Endometritis is caused by infections such as chlamydia, gonorrhea, tuberculosis, or mixtures of normal vaginal bacteria. Endometritis is more likely to occur after miscarriage or childbirth, especially after a long labor or c-section.
A medical procedure that involves entering the uterus through the cervix will increase the risk of developing endometritis. This includes a D and C, hysteroscopy, and placement of an intrauterine device (IUD).
Endometritis can occur at the same time as other pelvic infections such as acute salpingitis, acute cervicitis, and many sexually transmitted infections (STIs).
General discomfort, uneasiness, or ill feeling (malaise)
Lower abdominal or pelvic pain (uterine pain)
Signs and tests
The health care provider will perform a physical exam and a pelvic exam. The lower abdomen may be tender. Bowel sounds may be decreased. A pelvic exam may show the uterus and cervix is tender. There may be cervical discharge.
Antibiotics are used to treat and prevent complications of endometritis. If you've been prescribed antibiotics following a gynecological procedure, it is very important to finish all the medication and follow up with your health care provider.
You may need to be admitted to a hospital if you have a complicated case of endometritis, such as those that involve serious symptoms, or which occur after childbirth.
Other treatments may involve:
Fluids through a vein (by IV)
Sexual partners may also need to be treated if the condition is caused by a sexually transmitted infection.
Most cases of endometritis go away with antibiotics. Untreated endometritis can lead to more serious infection and complications with pelvic organs, reproduction, and general health.
Faro S. Postpartum endometritis. Clin Perinatol. 2005;32(3):803-814.
Smaill FM, Gyte GM. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD007482.
David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.