disease

The main cause of inflammation is bacterial, viral or fungal infections. In most cases, they are sexual, these include gonococcus and chlamydia. Much less often, pathology is provoked by staphylococci and E. coli.

Common causes of the disease include the following factors:

injury due to complications of childbirth or instrumental intervention;
the addition of an infection of a different nature;
lack of contraceptives during promiscuous sexual intercourse;
having sex during menstruation.

Not less often, artificial abortions and the use of instruments in obstetrics lead to inflammation of the uterus. If the birth was difficult, and during a caesarean section the rules of necessary hygiene were not observed, then the inflammatory process is diagnosed in every tenth patient.

If a woman uses a uterine device for a long time, this leads to inflammatory processes in the cervix and uterus itself.

Types of inflammation

Inflammatory processes can develop in different parts of the uterus and manifest themselves in various forms. In medicine, there are three types of illness:

1. Endometritis - inflammation of the internal mucous membrane of an organ.
2. Metroendometritis, or inflammation of the muscular layer of the uterus.
3. Perimetritis - the development of the disease affects the outer membranes.

One type of disease gradually develops into another, complicated by many additional factors. Treatment in each specific case becomes more and more difficult. Therefore, it is important for a woman to detect the symptoms of the disease in time and visit a doctor.

endometritis

Symptoms of the disease

Damage to the uterus manifests itself with characteristic symptoms. The main symptom of the disease is severe, persistent pain in the lower abdomen. Other symptoms:

the first few days after the lesion, the pain manifests itself as weak spasms, but gradually becomes stronger;
after a few days, the pain moves to the right side of the abdomen, leg and lumbar region;
body temperature rises sharply;
sexual intercourse brings severe discomfort and pain;
intoxication of the body begins;
disruptions in the menstrual cycle;
strong vaginal discharge.

Signs of endometritis are a sharp increase in body temperature, chills and weakness. A few days after the onset of the disease, vomiting, a feverish state develop, and the pulse increases. The patient may notice a grayish discharge with bloody streaks.

The chronic course of the inflammatory process in most cases does not manifest itself in any way. Rarely, slight bleeding and irregular menstruation may occur. If the disease becomes pathological, the contractility of the uterus and blood clotting are impaired. A woman notices gray and purulent discharge and frequent nagging pain in the lower abdomen.

Metroendometritis is manifested by the following symptoms:

heat;
general malaise;
rapid pulse;
severe pain in the lower abdomen;
bloody issues.

Upon examination, compaction of the organ and pain during its displacement are detected.

Perimetritis is accompanied by the following symptoms:

abdominal enlargement;
sharp pain;
vomit;
strong increase in temperature.

There may also be pain during bowel movements and urination.

Perimetritis

Diagnosis

The doctor makes a preliminary diagnosis of the disease based on the patient’s complaints. But to confirm inflammation of the uterus, additional research is required:

1. Examination by a gynecologist using speculum and palpation. The uterus will be greatly enlarged and painful.
2. A smear is taken to determine the nature of the discharge and the bacteria that led to the inflammatory process.
3. Taking material for bacterial culture to determine the sensitivity of the bacteria to drugs.
4. Biochemical and general blood tests will help determine the presence of inflammation.
5. Ultrasound, which allows you to determine the condition of the endometrium and whether there are blood clots in the uterus.

Chronic endometriosis is quite difficult to diagnose because its symptoms are similar to many other diseases.

Treatment of the inflammatory process

Treatment of the uterus and its appendages is carried out using antibiotics and anti-inflammatory drugs. It is extremely dangerous to start self-medication; all remedies are selected only by a gynecologist. It is extremely important to complete the course of treatment completely and not quit at the first sign of relief.

Therapy is selected individually for each patient, based on the characteristics of the pathology and the patient’s condition. If the disease develops during pregnancy, then some drugs cannot be used.

