What causes endometritis?

Generally, endometritis may be caused by poor menstrual hygiene, decreased immunity, intrauterine surgical infections, spread of cervicitis, or involvement from pelvic inflammatory disease. If experiencing any discomfort, timely medical consultation is recommended. Detailed analysis is as follows:

1. Poor Menstrual Hygiene

During menstruation, the endometrium sheds and the cervix is relatively relaxed. Neglecting perineal hygiene, using unclean sanitary products, or engaging in sexual activity may easily allow pathogens to enter the uterine cavity, causing endometritis. During menstruation, it is important to change sanitary products frequently, choose sanitary pads or tampons produced by reputable manufacturers, avoid tub baths and sexual intercourse, and wash the perineum daily with warm water to maintain cleanliness and dryness.

2. Decreased Immunity

Long-term malnutrition, excessive fatigue, and irregular作息 (作息 should be translated as "lifestyle habits" or "作息 time") can lead to a decline in the body's immunity, allowing pathogens to invade and attack the endometrium, causing inflammation. In daily life, one should maintain a balanced diet, consume adequate protein and vitamin-rich foods, maintain regular作息, avoid staying up late, ensure sufficient sleep daily, and engage in moderate exercise such as walking or jogging to enhance immunity.

3. Infection After Intrauterine Surgery

Intrauterine procedures such as induced abortion, curettage, or intrauterine device placement, if improperly performed or followed by inadequate postoperative care, can easily lead to pathogen infection in the uterine cavity, causing endometritis, which may be accompanied by symptoms such as lower abdominal pain and increased vaginal discharge. Antibiotics such as cefuroxime axetil tablets, metronidazole tablets, or clindamycin hydrochloride capsules should be used under a doctor's guidance. Postoperative rest is important, strenuous exercise should be avoided, perineal hygiene should be maintained, follow-up visits should be conducted as instructed, and medical attention should be sought promptly if discomfort occurs.

4. Spread of Cervicitis

In patients with cervicitis, pathogens exist in the cervix. If inflammation is not promptly controlled, these pathogens may ascend and infect the endometrium, causing endometritis, often accompanied by increased vaginal discharge with an unpleasant odor. Cervicitis should be treated under a doctor's guidance, for example with medications such as Baofukang suppository, Xiaomisu suppository, or miconazole nitrate suppository. Personal hygiene should be maintained, unclean sexual activity avoided, and regular gynecological examinations conducted to prevent the spread of inflammation.

5. Involvement from Pelvic Inflammatory Disease

In patients with pelvic inflammatory disease, inflammation may spread through tissues such as the fallopian tubes to the endometrium, causing endometritis, which may present with symptoms such as fever and persistent lower abdominal pain. Anti-infective treatment should be administered under a doctor's guidance, such as intravenous ceftriaxone sodium, levofloxacin injection, or metronidazole injection. During treatment, adequate rest should be taken, fatigue avoided, a bland diet maintained, and full dosage and course of medication followed as instructed to prevent recurrence.

In daily life, it is important to maintain good living habits and avoid excessive fatigue. A balanced diet with reduced intake of spicy and irritating foods is recommended.