6 main differences of endometriosis from endometritis


Two different gynecological diseases, but consonant to the ear of the name, often in women cause confusion - endometriosis and endometritis. This misconception is most likely due to the origin of the disease. In both cases, the abnormal process is associated with the endometrium, the tissue that forms the lining of the uterus. These diseases have some similar symptoms and possible consequences, this completes their similarity. Let's try to figure out the difference between endometriosis and endometritis and how is their treatment carried out?

Endometriosis in women

According to medical statistics, endometriosis among gynecological diseases is in third place. Previously, it was believed that this disease mostly suffered from women who had never had sex, and called it “the disease of the nuns”. Now it is often diagnosed in women of child-bearing age and even in girls. It is considered one of the most mysterious female diseases.

What is endometriosis in women? This is a benign proliferation of the inner layer of the uterus, called the endometrium, in unusual places - in the ovaries, on the wall and cervix, in the rectum, bladder, fallopian tubes, peritoneum and other organs, and sometimes in the lung and brain. Attached to the walls of the organs, the cells expand and begin to menstruate, as in the uterus. Bleeding causes inflammation and the formation of adhesions.

Symptoms of endometriosis

Having found out what is endometriosis in women, consider how it manifests itself. For some time the disease can proceed without any signs, and then the following symptoms occur:

  • Painful sensations in the lower back and lower abdomen, which are worse before menstruation.
  • Pain and discomfort during intercourse.
  • Before menstruation and after it there are spotting dark brown.
  • Abundant and prolonged discharge in the period of menstruation.
  • Decreased performance, nervousness, bad mood.

The most important symptom of the disease, and sometimes the only one, is infertility.

Causes of Endometriosis

The causes of the disease have not yet been established. There are many hypotheses, but there is no evidence base. Here are some of them:

  • Retrograde menstruation - in many women the blood during the menstruation reaches the peritoneum, in healthy - the endometrium does not grow.
  • Hereditary predisposition - often endometriosis, like many other diseases, is passed on from generation to generation.
  • Weakening of the immune system.
  • Hormonal disorders - estrogen promotes the growth of the endometrium.
  • Surgical intervention in the gynecological part.

In addition, the occurrence of the disease is affected by: ecology, lack of iron, disruption of the liver, infection of the urinary tract.

Treatment of endometriosis in women after 40

With timely diagnosis of the disease, it can be treated with medication. Women over forty can still plan a pregnancy, so when the first signs of the disease appear, you should consult a doctor and start treatment, otherwise new foci of endometriosis will cause the formation of cysts, scars and adhesions, which will lead to obstruction of the appendages and infertility. Modern medicine offers several methods for treating a disease:

    Elimination of pain. Strong painful sensations during the formation of adhesions, which bind the organs in an unnatural position, are eliminated by non-steroidal anti-inflammatory drugs. To do this, use "Nimesil", "Ketoprofen", "Ibuprofen".

What is endometritis?

Endometritis is an inflammatory disease of the inner layer of the endometrial lining of the uterus. It is localized inside the uterus; if treated incorrectly or without therapy, the infection affects the fallopian tubes and ovaries. Most often diagnosed in women of reproductive age. It occurs when an infection gets into the uterine cavity, which is what distinguishes endometritis from endometriosis. When inflammation is not associated with pregnancy, infection occurs with gynecological manipulations or complications after illness. After childbirth or abortion, a large wound surface provokes the development of various infections. There are two types of endometritis - acute and chronic.

Causes of Endometritis

The main cause of the disease is penetration of pathogenic bacteria and viruses into the uterine cavity, which is what distinguishes endometritis from endometriosis, which, with a weakened immune system or endometrial integrity disorders, affect the organ's mucous cavity. Often inflammation occurs from mechanical damage caused by:

  • abortions
  • cesarean section
  • gynecological manipulations in the uterus,
  • childbirth.

As well as infectious diseases:

  • gonorrhea,
  • chlamydia
  • tuberculosis bacteria
  • intestinal and diphtheria bacillus.

In addition, the infection is provoked by inappropriate hygiene, sexual intercourse, the intrauterine device, frequent and prolonged use of tampons during menstruation.

