Treatment of endometrial tuberculosis includes several aspects

Endometrial tuberculosis is a common gynecological disease. In daily life, many married women do not pay much attention to personal hygiene in this regard, which may lead to the occurrence of endometrial tuberculosis. In fact, the treatment of endometrial tuberculosis has been studied clinically. So, how to treat endometrial tuberculosis?

1. General treatment

Patients with acute endometrial tuberculosis should rest in bed, preferably in a semi-recumbent position, to facilitate the confinement of tuberculosis and the drainage of uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of tuberculosis and relieve pain; bowel movements should be kept open to reduce pelvic congestion and facilitate toxin excretion; excessive gynecological examinations should be avoided to prevent the spread of tuberculosis; physical cooling can be used for high fever; the diet should consist of liquid or semi-liquid, easily digestible foods that are high in calories, protein, and multiple vitamins. Those who cannot eat should receive intravenous nutrition and water supplements, and pay attention to correcting electrolyte imbalances and acidosis.

2. Clear uterine cavity residues and other foreign matter

Endometrial tuberculosis after childbirth or abortion, if there is suspected placental tissue residue, should be removed immediately while using antibiotics, but it is better to gently protrude the uterine cavity residue, and try not to perform curettage. Curettage can be performed only when the antibiotics reach a certain dose and tuberculosis is under control to prevent the spread of tuberculosis. If there is active bleeding in the uterus, the uterine cavity can be cleaned with the use of a large amount of antibiotics. For those with contraceptive devices in the uterus, they should also be removed as soon as possible to eliminate the primary lesion and control the spread of tuberculosis.

3. Uterine dilation and drainage and estrogen therapy

For chronic endometrial tuberculosis and senile endometrial tuberculosis, the cervical dilation method can be used to facilitate the drainage of uterine secretions and eliminate the cause. Elderly patients can also use a small amount of estrogen.