How should endometritis be diagnosed?

summary

There was an abortion before marriage, which was performed in about 77 days of the fetus. At that time, the most expensive operation was selected. The operation went well, but there was no reexamination one month after the operation. Almost half a year after the operation, I found that I had sexual bleeding. I went to the hospital for examination and said it was severe cervical erosion. At that time in the hospital to pay, did the cervical surgery, postoperative also active anti-inflammatory treatment for 3 days. Recently found that their menstruation is delayed, there is more than a week after the end of menstruation are brown leucorrhea, their check found that there is endometritis, I would like to ask suspected endometritis need how to diagnose?

How should endometritis be diagnosed?

Hello, this patient has a history of abortion, has a history of uterine cavity operation of cervical erosion, so it is very possible to suspect his own endometritis. The combination of delayed menstruation and long-term brown leucorrhea after menstruation can better verify the possibility of endometritis. At this time, it is suggested to go to the hospital to do basic leucorrhea routine, leucorrhea culture, vaginal B ultrasound, if possible, also can do a TCT examination and endometrial biopsy.

Do leucorrhea routine is to have pathogens inside, such as whether there are bacteria, pyogenic bacteria, mold, trichomonas, Candida, etc; Do leucorrhea routine is to see if you have Ureaplasma urealyticum, Mycoplasma hominis, Chlamydia trachomatis and Neisseria gonorrhoeae exist. Do vaginal B ultrasound is to see whether your cervix is smooth, whether there is erosion surface, whether there is congestion, edema or even ulcer.

If long-term bleeding, such as the patient after menstruation or brown secretions, and have more than a year of history of sexual life, it is necessary to do a cervical TCT examination, or even endometrial biopsy, to see the pathological situation. If the benign inflammatory infection, general treatment can.

matters needing attention

The night before endometritis examination, try not to vaginal administration, do not have sex, so as not to affect the next day's examination results. In addition, do electronic colposcopy, if there is a small amount of bleeding after the event, or damage to cervical tissue, can be normal, pay attention to pudendal hygiene.