Endometritis treatment

No matter what disease you have, as long as you actively seek treatment, you will eventually recover. Endometritis is a very common gynecological disease. Many married women have a high chance of developing endometritis if they have had an abortion or contraceptive device surgery. So what are the treatments for endometritis? You can choose Chinese medicine or Western medicine for treatment. Let’s learn more about it in detail.

1. Treatment of chronic endometritis

When treating chronic endometritis, the first thing to do is to see if there are any causing factors, such as retained placenta, intrauterine contraceptive device, etc. How to treat chronic endometritis? If these causes are removed, chronic endometritis will heal quickly. Otherwise, simply reducing inflammation will not have significant therapeutic effects. The intrauterine contraceptive device should be removed. For chronic endometritis caused by delivery or abortion, a careful curettage should be performed to remove the residual degenerated placental tissue. Endometrial polyps should be removed. If submucosal uterine fibroids or endometrial cancer are found, active treatment should be given according to the situation. For senile endometritis, the cervix can be dilated to facilitate the outflow of blood or secretions.

At the same time, 1 mg of diethylstilbestrol can be taken orally daily for 1 month. It can have therapeutic effects; if appropriate antibiotics such as penicillin, streptomycin, erythromycin, gentamicin, etc. are added, the efficacy can be improved. But it must be used under the guidance of a doctor.

With proper treatment, most patients with chronic endometritis can be cured. You must have confidence in your chances of recovery and persist in treatment. Otherwise, you will fail halfway.

2. Treatment of Endometritis with Traditional Chinese Medicine

The main treatment method of Western medicine is to eliminate the cause of the disease: if it is caused by residual placenta or fetal membranes, the lesion can be removed by curettage; if it is caused by endometrial polyps or submucosal fibroids, the polyps and fibroids should be surgically removed; if it is caused by wearing an IUD, the IUD should be removed in time; when chronic endometritis occurs in the elderly, diagnostic curettage should be performed, and the cervix should be dilated to facilitate drainage. During treatment, oral antibiotics are given to prevent repeated infection. Traditional Chinese medicine treatment is mainly based on differentiation and treatment, and can be combined with diet therapy, as follows:

(1) Moisture-heat internal resistance type

The treatment is to clear away heat, promote dampness, promote blood circulation and remove blood stasis. The prescription uses Simiao Pills and peach kernel and safflower decoction.

Prescription: 10 grams of Phellodendron, 20 grams of raw coix seed, 10 grams of Atractylodes, 10 grams of Achyranthes, 10 grams of peach kernel, 10 grams of safflower, 10 grams of red peony root, 12 grams of angelica, 10 grams of Chuanxiong, 12 grams of Patrinia, 12 grams of Red Caulis, 10 grams of raw licorice. If the menstruation is continuous and red, add 10 grams of Leonurus, 15 grams of Rubia, and 12 grams of Platycladus orientalis to promote blood circulation and remove blood stasis, cool blood and stop bleeding. If the amount of leucorrhea is large and yellow, add 20 grams of Plantago seed (wrapped and decocted) and 15 grams of Alisma to clear away dampness and heat.

(2) Blood stasis type

The treatment is to promote blood circulation, remove blood stasis, promote qi circulation and relieve pain. The prescription is Xuefu Zhuyu Decoction with modifications.

Prescription: 10 grams of Angelica sinensis, 10 grams of Chuanxiong, 10 grams of peach kernel, 6 grams of safflower, 12 grams of red peony root, 10 grams of bupleurum, 12 grams of Cyathula officinalis, 10 grams of Citrus aurantium, and 12 grams of Rehmannia glutinosa. If there is obvious pain in the lower abdomen, add 10 grams of Puhuang, 10 grams of Notopterygium wilfordii, and 10 grams of Cyperus rotundus to promote blood circulation, relieve qi, and relieve pain.

(3) Yin deficiency and internal heat type

Treat by nourishing yin and clearing heat. The prescription is Zhibai Dihuang Wan (Yi Zong Jin Jian) ​​with modifications.

Prescription: 10 grams of Anemarrhena asphodeloides, 10 grams of Phellodendron chinense, 10 grams of Rehmannia glutinosa, 10 grams of Dioscorea batatas, 10 grams of Cornus officinalis, 10 grams of Moutan bark, 10 grams of Alisma orientalis, 12 grams of Poria cocos, 12 grams of Ligustrum lucidum, 10 grams of Eclipta prostrata. If the leucorrhea is yellow and smelly, add 12 grams of Patrinia herb, 15 grams of raw Coix seed, and 15 grams of Plantago seed to clear away heat, promote dampness, and stop leucorrhea. If the patient is upset and irritable, add 12 grams of stir-fried Gardenia jasminoides, 10 grams of Curcuma aromatica, and 10 grams of Bupleurum chinense to soothe the liver, regulate qi, and clear away heat.