What causes uterine myositis?

Myometritis is a serious disease for women. When women have myometritis, they will feel abdominal pain during menstruation, and they will also find that the menstrual blood is black and has many blood clots. If serious patients do not receive timely treatment, it is very easy to cause uterine fibroids. At this time, surgical treatment must be taken. So what is the cause of myometritis?

The inflammation spreads from the endometrium to the uterine body and deep into the myometrium, causing the uterus to become congested and edematous, and even to become suppurated and necrotic. This is called myometritis. Myometritis can be divided into acute and chronic. The main clinical manifestations of acute myometritis are fever, abdominal pain, lumbar pain, increased leucorrhea, and a feeling of heaviness in the lower abdomen; the main clinical manifestations of chronic myometritis are dull pain in the lower abdomen, irregular menstruation, and increased leucorrhea. Chronic myometritis is often transformed from acute myometritis. Western medicine believes that the cause of this disease is mostly due to miscarriage, childbirth, unclean uterine cavity surgery, unclean gynecological examination, sexual intercourse during menstruation, or necrosis of endometrial polyps, which lead to bacterial infection and cause endometrial inflammation. Severe inflammation affects the uterine muscle layer and causes this disease.

Clinical symptoms

The inflammation spreads from the endometrium to the uterine body and deep into the myometrium, causing the uterus to become congested and edematous, and even to become suppurated and necrotic. This is called myometritis. Myometritis can be divided into acute and chronic. The main clinical manifestations of acute myometritis are fever, abdominal pain, lumbar pain, increased leucorrhea, and a feeling of heaviness in the lower abdomen; the main clinical manifestations of chronic myometritis are dull pain in the lower abdomen, irregular menstruation, and increased leucorrhea. Chronic myometritis is often transformed from acute myometritis.

Western medicine believes that the cause of this disease is mostly due to miscarriage, childbirth, unclean uterine cavity surgery, unclean gynecological examination, sexual intercourse during menstruation, or necrosis of endometrial polyps, which lead to bacterial infection and cause endometrial inflammation. Severe inflammation affects the uterine muscle layer and causes this disease.

Diagnosis

The diagnosis of this disease is based on the history of fever, abdominal pain, and increased vaginal discharge, as well as gynecological examination: in acute myometritis, the uterus is enlarged, soft, and tender; in chronic myometritis, the uterus is uniformly enlarged, hard, and mildly tender. Laboratory examination in acute stage shows increased white blood cell count, increased neutrophil count and accelerated erythrocyte sedimentation rate, which can assist in diagnosis.

examine

In acute endometritis and myometritis, a routine blood test should be performed, with special attention paid to whether the white blood cell count is increased and the status of neutrophils in the classification. Intrauterine bacterial culture plus drug sensitivity test should be performed to select effective antibiotics. During gynecological internal examination, a large amount of purulent or dirty bloody secretions can be seen overflowing from the cervical opening. During bimanual examination, the cervix is ​​tender when raised, and the uterus is swollen due to congestion and edema, and is soft and tender with obvious tenderness. The uterus is slightly enlarged and tender.

During gynecological examination of chronic endometritis and myometritis, the uterus may be enlarged and tender. A cervical cytology test is performed to rule out the possibility of cervical cancer. Diagnostic curettage can be used to differentiate endometrial tumors. A large number of plasma cells and lymphocytes can be seen in the endometrium. The endometrium is congested and edematous, and sometimes granulation tissue fibrosis can be seen. These are pathological changes of chronic endometritis. Routine blood tests generally show no changes.