Symptoms of the disease

The first signs of the disease occur several days after infection. In the acute form of endometritis is observed:

  • fever, chills, fever,
  • purulent and bleeding from the vagina with an unpleasant odor,
  • nausea, vomiting,
  • enlarged uterus and pain on palpation.

In addition, the appearance is possible:

  • general weakness
  • headache,
  • mood swings,
  • pain in the lower abdomen, giving to the anus.

Often there is a violation of the menstrual cycle, the discharge may be scanty or abundant, there is an increase in the period of blood flow, infertility can occur. What is the difference between endometriosis and endometritis? It should be noted that in case of endometritis, atypical cells are never contained in lesions, as in endometriosis, which under favorable conditions can at any time turn into a malignant tumor.

Endometritis treatment

For the treatment of the acute period of the disease, the patient is placed in the hospital and she is appointed:

  • antibiotics - intravenously or intramuscularly,
  • antipyretic and analgesic drugs,
  • antibacterial agents for topical use,
  • drugs that cause uterine contractions,
  • vitamin complexes.

What is the difference in the treatment of endometritis and endometriosis? It consists in the use of antibiotics in the treatment of endometritis. With adequate treatment, the process rarely becomes chronic. But if it occurs, the therapy is delayed and, in addition to the listed treatment, physiotherapeutic procedures are used - UHF, ultrasonic and pulsed waves, electrophoresis. After using antibiotics, hormone therapy is prescribed to restore and normalize the menstrual cycle. In the treatment of endometritis, clinical recommendations consist in targeted antibacterial and anti-inflammatory therapy. The combined treatment method is the most effective. The combination of conservative treatment of hormonal drugs with laparoscopy and recovery period with the use of physiotherapy gives a good result. In some cases, diagnostic curettage is used to completely get rid of the disease, allowing the endometrium to recover anew.

IVF with endometritis

In the treatment of endometritis before IVF, after a preliminary examination, the following therapy is prescribed:

  • support by hormonal drugs from three to five months,
  • when blood flow is impaired, anticoagulants, antiplatelet agents and phlebotonic agents are used,
  • immunomodulatory drugs with abnormalities in the immune system,
  • physiotherapy to stimulate blood flow.

When the first symptoms of endometritis should immediately consult a doctor, the disease leads to infertility.


One should not think that endometritis and endometriosis are one and the same disease. The first is caused by bacteria and viruses that penetrate the uterus, and the second by pathological growth of tissues resembling endometrium. Endometritis can be cured with timely visit to a doctor, endometriosis with modern means can not be completely cured. He sometimes passes after childbirth or spontaneously dies away after menopause.

Common features

The similarity of diseases can be traced in their names: both of them are associated with pathologies of the inner uterine layer, endometrium. In addition, there are other similarities:

  • some (but not all) symptoms are similar: illnesses are accompanied by pain and irregular menstruation,
  • both diseases require immediate treatment,
  • both can cause adhesions that interfere with cell movement and the attachment of the ovum to the uterine wall,
  • endometritis and endometriosis are associated with hormonal imbalance, but in the first case this factor is a consequence of inflammation, and in the second - the cause causing the growth of the endometrium,
  • both diseases can lead to infertility.

How does endometritis differ from endometriosis?

Despite the presence of common characteristics, the differences between the two ills are much greater. Summarize the main ones in the table:

More about endometritis

In conclusion, we note that both endometriosis and endometritis can, in the absence of timely treatment, cause complications, and in the first place - infertility. To prevent their development, you must regularly visit a gynecologist, as well as consult a doctor for any adverse symptoms.

What is the difference between endometritis and endometriosis?

As can be seen from the above, endometritis and endometriosis are 2 completely different diseases, with different clinical manifestations. The developmental mechanism is also different. It is necessary to highlight the following differences in endometritis and endometriosis, in order for women to understand the difference between these 2 diseases:

  1. Endometritis is primarily nodal

    the proliferation of endometrial tissue is benign in nature, while endometritis is an inflammatory process of the uterine mucosa.

  2. The cause of the development of endometriosis are hormonal disruptions of various etiologies, and endometritis develops due to the presence of infection in the reproductive organs.
  3. With endometritis, the mucous membrane of the uterus is thinning, and with endometriosis, it grows and can penetrate into adjacent organs and tissues.

What is endometriosis?

A characteristic feature of the disease (endometriosis) is the abnormal growth of endometrial cells outside the uterus. This happens under the influence of various factors.

