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Endometritis - Treatment

Treatment:

Antibiotics are used to treat and prevent complications of endometritis. If you've been prescribed antibiotics following a gynecological procedure, it is very important to finish all the medication and follow up with your health care provider.

You may need to be admitted to a hospital if you have a complicated case of endometritis, such as those that involve serious symptoms, or which occur after childbirth.

Other treatments may involve:

Fluids through a vein (by IV)
Rest

Sexual partners may also need to be treated if the condition is caused by a sexually transmitted disease.

Expectations (prognosis):

Most cases of endometritis go away with antibiotics. Untreated endometritis can lead to more serious infection and complications with pelvic organs, reproduction, and general health.

Complications:

Infertility
Pelvic peritonitis (generalized pelvic infection)
Pelvic or uterine abscess formation
Septicemia
Septic shock

Calling your health care provider:

Call for an appointment with your health care provider if you have symptoms of endometritis.

Call immediately if you have symptoms and have recently had a baby, miscarriage, abortion, IUD placement, or any surgery involving the uterus.

Pelvic laparoscopy

Endometritis

Reviewed last on: 11/1/2009
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Duff P. Maternal and perinatal infection -- bacterial. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2007:chap 49.

Eckert LO, Lentz GM. Infections of the upper genital tract. In: Katz Vl, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 23.

Faro S. Postpartum endometritis. Clin Perinatol. 2005;32(3):803-814.

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