What are the symptoms of endometritis and pelvic inflammatory disease?

The symptoms of endometritis and pelvic inflammatory disease overlap, but there are also significant differences, mainly in the location of pain, associated symptoms, and severity of the disease. Knowing the differences between the two can help clarify the diagnosis and choose the appropriate treatment.

1Different pain locations

The pain of endometritis is usually concentrated in the lower abdomen, presenting as persistent distending pain, which is more obvious locally. The pain of pelvic inflammatory disease is wider, not only in the lower abdomen, but also radiating to the lumbar sacral region and thigh root, and the pain may be cyclically aggravated.

2 Differences in accompanying symptoms

Endometritis patients often experience fever, chills and other infection symptoms, and may also be accompanied by abnormal vaginal discharge, which is yellowish in color and has a strange smell. In addition to fever, pelvic inflammatory disease can also cause menstrual disorders, pain after sexual intercourse or pain when urinating, and in severe cases, it may develop into chronic inflammation and lead to lifelong infertility.

3. Severity of the disease

Endometritis is mostly caused by bacterial infection. The course of the disease is relatively local and easy to control. Early treatment usually leads to rapid improvement. In contrast, pelvic inflammatory disease is more complicated and prone to recurrence because the inflammation spreads to the entire pelvic cavity. Chronic pelvic inflammatory disease may even affect quality of life and fertility.

The treatment of endometritis and pelvic inflammatory disease has different focuses. For endometritis, antibiotics can be used for treatment, such as cephalosporins; severe infections require surgical curettage. For pelvic inflammatory disease, a combination of broad-spectrum antibiotics is usually required, such as metronidazole plus aminoglycosides, supplemented with physical therapy or surgery when necessary. In daily diet, anti-inflammatory foods should be the main focus, such as fruits and vegetables rich in vitamin C, and the intake of greasy foods should be controlled. Moderate exercise, such as yoga and walking, can also help promote blood circulation.

If symptoms do not improve in time or worsen, you should seek medical attention immediately to avoid delaying treatment and causing the condition to worsen. Understanding the difference between the two can help patients detect and treat them early, thereby effectively reducing the occurrence of health damage.