Due to the onset of the pathological process, foci of the disease can be observed in the region of the appendages, the cervical canal and other organs of the urogenital system.

Causes of

Endometritis and endometriosis occur for various reasons. The onset of the inflammatory process occurs under the influence of such factors as:

  • frequent douching,
  • recently postponed labor
  • carrying out abortive activities
  • installed intrauterine device,
  • sexually transmitted infections.

Among the causes of endometriosis, the following are distinguished:

  • hormonal disorders,
  • excessive body weight
  • the intrauterine device established more than five years ago,
  • heredity,
  • uterine fibroids,
  • suppression of the protective functions of the body,
  • poor environmental conditions
  • frequent abortive measures and surgical intervention in the organs of the urogenital system.

Thus, there are common causes of endometriosis and endometritis, but pathological processes begin under the influence of various factors. Inflammation occurs when an infection penetrates the body, and abnormal proliferation of the uterine lining due to hormonal fluctuations.

Symptom Differences

Endometriosis differs from the disease endometritis not only by the development mechanism, but also by clinical manifestations.

In pathology, which is characterized by excessive growth of the endometrium, the following symptoms are observed:

  • pain in the lower abdomen, which can give to the sacrum, lower back and increase during menstruation,
  • acyclic secretions
  • discomfort during intercourse,
  • menstrual dysfunction, the cycle is lost,
  • discomfort during urination and defecation,
  • abundant regulations.

Among the clinical manifestations of endometritis are:

  • hyperthermia,
  • violation of the cycle and pain before menstruation,
  • bleeding
  • pain syndrome, localized in the lower abdomen,
  • itching and burning when urinating,
  • yellow or brown foul-smelling discharge from the genital tract,
  • increased uterine tone,
  • heart palpitations
  • anemia.

In these diseases of the uterus, symptoms are initially mild. Due to this, it is difficult to diagnose them at an early stage of development.

Differences in diagnosis

In order to diagnose both diseases, a number of activities are carried out. Regardless of whether endometritis or endometriosis disease is detected, the following actions are performed:

  • examination by a gynecologist,
  • hysteroscopy
  • urine and blood test.

However, methods for diagnosing endometritis and pathology endometriosis are different. The inflammatory process is assigned to the following studies:

  • bacterioscopy
  • taking smears,
  • seeding on flora.

The following methods help diagnose endometriosis:

  • laparoscopy,
  • biopsy,
  • ultrasound procedure.


After all the necessary gynecological procedures have been performed and an accurate diagnosis has been made, treatment is directed to eliminate the infectious agent. At the same time resort to the use of drugs and the implementation of physiotherapy procedures.

The following groups of drugs are used:

  • antibiotics (ceftriaxone, metronidazole or cefazolin),
  • immunomodulatory drugs (Viferon or Immunal),
  • analgesics (platifillin or no-shpa),
  • removing puffiness (Tavegil or Suprastin),
  • medications in the form of suppositories (Indomethacin or Diclofenac).

In addition to medical treatment, courses of ultrasound therapy are prescribed, as well as electrophoresis and vitamin complexes. Such actions are quite enough to stop the inflammatory process.

Why diseases are confused

The difference between endometriosis and endometritis is obvious, but many consider them to be the same pathology. The reason is not only a consonant name. In both cases, the inner uterine layer is affected and the menstruation cycle is lost. In addition, there is the beginning of adhesions and there is a risk of infertility, as well as the transformation of cells into malignant ones.

There are a number of similar factors provoking the onset of the pathological process. Both diseases occur due to abortive measures and after postponed labor.

Possible complications

Endometritis and endometriosis in the absence of proper treatment can lead to serious complications.

Due to the abnormal proliferation of the layer of the reproductive organ, the risk of infection in the uterine cavity increases. As a result, mucosal inflammation occurs. Against the background of endometriosis, endometritis develops.

Both pathologies lead to the formation of adhesions. As a result, infertility is diagnosed. Pregnancy becomes impossible. Abundant blood loss can lead to the development of anemia. The most dangerous complication is cancer. Therefore, it is important to start treatment in a timely manner and maintain women's health.

Proved the risk of endometriosis and endometritis, which need urgent treatment. The mechanism of development of these pathologies is significantly different, but both of them can lead to serious complications. Only with timely treatment started will the prognosis be favorable.

