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 discomfort during urination. 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 the physician's instructions to take the full prescribed dosage and complete the entire course of medication, avoiding discontinuation or reduction of medication on your own. Additionally, attention should be paid to personal hygiene.

Generally, symptoms of endometritis may include lower abdominal pain, abnormal vaginal discharge, menstrual irregularities, fever, and discomfort during urination. If related symptoms occur, timely medical consultation is recommended, and treatment should be conducted under a doctor's guidance. A detailed analysis is as follows:

1. Lower Abdominal Pain

A persistent dull ache or a feeling of pressure may appear in the lower abdomen, which could worsen after physical activity or sexual intercourse. The pain becomes more noticeable when pressing on the lower abdomen. Some patients also experience soreness in the lower back. This is caused by pelvic congestion and edema due to inflammation irritating the uterus and surrounding tissues.

2. Abnormal Vaginal Discharge

Vaginal discharge significantly increases in volume, often appearing pale yellow or purulent with a thick consistency. Some discharge may contain blood streaks. When combined with infection, the discharge emits a foul odor, and abnormalities may become more pronounced after sexual intercourse or around menstruation.

3. Menstrual Irregularities

The menstrual period may be prolonged, extending from the usual 3-7 days to 10 days or longer. Menstrual flow also significantly increases, often accompanied by blood clots. Bleeding between menstrual periods may occur, characterized by light vaginal bleeding between two periods, which results from inflammation affecting the normal regeneration and shedding of the endometrium.

4. Fever

When the infection is severe, body temperature rises, commonly around 38°C, and in some cases may reach above 39°C, accompanied by chills, headache, fatigue, and other discomforts. These symptoms reflect the body's immune response to infection.

5. Urinary Discomfort

When the inflammation spreads and irritates the bladder or urethra, symptoms such as frequent urination, urgency, and painful urination may occur. This manifests as increased frequency of urination, constant urge to urinate, pain or a burning sensation during urination, and in severe cases, may lead to urinary tract infections.

During treatment, it is essential to follow medical instructions regarding adequate dosage and complete course of medication, avoiding self-discontinuation or reduction of medication. Additionally, attention should be paid to personal hygiene, keeping the external genital area clean, and abstaining from sexual activity until the inflammation has completely subsided.

View All

What are the symptoms of drug-induced liver injury?

Typical symptoms of drug-induced liver injury include general fatigue, gastrointestinal discomfort, abnormalities of the skin and mucous membranes, pain in the liver area, and fever. Once the above symptoms appear—especially in individuals with a recent history of medication use—it is important to seek timely medical evaluation and liver function testing at a hospital. When liver metabolic function is impaired, insufficient energy production leads to persistent fatigue that worsens after physical activity and is difficult to relieve even with rest.