cervical dilation
Introduction
Introduction Cervical dilatation is one of the causes of endometritis. It is also a prerequisite for uterine inversion. The cervix is one of the important tissues and organs in the female reproductive system. From embryos and female fetuses to calluses, the cervix involves diseases such as gynaecology, obstetrics, family planning, women's health and reproductive health in women's life. Womens own health, family well-being, economic and social issues are also closely related to sex and reproduction.
Cause
Cause
The cause of acute endometritis:
The infection can be caused by sexually transmitted diseases, but sometimes there are no obvious incentives.
Mainly for bacterial infection, the types of bacteria are: staphylococcus, Escherichia coli, streptococcus, anaerobic bacteria, in addition to gonococcus. In addition, pathogens such as mycoplasma are infected.
According to the pathogenic bacteria of infection, it can be divided into two types: tuberculosis and non-tuberculosis.
Tuberculous endometritis is caused by tuberculosis infection, and is often secondary to tubal tuberculosis.
Non-tuberculous endometritis is more common, caused by general pathogen infection, common in menstrual period, abortion and after delivery: such as placental and fetal membrane residue during childbirth, menstrual sexual intercourse, long-term uterine bleeding, incomplete abortion infection, Insufficient gynecological examination, intrauterine operations such as abortion and various infections of vaginal surgery, ascending infection of cervicitis, vaginitis, infection of endometrial polyps or submucosal myoma.
Endometritis is caused by bacteria along the vagina, the cervix ascending or descending along the fallopian tube, and reaching the endometrium via the lymphatic system. Most are caused by the vagina and the cervix.
Under normal circumstances, the female vagina is in an acidic environment, and the cervix has a mucus plug, which is a physiological barrier of the human body and can resist the invasion of bacteria. However, under special circumstances, such as menstruation, childbirth, post-abortion and various intrauterine operations, this barrier function is weakened or even disappeared, easily causing bacterial invasion, causing endometritis, and, in addition, not paying attention to personal hygiene, menstrual period Sexual intercourse and heterosexual intercourse with sexually transmitted diseases are also prone to this disease. Older women are prone to vaginal vaginitis due to decreased estrogen in the body, decreased intravaginal acidity and decreased cervical mucus plug, and further developed into endometritis.
Examine
an examination
Related inspection
Cervical examination gynecological examination gynecological inflammation examination
Inflammation of the endometrium of the uterus. When inflammation develops to a severe stage, it can affect the myometrium and become myositis, which is an extension of endometritis. Endometritis is divided into acute and chronic. The main causes of acute endometritis are abortion, puerperal infection, uterine cavity placement of contraceptives, laser needles, cervical dilatation, diagnosis of curettage or cervical electrocautery, laser, microwave and other physical therapy. Ascending infections of pathogens such as sexually transmitted diseases can also be caused. In addition, endometrial polyps, uterine submucosal fibroids, etc. often cause endometritis. The cause of chronic endometritis is basically the same as above.
In the acute phase of endometritis, endometrial congestion, edema, infiltration of inflammatory cells, and suppuration in severe cases. The patient presented with fever, abdominal pain, increased vaginal discharge, and bloody or pus. Acute endometritis can be further developed into uterine myositis, salpingitis and pelvic inflammatory disease, making the condition worse. Chronic phase can be asymptomatic, sometimes irregular vaginal bleeding, abnormal menstruation.
The main manifestations of acute endometritis are fever, lower abdominal pain, increased vaginal discharge, sometimes bloody or stench, sometimes the uterus is slightly larger, and the uterus is tender. Chronic performance is also basically the same, but also may have more menorrhagia, lower abdominal pain and lumbosacral swelling.
Diagnosis
Differential diagnosis
Chronic endometritis: Chronic inflammation of the endometrium is called chronic endometritis. It can be converted from acute endometritis, or it can be caused by long-term salpingitis or severe cervicitis. Intrauterine contraceptives, a small amount of placenta after childbirth or abortion, and incomplete recurrence of placenta attachment can also lead to chronic uterus. Endometritis. In postmenopausal women, due to the decrease in estrogen levels in the body, the endometrium and the lining of the vagina become thin and prone to bacterial invasion and chronic inflammation.
In addition, uterine submucosal fibroids, mucosal polyps can also cause chronic inflammation of the endometrium.
The main symptoms of chronic endometritis are irregular menstruation or uterine bleeding. Lower abdominal pain or feeling of bulging; increased vaginal discharge, fever, in addition, the uterus is enlarged, there is tenderness, and the tissue around the uterus is thickened and tender. If the elderly suffer from chronic endometritis, there will be another vaginal bleeding after menopause, and there will be an increase in vaginal discharge, which becomes thin and bloody.
Inflammation of the endometrium of the uterus. When inflammation develops to a severe stage, it can affect the myometrium and become myositis, which is an extension of endometritis. Endometritis is divided into acute and chronic. The main causes of acute endometritis are abortion, puerperal infection, uterine cavity placement of contraceptives, laser needles, cervical dilatation, diagnosis of curettage or cervical electrocautery, laser, microwave and other physical therapy. Ascending infections of pathogens such as sexually transmitted diseases can also be caused. In addition, endometrial polyps, uterine submucosal fibroids, etc. often cause endometritis. The cause of chronic endometritis is basically the same as above.
In the acute phase of endometritis, endometrial congestion, edema, infiltration of inflammatory cells, and suppuration in severe cases. The patient presented with fever, abdominal pain, increased vaginal discharge, and bloody or pus. Acute endometritis can be further developed into uterine myositis, salpingitis and pelvic inflammatory disease, making the condition worse. Chronic phase can be asymptomatic, sometimes irregular vaginal bleeding, abnormal menstruation.
The main manifestations of acute endometritis are fever, lower abdominal pain, increased vaginal discharge, sometimes bloody or stench, sometimes the uterus is slightly larger, and the uterus is tender. Chronic performance is also basically the same, but also may have more menorrhagia, lower abdominal pain and lumbosacral swelling.
