Can endometritis heal on its own?

Endometritis is a type of gynecological inflammation that many women have encountered. It is also a disease that has a particularly great impact on women's physical health, especially the health of their reproductive system. This disease is unlikely to heal on its own, and patients need to go to the hospital for examination in time. Under the guidance of a doctor, appropriate treatment measures should be taken before the disease can be gradually restored and patients can be freed from the pain of the disease.

For senile endometritis, 0.25-0.5 mg of diethylstilbestrol can be taken orally once a day for 1-2 weeks, and appropriate antibiotics can be used for treatment for 5-7 days. At the same time, treatment is given for senile vaginitis (see senile vaginitis).

2. Physical therapy

Moderate to severe patients can choose physical therapy when drug treatment is ineffective. However, physical therapy can cause harm to the body and has significant side effects. It can easily lead to insensitivity of the vaginal wall nerves, lack of pleasure in sexual life, and infertility. Therefore, infertile women should not use this therapy.

For severe patients who are unsuccessful in drug therapy and physical therapy, they can choose to undergo cervical conization or total hysterectomy. Surgical treatment is not recommended unless it is absolutely necessary.

1. Patients with complications of intrauterine pyometra should immediately dilate the cervix and drain the pus. After the operation, a rubber drainage tube was placed in the cervical tube until no pus flowed out, and the above-mentioned drugs were used at the same time. In order to rule out cancer, the cervical canal and uterine cavity can be gently scraped after pus drainage, and the tissue obtained can be sent for pathological examination.

3. Non-cancerous intrauterine pyometra can be treated with intrauterine lavage using disinfectant solutions such as 1:5000 potassium permanganate solution or iodine solution (3% iodine dissolved in normal saline, the alcohol content should be less than 50%). The pressure should be low and the speed slow during lavage. If there is no double-lumen uterine lavage tube, the catheter can be inserted into the uterine cavity and the drug solution can be injected with a 100ml syringe. The amount of irrigation fluid for one time depends on the amount of pus accumulation, usually 30 to 50 ml. The irrigation fluid must be drained out before the second injection of the medicine. This process should be repeated several times until the outflowing fluid is clearer, and then a rubber tube should be placed for drainage. Do this once a day.