What is Chronic Endometritis?
Chronic endometritis is a persistent inflammation of the endometrium, the inner lining of the uterus. It is often caused by an infection and can have significant implications on a woman's reproductive health.
What are the Symptoms of Chronic Endometritis?
Many women with chronic endometritis may be asymptomatic or have mild symptoms. Common symptoms, if present, include chronic pelvic pain, abnormal uterine bleeding (such as intermenstrual bleeding or heavy menstrual periods), and
infertility. Some women may also experience vaginal discharge or recurrent pregnancy loss.
How is Chronic Endometritis Diagnosed?
Diagnosis of chronic endometritis often involves a combination of clinical evaluation, laboratory tests, and imaging studies. A definitive diagnosis is typically made through an endometrial biopsy, which shows plasma cells in the endometrial stroma. Other diagnostic tools include transvaginal ultrasound, hysteroscopy, and
endometrial culture to identify the causative pathogen.
How is Chronic Endometritis Treated?
The primary treatment for chronic endometritis is antibiotics, tailored to the specific pathogen identified. Commonly used antibiotics include doxycycline, metronidazole, and ciprofloxacin. Treatment duration usually spans 10-14 days. In cases where the infection is related to retained products of conception or intrauterine devices (IUDs), surgical intervention such as dilation and curettage (D&C) may be necessary.
What are the Implications of Chronic Endometritis on Fertility?
Chronic endometritis can significantly impact fertility. The inflammation and infection can interfere with embryo implantation and increase the risk of early pregnancy loss. Addressing chronic endometritis is crucial for women experiencing infertility or recurrent miscarriages, as appropriate treatment can improve reproductive outcomes.
What is the Prognosis for Women with Chronic Endometritis?
With timely and appropriate treatment, the prognosis for women with chronic endometritis is generally good. Many women experience resolution of symptoms and improved fertility following antibiotic therapy. However, untreated chronic endometritis can lead to persistent symptoms and ongoing reproductive challenges.
Can Chronic Endometritis be Prevented?
Prevention of chronic endometritis involves managing risk factors and preventing infections. This includes practicing safe sex to reduce the risk of STIs, promptly treating any pelvic infections, and ensuring that gynecological procedures are performed under sterile conditions. Regular gynecological check-ups can also help in early detection and management of potential issues.
When Should You See a Gynecologist?
Women experiencing symptoms such as chronic pelvic pain, abnormal uterine bleeding, or infertility should consult a gynecologist. Early evaluation and diagnosis are crucial for effective treatment and preventing complications associated with chronic endometritis.
