How is acute endometritis treated?

Jun 12, 2024 Source: Cainiu Health
Disease description:

Today I accompanied my best friend to the hospital for a gynecological examination because she had been feeling unwell for some time. The diagnosis turned out to be acute endometritis. Could you please tell me how acute endometritis is treated?

Doctor's answer (1)
Dr. Zhao Xiaodong
The treatment of acute endometritis requires a comprehensive approach. Management includes bed rest and adopting a semi-recumbent position to facilitate drainage of uterine secretions, along with consuming easily digestible, high-calorie foods. Medication is key: commonly used drugs include intravenous penicillin (4–8 million units daily) and intravenous gentamicin (240,000 units daily). Antibiotic therapy should continue until symptoms resolve and combination therapy may be considered. Surgical intervention, such as curettage, is indicated for severe cases to remove infected tissue and retained products. Physical therapies and dietary adjustments serve as supportive measures—for example, applying heat packs to relieve pain and increasing intake of fresh vegetables and fruits. These integrated strategies can improve outcomes in the treatment of acute endometritis.