Why are diseases confused?

Pathologies have similar names, so they are confused or considered to be two names for one disease. Endometritis and endometriosis have different endings. The names ending in "-it" denote the inflammatory process. If the name of the disease has the ending "-oz", it means functional impairment.

Both diseases affect the inner lining of the uterus. There are a number of manifestations characteristic of both pathologies:

  1. Discomfort in the lower abdomen, irregular and painful menstruation.
  2. Pathological changes in the endometrium, the formation of adhesions. As a result, both diseases lead to infertility.
  3. Violation of hormonal levels. With endometritis, this is a consequence, with endometriosis - the cause.

Both pathologies require urgent treatment, since their effects (both inflammation and the growth of the endometrium to other organs) can be dangerous.

The diagnosis is made only by the doctor on the basis of analyzes and the results of other studies. Independently determine the disease and cure it is impossible.

What are their differences?

Pathologies have common features, but there are much more differences.The etiology, the nature of the lesion of the mucous membrane, the clinical picture, methods of diagnosis and treatment of these diseases are different.

In a healthy woman, the endometrium lines only the uterus. It serves as a defense for the muscular organ and holds the fertilized egg in case of conception. With endometriosis, the tissue, which resembles the lining of the uterus in structure, expands to other organs. New growths are found in the peritoneum, on the ovaries, fallopian tubes, cervix, labia, etc. The cornea of ​​the eye may even be the lesion.

During menstruation, the uterine endometrium is rejected and leaves the vagina in the form of blood and clots. A similar situation is observed in endometrioid tumors. A tissue resembling endometrium, under the influence of estrogen, can be rejected and bloodied monthly.

Endometritis occurs due to the violation of the integrity of the uterine cavity and the penetration of pathogenic bacteria. This is often due to gynecological procedures such as:

  • instrumental abortions,

  • introduction or removal of the helix,
  • curettage in various tumor diseases,
  • childbirth
  • taking a biopsy.

Differences between endometritis and endometriosis are divided into groups:

  1. By the nature of the pathological process. Endometritis occurs as a result of infection in the uterus, causing inflammation. Endometriosis is a consequence of an immune or hormonal failure and causes the appearance of tumors.
  2. At the place of defeat. Endometritis is localized exclusively in the uterus. Endometriosis affects any organ.
  3. According to the clinical picture. With endometritis, the symptoms are pronounced, there is a high fever, weakness, etc. Endometriosis takes a long time in a latent form.
  4. By diagnostic methods. Inflammation of the uterus mucous membrane gynecologist may be suspected when viewed with mirrors. Additionally taken strokes from the vagina. Endometriosis can only be diagnosed by ultrasound.
  5. By changing the endometrium in the uterus. With the inflammatory process, the mucous membrane becomes thinner, with a functional lesion - thicker.
  6. By treatment methods. Endometritis is eliminated with antibiotics and immunomodulators. Endometriosis is treated with hormonal drugs or surgically.

Knowing the differences in pathology, one can avoid the unpleasant effects of self-treatment. In case of detection of warning signs, an urgent need to consult a doctor. The doctor will diagnose, identify the cause of the pathological process and prescribe the correct treatment.

The clinical picture and causes of endometritis

Endometrium - mucous coating of the inner walls of the uterus. When pathogenic microbes enter, an inflammatory process, called endometritis, begins to develop in it.

The reason for the development of pathology is considered to be a violation of the integrity of the epithelial cover of the reproductive organ due to:

  • surgical abortions,
  • scraping fibroids or other neoplasms from the uterus,
  • the introduction of the helix, or any other intrauterine contraceptives,
  • childbirth.

Acute endometritis can manifest itself with the help of:

  • pain in the lower abdomen, while the pain can spread to other pelvic organs,
  • fever, in which the body temperature rises to febrile indices,
  • chills, shivering in the body, caused by fever,
  • brown, reddish or even purulent vaginal discharge,
  • increase or, conversely, reduce the amount of menstrual blood,
  • painful periods,
  • nausea
  • general weakness
  • deterioration of the patient's psychoemotional state.

Endometritis is accompanied by an increase in the uterus in size, as a result of which there is pain in the lower abdomen. In clinical studies of blood, an increase in ESR and a change in the volume of leukocytes are noted.

