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Endometritis

Infection of the uterine lining can develop after childbirth or as a complication of intervention.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Endometritis?

Endometritis is an inflammatory process directed at the endometrium lining the uterine mucosa. The acute form usually develops as a polymicrobial infection after childbirth (especially cesarean section) or intrauterine intervention (curettage, hysteroscopy, IUD insertion).

Chronic endometritis follows a more silent course and has been associated with implantation failure, recurrent miscarriage, and infertility. It is recognized by hysteroscopic biopsy and specific staining (CD138).

Postpartum endometritis manifests with high fever, uterine tenderness, and foul-smelling discharge. Controlling risk factors and prophylactic antibiotics (before cesarean section) significantly reduce the incidence.

Symptoms

High fever (above 38°C)
Lower abdominal pain and uterine tenderness
Foul-smelling or purulent vaginal discharge
Excessive bleeding during the postpartum period
Tachycardia and weakness
Mild pelvic pain and recurrent IVF failure in the chronic form

Risk Factors

Cesarean delivery
Prolonged labor and premature membrane rupture
Group B streptococcus colonization
Anemia and obesity
Intrauterine interventions (curettage, hysteroscopy)
History of sexually transmitted infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When fever begins after childbirth or intervention
  • When abdominal pain and foul-smelling discharge are seen together
  • In a history of recurrent implantation failure or miscarriage
  • When excessive or prolonged bleeding occurs in the postpartum period

Treatment Methods

01
Acute endometritis: IV antibiotics (gentamicin + clindamycin combination)
02
Mild cases: outpatient treatment with oral antibiotics
03
After childbirth: IV treatment continued until fever resolves
04
Curettage may be necessary in retained placenta
05
Chronic endometritis: doxycycline ± metronidazole for 14 days
06
Prevention with prophylactic antibiotics before cesarean section

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.