Commonly used drugs for endometrial tuberculosis

In daily life, women should pay attention to the changes in the uterus and regulate it comprehensively to avoid some common diseases. Endometrial tuberculosis is one of them. When this disease occurs, there will be many effects, and it will also cause intestinal adhesions, which has serious consequences. So, what are the treatment methods for endometrial tuberculosis?

Drugs for the treatment of endometrial tuberculosis

1. Treatment with uterine dilation and estrogen: For patients with chronic endometritis or senile endometritis, cervical dilation can be used for corresponding treatment, which is conducive to the drainage of uterine secretions and thus eliminates the cause. Due to individual differences, specific treatment methods can be consulted by online experts.

2. Clear the uterine cavity residues and other foreign bodies: If endometritis occurs after delivery or abortion, if there is residual placental tissue, the patient can use antibiotics for treatment, and the residues must be removed immediately. It is mainly aimed at the residues that slightly protrude from the uterine cavity. Try to avoid curettage. When the antibiotics reach a certain dose, if the inflammation is under control, curettage can be performed to prevent the spread of inflammation. Once the uterus shows active bleeding, a large amount of antibiotics should be used to clean the uterine cavity at the same time. If there is an intrauterine device in the uterus, it should be removed as soon as possible, which is conducive to eliminating the primary lesion and better controlling the spread of inflammation.

Causes of Endometrial Tuberculosis

Endometrial tuberculosis is mostly caused by the spread of fallopian tube tuberculosis. Female genital tuberculosis first infects the fallopian tubes, and then gradually spreads to the endometrium, ovaries, cervix, etc. As the endometrium sheds periodically, the endometrial tuberculosis lesions are discharged with it. The lesions are mostly confined to the endometrium, and in the early stage they appear as scattered millet-like nodules. In very rare severe cases, the lesions invade the myometrium, and the uterus is normal in size or slightly smaller, with no abnormal appearance.

Tuberculous nodules can be seen under the microscope of the scraped endometrium, and caseous necrosis may occur in severe cases. A typical tuberculous nodule has 1 to 2 giant cells in the center, arranged in a horseshoe shape, surrounded by epithelial-like cells, and infiltrated on the outside with a large number of lymphocytes and plasma cells. The characteristic of endometrial tuberculous nodules is that the glands around the tuberculous nodules are insensitive to ovarian hormones, showing persistent hyperplasia or hyposecretion. Severe endometrial tuberculosis may cause caseous necrosis and superficial ulcers, resulting in most or all of the endometrium being destroyed, and scars may form later. The endometrium loses all its functions and amenorrhea occurs.

I hope everyone pays attention to the treatment of this disease. Drainage can be used for treatment, and in daily life, we must pay attention to some treatment principles, pay attention to the patient's age, and effectively treat the patient according to the patient's condition. We must also pay attention to some contraindications, conduct comprehensive conditioning, pay attention to avoiding infection, and effectively isolate.