Signs of endometriosis

To understand the difference between endometritis and endometriosis, it is necessary to consider the clinical manifestations of the latter. Thus, even a patient who is not related to medicine can understand the difference between diagnoses.

Endometriosis has a completely different nature and, accordingly, a clinical picture. If you carefully study the symptoms of the disease, then its difference from endometritis will acquire more pronounced features.

So, the characteristic signs of pathology are:

  • lower abdominal pain, the intensity and localization of which depends directly on the uterus where the pathological growths of its mucosa are located,
  • menstrual shift in one direction or the other,
  • severe pain of menstruation, change in their intensity,
  • decrease in sexual activity,
  • pain or discomfort during intercourse.

If during the development of endometriosis, adjacent organs were affected by pathological growths, then the patient may experience:

  • pain when emptying the bladder,
  • increased urge to stool,
  • constipation
  • blood admixture in feces.

General malaise, lethargy, apathy and gratuitous irritation may also accompany this disease. And it is absolutely natural, since no violations in the work of internal organs can take place without a trace for the psychological and emotional state of the patient.

The difficulty of making an accurate diagnosis lies in the fact that at the initial stages of endometriosis development it can only be indicated by a change in the nature of the menses, and a failure in the menstrual cycle. As a rule, a woman does not pay attention to such “trifles”, considering this to be a consequence of nervous overstrain or excessive physical exertion.

In the meantime, endometriosis continues to progress, affecting all new areas of the reproductive organ, or even going beyond it.

The main difference of this pathology from endometritis is that the problems with the mucous membranes of the uterus are not bacterial, but hormone-dependent nature. That is why these diseases are not fundamentally similar to each other, despite the similarity of their names.

How to distinguish endometritis from endometriosis?

Although the differences between the concept of endometriosis and endometritis are obvious, they are confused due to the presence of certain similarities. These include:

  1. Both endometriosis and endometritis affect uterine mucous membranes.
  2. Both pathologies lead to menstrual disorders.
  3. Both diseases can lead to the formation of adhesions.
  4. Endometritis and endometriosis can lead to infertility and the development of a carcinogenic process.
  5. Hormonal imbalance is observed in patients in both cases.
  6. Diseases adversely affect the psycho-emotional state of women.

Now it is necessary to study in more detail the differences between endometritis and endometriosis, since the common features mentioned above can only confuse the situation. The difference between these diseases lies in such factors as:

  1. The reasons for the development of each of the pathologies (these differences have already been discussed above).
  2. Features of the course of diseases. So, the main difference between endometriosis and endometritis consonant with it is that in the first case the mucous membranes become very thin, and in the second - on the contrary, it increases in volume.
  3. The first signs of endometritis can appear within a few days after the bacteria has entered the mucous membranes of the uterus. The difference with endometriosis is that it can be completely asymptomatic for a long time.
  4. The difference between the two diseases is also in the localization of the center of inflammation. So, with endometritis, the pathological process takes place exclusively in the uterus, and with endometriosis, growths can also affect other organs - the ovaries, intestines, etc.
  5. Different methods of treatment of diseases. If infectious diseases of the uterine mucous membranes can be stopped with the help of antibacterial agents, then the pathological growths are usually removed by surgery. Of course, you can try to reduce them in size with the help of hormones, but it is impossible to completely get rid of endometriosis with the help of conservative therapy.
  6. The difference between diseases is also in the methods of their diagnosis. If endometritis can be diagnosed by taking a smear on baccapsules from the vagina, as well as by visual examination, then ultrasound is used for endometriosis, since it is impossible to assess the seriousness of the situation with a gynecological examination. This distinguishes two pathologies in terms of diagnosis.

Despite the fact that these diseases have a lot in common, the difference between them is indisputable. No matter how the endometritis and endometriosis differ from each other, it is impossible to consider them to be safe, and even more harmless diseases. Such carelessness can cost a woman very expensive, so she should take care of her health as carefully as possible!

Forms and symptoms of endometriosis

In endometritis and endometriosis, the difference is that the second pathology is classified according to the forms and stages. Four stages are distinguished according to the degree of tissue growth:

  • before the start of myometrium,
  • until the middle of the myometrium,
  • to serous cover,
  • to defeat the parietal peritoneum.

