Women's he alth is extremely vulnerable, especially when it comes to various infections and inflammatory reactions. The difficulty lies in the fact that none of the diseases that occur in the pelvic organs, namely in the uterine cavity, goes away by itself. Therefore, it is extremely important to start treatment on time and do it right.
Endometrium - what is it?
The central organ of the small pelvis is the uterus. It consists of the endometrium (internal vascular-mucosal layer), myometrium (medium muscular) and perimetrium (external serous). The role of the endometrium is to receive a fertilized egg and help it to gain a foothold inside the uterus. If fertilization does not occur, the endometrium is shed and menstrual bleeding occurs.
It can be said that in a he althy state, the internal environment of the uterus is sterile. Therefore, the ingestion of any infection, pathogenic microorganisms leads to an acute inflammatory process in the endometrium. If you start the disease or do not finish it, then it flows into chronic endometritisuterus.
How to recognize endometritis?
The main signs of chronic endometritis can be not only an external pathogen, but also:
- Abortion, surgery.
- Diagnostic examination of the uterine cavity.
- Infection during caesarean section.
- Weakened immunity, kidney disease, cystitis, diabetes mellitus.
- Chronic salpingoophoritis, cervicitis, candidiasis, vaginosis.
- Previous intrauterine device.
- Incorrect douching.
- Polyps in the endometrium, uterine fibroids.
What symptoms indicate the presence of the disease?
One of the obvious symptoms of chronic endometritis is a failure in the duration or flow of the menstrual cycle. This is usually preceded by previously transferred inflammatory diseases of the pelvic organs. According to statistics, 50-55% of women were treated for sexually transmitted diseases before they were diagnosed with chronic endometritis. They also noted that in the middle of the cycle or after sexual intercourse, spotting occurred, they felt pain in the lower abdomen.
Among those who faced the problem of natural conception, problems in the functioning of the endometrium were diagnosed in 10% of women. In 60-80% of women with chronic endometritis, pregnancy ended in fetal failure or miscarriage.
An increase in body temperature may also indicate the presence of the disease,weakness, fatigue.
Varieties of the course of chronic endometritis
If the disease affects the muscular layer of the uterus, which is located closer to the endometrium, then this is catarrhal endometritis. It interferes with normal microcirculation in the affected areas of tissues, which leads to the formation of blood clots, dilation of blood vessels, and slows down blood flow. The danger of this type of chronic endometritis is that the disease can pass from the uterine cavity to neighboring organs.
If the cause was a fungus, bacterium or virus, then the disease can proceed slowly and will be called "sluggish endometritis". While a woman is looking for and treating one cause, a slow defeat of the inner layer of the uterus occurs. Most likely, this form of chronic endometritis will proceed without unpleasant symptoms. At the same time, if a woman has problems conceiving and carrying a pregnancy, then she may not know the true reason for unsuccessful attempts for a long time.
Methods for detecting disease
Chronic endometritis can be determined by a gynecologist during an examination on a chair. On palpation, a woman will experience a painful sensation in the area of \u200b\u200bthe uterus, and its size is increased. In order to confirm or refute the diagnosis, the following studies are carried out:
- Blood tests for antibiotic susceptibility and general.
- A microflora smear allows you to detect an inflammatory reaction in the vagina and in the cervical cavity.
- Smear for bacterial culture.
- PCR analysis for detection of latent infections.
- Detection of antibodies to infections (cytomegalovirus, herpes) that can lead to disease.
Ultrasound diagnostics are carried out, which is a prerequisite for determining the condition of the uterus and endometrium. A deviation can be judged if the doctor records on the monitor:
- The thickness of the inner layer is more than normal.
- Blood clots are visualized inside the uterus, pus may be released.
- Adhesions, including in the appendages.
- Remnants of the placenta or fetal membrane, if examined after childbirth.
Treatment methods
It is difficult to single out any single method of treating chronic endometritis, since an integrated approach is required here. It includes boosting immunity, anti-inflammatory treatment, physical therapy.
An experienced doctor knows how to treat chronic endometritis so that after a long-awaited pregnancy. Even before the test results are available, it is necessary to start a course of treatment with broad-spectrum antibiotics. This will reduce the inflammatory process.
In case of purulent discharge, douching is prescribed, which allows using antiseptic agents to stop the foci of intoxication and restore the uterine mucosa.
Antibacterial and hormonal drugs for the treatment of endometritis
Among the drugs, antibacterial agents are among the first prescribed. They allowsuppress the action of most anaerobic bacteria. As a rule, these are Cephalosporin, Metronidazole, Cifran, Doxycilin, and other drugs that are popular in medical practice. Their appointment must be justified by the attending physician.
At the same time as taking antibiotics, it is recommended to take prebiotics, which will protect the intestines from a possible disorder. There is also an alternative option - to include fermented milk products, yogurts with bioadditives in the diet.
If a woman is tormented by constant, incessant pulling pains, then painkillers are indispensable. These can be "No-shpa", "Nurofen", "Spazmalgon" and others. Their reception continues until the pain symptom is eliminated.
If there is a problem with conceiving and carrying a pregnancy, then the treatment regimen includes hormonal drugs ("Utrozhestan", "Divigel"). This includes oral contraceptives, the main role of which is the normalization of the menstrual cycle. Their course usually lasts from three to six months.
