What is the difference between pelvic inflammatory disease and endometritis?

Although pelvic inflammatory disease and endometritis are both common gynecological inflammations, there are some obvious differences between them.

In terms of the scope of the lesions, endometritis is mainly confined to the endometrium, causing endometrial congestion, edema and inflammatory exudation. Pelvic inflammatory disease not only involves the endometrium, but may also invade the myometrium, uterine serosa, and even other pelvic organs such as the fallopian tubes and ovaries, which may lead to problems such as tubal pyosalpinx and tubo-ovarian abscess.

From the clinical manifestations, endometritis mainly presents with lower abdominal pain, increased vaginal discharge, menstrual changes, etc., while pelvic inflammatory disease may present with symptoms such as lower abdominal distension and pain, increased vaginal discharge, fever, etc., and sometimes the pain may gradually worsen and spread throughout the body, causing a more serious inflammatory reaction.

In terms of treatment, both pelvic inflammatory disease and endometritis require antibiotic treatment, but the specific treatment plan needs to be tailored to the patient's specific situation. For patients with severe pelvic inflammatory disease, surgical treatment may be required.

Although pelvic inflammatory disease and endometritis are both gynecological inflammations, their lesion ranges, clinical manifestations, and treatment options are different. Careful identification is required during diagnosis and treatment, and a personalized treatment plan should be developed based on the patient's specific situation.