  • genital - damage to the internal and external genital organs and peritoneum in the pelvic region,
  • extragenital - the epithelium expands to the intestines, organs of the urinary system, lungs,
  • combined - includes a combination of the first two forms.

Symptoms of endometriosis can be ambiguous and confusing even an experienced specialist. The severity of symptoms may depend on the form, extent and presence of concomitant diseases.

  • pain in the lower abdomen, lower back and abdomen,
  • increased menstrual flow
  • the appearance of bleeding between menstruation,
  • temperature rise,
  • chills,
  • deterioration.

Sometimes there is increased intestinal peristalsis, pain when urinating, coughing up blood during menstruation, the appearance of blood streaks in the urine. Endometriosis, like endometritis, causes infertility if you do not start timely treatment.

Similar symptoms

Endometritis and endometriosis have their own special features, but there are some signs and effects that are inherent in both diseases. Similar features:

  • these pathologies cause damage to the uterine epithelium - the endometrium,
  • changing nature of menstruation,
  • the first symptom of both pathologies is abdominal pain,
  • in each case the hormonal background can change.

These diseases can have the same effects:

  • there are scars and adhesions on the endometrium,
  • increases the risk of cancer,
  • affects conception and gestation,
  • may cause infertility.

Distinctive features

What is the difference between endometritis and endometriosis:

  • The difference between endometritis and endometriosis lies primarily in their origin. In the first case, this is damage and accession of the infection, in the second, the causes are not always identified, and most often endometriosis has multiple origins.
  • With endometritis, destruction and depletion of the epithelium occur, with endometriosis, on the contrary, epithelial cells actively proliferate.
  • Endometritis is localized only in the uterus, endometriosis affects all genitals, the abdominal cavity, the excretory system and even the lungs.
  • Reducing the amount of discharge during menstruation is characteristic of endometritis. Increased bleeding occurs with endometriosis.
  • Endometriosis can be detected on a routine examination by a gynecologist; endometriosis requires lengthy and more thorough examinations.
  • Endometriosis has more pronounced symptoms, which is different from the localization of cell proliferation, and has a stronger effect on the patient's well-being.


When signs of endometritis and endometriosis appear, the difference is not immediately clear. You need to contact an experienced doctor who will conduct a full diagnosis and be able to establish the correct diagnosis.

  • collection of complaints
  • inspection on the chair,
  • taking smears,
  • determination of endometrial thickness using ultrasound,
  • in chronic form - hiteroscopy.

It is necessary to take blood to determine the number of leukocytes in order to assess how severe the inflammation is. For the treatment using antibacterial and immunostimulating drugs, anti-inflammatory suppositories, painkillers. To improve blood circulation and endometrial growth, electrophoresis or uterine massage is prescribed. Usually, one course is enough for complete recovery.

Diagnosis of endometriosis requires not only examination and taking smears, but a more thorough examination:

In some cases, conduct additional diagnostics, especially if epithelial cells have penetrated into many organs. Endometriosis is treated by taking painkillers, antispasmodics, vitamins and hormonal drugs that reduce the production of estrogen. With the ineffectiveness of conservative treatment, conduct surgical removal of overgrown tissue.

Causes of damage to the mucous layer of the uterus

The main causes of damage include the following:

  • cesarean section,
  • scraping the uterus,
  • the use of non-sterile instruments for gynecological examination,
  • chronic genital diseases,
  • hysterosalpinography (examination of tubes and uterus using contrast),
  • unprotected sexual intercourse during menstruation,
  • erosion of the uterus,
  • common diseases.

The causative agents of endometritis can be chlamydia, proteus, tuberculosis or E. coli, diphtheria bacillus, group B streptococci, mycoplasmas and enterobacter.

Symptoms of endometritis

At the initial stage of the disease, the symptoms are mild and not particularly noticeable to the woman. Therefore, a woman cannot always seek treatment in time.

Endometritis is divided into acute and chronic.

Symptoms of acute endometritis that result from mechanical intervention include:

  • pain in the lower abdomen,
  • pain during menstruation and intercourse,
  • spotting before and after menstruation,
  • failure in the menstrual cycle, heavy bleeding during menstruation,
  • with the development of the disease - the pain becomes permanent,
  • increase in body temperature to 39 ° C
  • general deterioration in health, accompanied by headaches, lack of appetite.

