What is the difference between endometritis and pelvic inflammatory disease?

Treatment for endometritis and pelvic inflammatory disease depends on the cause and symptoms, with antibiotics, anti-inflammatory drugs or surgery. The main difference between the two is the site of infection and the symptoms. Endometritis is an inflammation of the endometrium, while pelvic inflammatory disease involves infection of multiple organs in the pelvis.

1. Endometritis is mainly caused by bacterial infection. Common pathogens include streptococci and Escherichia coli. Symptoms include lower abdominal pain, abnormal vaginal bleeding, increased leucorrhea, etc. Treatment is mainly antibiotics, such as cephalosporins, metronidazole, etc., and intrauterine drainage or curettage is required when necessary. Pay attention to personal hygiene, avoid unclean sexual life, and regular gynecological examinations can help prevent it.

2. Pelvic inflammatory disease is an infection of multiple organs in the pelvic cavity, including the uterus, fallopian tubes, and ovaries. The cause is mostly sexually transmitted diseases, such as gonorrhea and chlamydia. Symptoms include lower abdominal pain, fever, and pain during sexual intercourse. Broad-spectrum antibiotics, such as doxycycline and azithromycin, are required for treatment. In severe cases, hospitalization for intravenous antibiotics is required. Surgical treatment is suitable for abscesses or pyosalpinx, such as laparoscopic surgery or laparotomy.

3. The main difference between the two lies in the scope of infection and symptoms. Endometritis is limited to the endometrium and has milder symptoms; pelvic inflammatory disease involves multiple organs, has more severe symptoms and is prone to complications, such as infertility and chronic pelvic pain. The diagnosis requires a combination of medical history, physical examination and laboratory tests, such as vaginal discharge examination, ultrasound examination, etc.

The treatment of endometritis and pelvic inflammatory disease requires antibiotics, anti-inflammatory drugs or surgical treatment according to the cause and symptoms. The difference between the two lies mainly in the site of infection and the symptoms. Early diagnosis and treatment are the key. Daily personal hygiene and regular gynecological examinations can help prevent it. If related symptoms occur, you should seek medical attention in time to avoid delaying the disease.