Medicines for the treatment of pathology:

broad-spectrum antibiotics;
sulfonamides;
anti-inflammatory drugs;
means for accelerating blood clotting;
immunomodulators;
vitamin complexes.

In some cases, the doctor prescribes hormonal medications. Most often, treatment is carried out at home, but acute and chronic forms of the disease require the patient to be admitted to a hospital.

When selecting medications, the doctor takes into account the main causative agent of the disease. Most often prescribed:

Doxycycline;
Erythromycin;
Azithromycin;
Tarivid;
Flucostat;
Acyclovir;
Zovirax;
Fluorouracil.

As additional therapy, vaginal suppositories and tablets are prescribed: Clotrimazole, Isoconazole, Ovestin.

After the acute form of the disease has resolved, a set of measures is prescribed to prevent the occurrence of a secondary infection. The woman’s cervix and vagina are treated with special preparations:

chlorophyllipt;
silver nitrate solution;
dimexide.

For inflammation of not only the uterus, but also the appendages, it is recommended to use medicated tampons. In case of erosion of the organ neck, tampons with Levomekol should be used. In case of infection or inflammatory process, it is recommended to use tampons soaked in a 3% Dimexide solution. Herbs and mumiyo are often used. It is not recommended to use tamponing immediately after an abortion - the uterus and its cervix are too damaged.

After completing the course of antibiotics, it is recommended to take products to restore the vaginal microflora. To do this, you should use drugs such as Acylact, Lactobacterin, Bifidumbacterin. The funds must be taken for at least two weeks.

In rare cases (with chronic forms of the disease), surgical intervention is required.

Use of folk remedies

Many diseases, including inflammation of the uterus, can be treated with folk remedies in gynecology. In general, such therapy includes the use of herbs, honey, fruits and vegetables. Most often, such treatment is used as an auxiliary treatment.

The root of the plant in the amount of 50 g should be poured with 0.5 liters of water and covered with a lid. The product should be infused for at least 3 days. After this, the infusion is boiled and simmered over low heat until the root becomes soft. Afterwards, the root should be finely chopped and mixed with 2 tablespoons of lard. The resulting mixture must be put on fire and simmered for another 2 hours. It is recommended to take the product one tablespoon 2 times a day. The course of treatment is at least 2 weeks. You can add a little chamomile decoction to the product.

For douching, a solution is often prepared from flax seed.

You need to take 200 g of flax seed and pour 0.5 liters of boiling water. Boil the mixture for 15 minutes and strain. After it has cooled, you need to add 4 tablespoons of natural linden honey and a teaspoon of dry sage herb. The product can be used only after a day, when it has infused. Soak the tampon in the infusion and insert it into the vagina.

Preventive measures

In order not to miss the onset of the inflammatory process, you need to visit a gynecologist at least once every six months. You should consult a doctor immediately in case of severe pain in the area of the uterus and fallopian tubes. It is especially important to carefully monitor your health after pregnancy, abortion or cesarean section.

Like any other organ, the uterus reacts sharply to the penetration of infection into it, resulting in vivid symptoms. The cause may be either the initial penetration of bacteria or the spread of an existing infection. Inflammation of the uterus is an infectious disease with corresponding signs and methods of treatment. In its chronic form, the disease is sluggish, only occasionally exacerbating symptoms.

The site notes the cause of inflammation of the uterus in the form of bacterial penetration through the ascending route. Rarely, the infection enters through the blood or lymph, that is, by spreading from another organ. Usually, the body’s immunity plays an important role, which, even if an infection enters the uterus, is capable of destroying it. The uterus has protective functions and also monthly rejects the outer layer, which allows it to quickly remove unnecessary microorganisms.

For inflammation of the uterus to occur, two conditions are necessary:

Low immunity.
Damaged uterine lining.

Inflammation can also develop after childbirth or abortion.

The acute form of the disease proceeds brightly, while the chronic form has blurred symptoms. Symptoms mainly manifest themselves in the form of pain, pathological discharge and menstrual irregularities.