Symptoms of chronic endometritis, which occurs due to sexually transmitted infections in the uterine lining, include:

  • pains of whining character in the lower abdomen,
  • discharge, which is characteristic of infectious diseases (yellowish-purulent discharge in gonorrhea, frothy discharge in trichomoniasis),
  • increased body temperature 37.0-38.5 ° C,
  • profuse menstruation for more than 7 days.

Endometriosis: causes, symptoms and treatment

Endometriosis is a gynecological disease, in the process of development of which the occurrence of nodes similar to the structure of the endometrium (the inner lining of the uterus) outside the uterus occurs. Sometimes it happens that after rejection of uterine tissues, which are necessary for attaching an egg cell, they not only come out as secretions during menstruation, but also part of them through the blood stream enters the fallopian tubes and begins to grow rapidly. This is how endometriosis begins.

Causes of endometriosis

As such, the causes of the disease have not been identified, but there are factors contributing to its occurrence:

  • thyroid problems
  • hormonal disbalance,
  • intrauterine intervention, surgery on the uterus,
  • problems in childbirth and abortion,
  • heredity,
  • inflammatory diseases, genital processes,
  • failure in the menstrual cycle
  • bad habits, constant stress,
  • overweight.


Endometriosis is characterized by severe pain during urination. In addition, a woman can detect blood clots in the urine. Menstruation is very painful, and discomfort is localized in the lower abdomen. Often women also complain of severe pain during menstruation during bowel movements. Infertility is the most serious consequence of a disease, which can also be attributed to its symptoms.

During endometritis, an examination by a gynecologist reveals a large and painful uterus, as well as purulent, serous and bloody vaginal discharge. Symptoms of acute endometritis - severe pain in the lower abdomen, fever, weakness, unusual discharge. A chronic disease is accompanied by periodic heaviness and tenderness in the abdomen, unpleasant sensations during sexual intercourse, an enlarged uterus during the examination. It may also be difficult to conceive and carry a child.

Blood and urine tests, bacterial cultures, ultrasound, hysteroscopy (endoscopic examination of the uterus) - all of these studies will help to finally determine the diagnosis and prescribe an adequate treatment regimen.

Therapy for endometriosis can be medical or surgical. In the first case, hormonal, anti-inflammatory and antibacterial drugs are prescribed. If drug treatment is ineffective, the woman is scheduled for surgery to remove foci of endometriosis. In very advanced cases, complete removal of the uterus may be required.

Acute endometritis must be treated in a hospital, under the supervision of a doctor, in order to avoid life-threatening complications, such as peritonitis. Bed rest, lack of physical exertion and good nutrition are required. Extended-spectrum antibiotics and pain-relieving drugs are prescribed. In addition, take probiotics, antifungals and immunostimulants. Physical therapy in the acute period is prohibited.

The chronic process is usually treated on an outpatient basis. For antibacterial drugs add fortifying agents, various types of physiotherapy, which eliminate edema and improve blood circulation. Hirudotherapy (leech therapy), long-term use of herbal preparations and sanitary-resort treatment are very effective in the fight against acute and chronic endometritis.

What is more dangerous

The state of health and appearance of a woman depends on the health of the reproductive and sexual system of a woman. Do you want to live a full life, have children, enjoy intimate intimacy? Then be sure to regularly visit a gynecologist for a routine examination. Timely detection of dangerous diseases will prevent infertility and the development of dangerous complications.

Regardless of what diagnosis you heard, it is imperative to be treated, strictly following all the recommendations of the doctor. Some patients are interested in which pathology is more dangerous - endometritis or endometriosis? It all depends on the form and degree of development of the disease.

  • Acute endometritis can be cured completely using medication.
  • Chronic endometritis will have to be treated much longer using complex therapy. Full disposal of the disease is not excluded.
  • Endometriosis is completely impossible to cure. Even after surgery, relapses often occur. The disease can disappear after the birth of a child or with the onset of menopause, when hormonal balance returns to normal.

Any gynecological disease is easier to prevent than to cure. Proper diet, careful choice of sexual partner, intimate hygiene and an active lifestyle will be an excellent prevention of such diseases. In order not to expose yourself to unnecessary risk, visit a gynecologist at least 1 time in half a year.