Symptoms of postpartum endometritis? Taiyuan Zhongshan Reproductive Hospital states that patients with acute endometritis may experience mild fever, a feeling of heaviness and pain in the lower abdomen, which is usually continuous. There is a noticeable increase in vaginal discharge, which can be purulent with an odor, or it may also be blood-tinged. Acute endometritis occurring during the puerperium often results in prolonged lochia, with an odor mostly due to infection by E. coli and anaerobic bacteria. If caused by hemolytic streptococcus or Staphylococcus aureus infections, the amount of lochia is generally less, and there is no obvious odor, but it can easily spread through lymphatics. Gynecological examination reveals purulent discharge at the cervical os, cervical motion tenderness, and mild uterine tenderness. Examination shows elevated white blood cells and increased neutrophils.
Symptoms of chronic endometritis after childbirth according to Taiyuan Zhongshan Reproductive Hospital:
1. Excessive menstrual cycles: Although the menstrual period is regular, the amount of menstruation doubles, and the bleeding period is significantly prolonged. Only a few patients develop anemia due to heavy bleeding, possibly because of thickened endometrium and inflammatory congestion. Irregular bleeding is rare; sometimes, there might be bleeding for a few hours or 1-2 days and then stop.
2. Pelvic region pain: Many patients with endometritis report lower abdominal heaviness and pain, as well as lower back pain between menstrual cycles.
3. Dysmenorrhea: More common in women who have not given birth and those with dysfunctional uterine bleeding, but severe dysmenorrhea is rare. It may be due to excessive thickening of the endometrium, hindering normal tissue degeneration and necrosis, leading to excessive uterine spasmodic contractions.
4. Increased leukorrhea: Due to increased secretion from endometrial glands. Usually thin and watery, pale yellow, and sometimes blood-tinged.
Methods to prevent endometritis include:
1. Choosing a reputable hospital for abortion surgery or delivery. Inadequate sterilization during surgery or childbirth is an important cause of acute endometritis and should be taken seriously.
2. Conducting comprehensive gynecological examinations before abortion or delivery, promptly identifying and treating acute or chronic reproductive tract inflammation to prevent bacterial ascending infections post-abortion or post-delivery.
3. Women should maintain personal hygiene in daily life. Absolutely avoid sexual intercourse during menstruation.
4. Pay attention to personal hygiene after childbirth or abortion surgery, use clean sanitary napkins, change them in time, and avoid sexual intercourse.
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Hospital Address: No. 9 Wuyi East Street, Taiyuan City, Shanxi Province (100 meters north of the postal building directly opposite the train station)
Bus Route: Buses 1, 6, 9, 10, 11, 21, 102, 104, 602, 606, 611, 615, 618, 816, 830, 836, 838, 901 to the train station.