Endometritis is an inflammation or irritation of the lining of the uterus (the endometrium). It is not the same as endometriosis.
Causes, incidence, and risk factors
Endometritis is caused by an infection in the uterus. It can be due to chlamydia, gonorrhea, tuberculosis, or a mix of normal vaginal bacteria. It is more likely to occur after miscarriage or childbirth. It is also more common after a long labor or C-section.
The risk of endometritis is higher after having a pelvic procedure that is done through the cervix. Such procedures include:
You will need to take antibiotics to treat the infection and prevent complications. Finish all your medicine if you have been given antibiotics after a pelvic procedure. Also, go to all follow-up visits with your health care provider.
You may need to be treated in the hospital if your symptoms are severe or occur after childbirth.
Other treatments may involve:
Fluids through a vein (by IV)
Sexual partners may need to be treated if the condition is caused by a sexually transmitted infection.
In most cases, the condition goes go away with antibiotics. Untreated endometritis can lead to more serious infection and complications.
Smaill FM, Gyte GM. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD007482.
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. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.