It’s good if the inflammation affects only the upper layer of the uterus. However, if the muscle layer is affected, then the course becomes severe. It is also undesirable for the inflammation to spread to the fallopian tubes, since in this case infertility may develop.

Why does the uterus become inflamed?

Inflammation of the uterus must involve two factors: infection and a damaged layer of the mucous membrane, which may be facilitated by the following reasons:

Abortions and other curettages from the uterine cavity.
Instrumental influence, for example, aspiration biopsy or probing.
Diagnostic measures: hysteroscopy, hysterosalpingography.
Use of intrauterine devices.

Any failure to comply with hygiene standards when performing manipulations with the uterine cavity is fraught with further inflammatory processes. Quite often, childbirth causes inflammation, especially if it was accompanied by trauma and instrumental force. There is practically no protective layer in the uterus, and the immune system is still only being restored.

Menstruation can also be a favorable period for the development of inflammation, since the uterine cavity becomes a large wound area that is unable to protect itself.

Chronic inflammation of the uterus develops due to:

Self-treatment by the patient, which did not result in complete recovery.
Late diagnosis of the acute form.
Incorrect treatment of the acute form.

How to recognize inflammation of the uterus?

At the site of infection, swelling and looseness of the mucous membrane begins, causing the wall to thicken. If a chronic form develops, then the mucous membrane atrophies and changes its structure, which is accompanied by disruption of the menstrual cycle. What signs may indicate inflammation of the uterus, which usually appears 3-4 days after infection?

Increasing temperature to various levels.
Chills.
Pain of various types that radiates to the groin or lower back.
Decreased general health.
The discharge becomes serous-purulent, sometimes with ichor.

If the patient ignores the symptoms, then the disease intensifies, becoming severe. During diagnosis, changes in the structure of the walls of the uterus, its soreness, and enlargement are observed.

Chronic inflammation of the uterus has a blurry picture when a woman feels aching pain, menstrual irregularities, and spotting between periods. In the chronic form of the disease, the ovaries work normally, but the woman is not able to bear a child due to dysfunction of the uterine walls, which should protect the fetus for 9 months.

Seeing a doctor becomes necessary if a woman does not want to lead to infertility. First, he will conduct a diagnosis by examining the walls of the uterus, collecting smears of vaginal discharge, as well as a laboratory blood test. Based on the results, individual treatment will be prescribed.

How to treat inflammation of the uterus?

Elimination of infection.
Preventing chronic disease.
Restoring the functionality of the mucous membrane, which will lead to the normalization of menstruation.
Restoration and preservation of reproductive function.

For acute and chronic forms of inflammation, antibiotics are prescribed, which are initially given in a broad spectrum until all laboratory tests are done, on the basis of which it will be possible to determine the specific type of antibacterial drug. Antibiotics can also be injected into the uterine cavity.

During the period of remission, general strengthening therapy and treatment of concomitant diseases are carried out.

Symptoms are relieved:

Immunomodulators.
General strengthening drugs.
Painkillers.

Painkillers and anti-inflammatory vaginal suppositories, which are often used by patients on their own, help, however, as an additional treatment.

At the stage of restoration of uterine function after antibacterial therapy, physiotherapy is prescribed. If treatment is carried out during pregnancy, then anti-inflammatory drugs are given instead of antibiotics.

It is not advisable for a woman to become pregnant during an illness, since the development of pathologies or an abnormal course of the process is possible. Thus, you should protect yourself.

Forecast

Inflammation of the uterus is a serious disease that can spread to the ovaries and fallopian tubes. Also, the uterus itself may be affected by infection from the intestines or neighboring organs. Prognosis improves only with medical treatment. Self-medication only aggravates the process, bringing the disease to a chronic form and depriving a woman of becoming a mother in the future due to the development of dysfunction of the uterine mucosa, preserving the fetus and developing it for 9 months.