What are the symptoms of endometritis?

Jul 15, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, symptoms of endometritis may include lower abdominal pain, abnormal vaginal discharge, menstrual irregularities, fever, and pain during sexual intercourse. If related symptoms occur, it is recommended to seek medical attention promptly and undergo treatment under the guidance of a physician. During treatment, it is important to follow medical advice regarding the appropriate dosage and duration of medication, avoiding self-discontinuation or reduction of medication to prevent recurrence of the condition. Additionally, attention should be paid to personal hygiene.

Generally, symptoms of endometritis may include lower abdominal pain, abnormal vaginal discharge, menstrual irregularities, fever, and pain during sexual intercourse. If these symptoms occur, it is recommended to seek medical attention promptly and undergo treatment under a physician's guidance. Detailed explanations are as follows:

1. Lower Abdominal Pain

This is one of the common symptoms of endometritis. Patients may experience persistent dull pain or a feeling of pressure in the lower abdomen, or intermittent pain, with varying degrees of severity.

2. Abnormal Vaginal Discharge

Endometritis can cause increased secretion from the endometrial glands, resulting in increased vaginal discharge. The color of the discharge may change, often appearing pale yellow or purulent. Some patients may notice blood streaks in the discharge, and its texture tends to be thick and sticky.

3. Menstrual Irregularities

Women with endometritis may experience menstrual abnormalities. The duration of menstruation may become prolonged, extending from the usual 3-7 days to 10 days or longer. Menstrual flow may also increase, and some patients may experience noticeable blood clots.

4. Fever

If endometritis is caused by bacterial infection and the infection is severe, patients may develop a fever. Body temperature generally rises to around 38°C, and some patients might experience high fever exceeding 39°C. This may be accompanied by chills, headache, fatigue, and other systemic discomforts, which are manifestations of the body's immune response fighting the infection.

5. Pain During Sexual Intercourse

Some patients may feel pain during sexual activity. This discomfort during sexual intercourse occurs because the inflammation of the endometrium affects the surrounding uterine tissues.

During treatment, it is important to follow medical advice to complete the full course of prescribed medication, avoiding self-discontinuation or dose reduction, to prevent recurrence. Additionally, attention should be paid to personal hygiene, keeping the external genital area clean, and refraining from sexual activity until the inflammation has completely resolved, to promote recovery.

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