In order to increase immunity, immunomodulating agents are used - Viferon, Acyclovir, Interferon. Do not forget about vitamin complexes, vitamins E and C, which are antioxidants, have a positive effect. The duration of their intake can be increased after recovery to maintain immunity.
Physiotherapy treatments
In the course of treatment of chronic endometritis at the stage of recovery, the attending gynecologist may include physiotherapy procedures:
- Electrophoresis (with solutions of zinc, iodine).
- Paraffin applications (improve tone and blood circulation in the uterus).
- Magnetic treatment (has an anti-inflammatory effect, accelerates the process of regeneration of damaged tissues, has an analgesic effect).
- UHF - ultrasound at high frequencies (used only after the removal of the inflammatory process; it improves blood circulation, increases immunity activity, as a result of which the affected tissues go through the recovery process faster, pain syndrome decreases).
- Purpose of mud procedures (procedures such as vaginal irrigation, applications, therapeutic baths are prescribed).
The effectiveness of these methods can be observed both during the treatment of exacerbation of chronic endometritis, and during the rehabilitation period. Separately, it is worth mentioning an exception in which physiotherapy is not recommended. This applies to an acute inflammatory process in the uterine cavity. Otherwise, these treatments have a beneficial effect on the outflow of mucus and pus.
It is worth noting that you can combine treatment with rest. For example, the above physiotherapy procedures are available in sanatoriums and he alth resorts in most settlements located near the sea or near springs with healing mud. In order to undergo a course of therapy in such institutions, the attending gynecologist draws up a treatment regimen and describes the methods that have already been used before. This will allow the physiotherapist to begin treatment immediately.
Chance of getting pregnant
Despite the complexity of the course, pregnancy and chronic endometritis are compatible. Another question is at what stage this disease was discovered. In medical practice, there are often cases when a woman managed to get pregnant, but after a while the pregnancy was interrupted or stopped developing. It follows from this that at the first signs of problems associated with carrying a pregnancy, it is worth paying attention to the condition of the endometrium.
In most cases, ordinary doctors do not pay attention to the cause when a woman encounters a miscarriage for the first time. Blame nature or refer to natural selection. But in some cases, the cause already exists at the stage of conception, since one should not forget that chronic endometritis can proceed in a sluggish form and not bother with unpleasant symptoms.
To prevent the risk of complications during pregnancy, a woman needs to be checked for hidden inflammatory processes, get tested for infections, undergo ultrasound diagnostics, and take cytology tests. This minimum set of preventive measures will help you avoid unexpected and most likely unpleasant surprises during pregnancy.
In the event that endometritis and pregnancy were diagnosed at the same time, a woman will need to be constantly under the supervision of a doctor, it is even possible to undergo inpatient treatment. However, the chances of keeping and giving birth to a he althy baby depend on the qualifications of the doctor and compliance with his prescriptions.
Efficiency of folk remedies
To strengthen the treatment, often resort to folk remedies, chronic endometritis takes a lot of energy from the immune system. Therefore, the inclusion of herbal teas, infusions and herbal preparations in the diet will only benefit. However, it is important to choose the right ingredients here, since not all herbs are recommended for use during this period. The list of those that can be safely used includes wild rose, chamomile flowers, blueberry leaves, lavender, thyme, birch leaves, St.
Phytotherapeutist can make a collection best of all. If he is in a clinic or in a private medical center, then it is advisable to consult with him in advance. A professional approach in this matter will avoid unpleasant consequences, for example, an allergic reaction to one or another component.
Hirudotherapy is also commonly referred to as traditional medicine. Since it is more often resorted to in order to improve blood flow in the uterine cavity. Treatment is prescribed at the stage when there is no purulent discharge, an acute inflammatory process. The treatment regimen is selected by a hirudotherapist, the procedures are carried out in a specialized institution. During the first, no more than four leeches are used, which are located at pain points. A second procedure is scheduled every other day, in total there should be at least seven and no more than twelve.
Reviews of doctors and patients about the course of the disease and methods of treatment
Before starting treatment, many people look for information on the Internet. Some wantfind reviews about chronic endometritis, methods of treatment, comparing them with the course prescribed by the attending physician, others - positive reviews about recovery. In any case, you can find both.
On the Web, there are often stories of women who have already given birth, that after a difficult birth they were diagnosed with "chronic endometritis". Reviews of the positive outcome of the treatment agree that there has always been a complex treatment, including physiotherapy.
Negative feedback on the treatment of chronic endometritis may be associated with incorrect therapy tactics. For example, when they start not with a trip to the doctor, but with herbal treatment and homeopathy. Thus, you can only aggravate the disease, which will go into a chronic stage. Further treatment will take a long time.
Reviews of gynecologists who deal with infertility treatment very often relate to advanced forms of pathology. Often, too many different drugs are prescribed, several types of physiotherapy. Several different diagnoses are put forward, including chronic endometritis. However, the real reason is left behind the scenes. For example, when the female body simply did not have the opportunity to recover from the number of different methods of treatment, so that pregnancy would occur naturally.
The key to the success of any treatment is timely measures taken to eliminate the inflammatory process, both doctors and patients who have undergone treatment think so. Based on this, it should be concluded that any gynecological disease should be treatednot independently at home, but after visiting a doctor. Self-medication, as a rule, is aimed at eliminating symptoms: pain, discharge, unpleasant odor. But they do not say that the cause is actually inflammation of the endometrium. Accordingly, the treatment is ineffective.
