Endometritis

Symptoms:

• general discomfort, uneasiness, or ill feeling (malaise)
• a fever, may range from low grade (100 to 102 degrees Fahrenheit) to high grade (103 to 104 degrees Fahrenheit)
• lower abdominal or pelvic pain (uterine pain)
• abnormal vaginal bleeding
• abnormal vaginal discharge
  • increased amount
  • unusual color, consistency, or odor

• discomfort with bowel movement, constipation may occur
• abdominal distention

Signs and tests:

Palpation of the lower abdomen shows abdominal tenderness. Bowel sounds may be decreased. Upon pelvic examination, the uterus is tender and there may be tenderness with manipulation of the cervix. A cervical discharge may be noted.

During diagnosis of endometritis, the tests performed include:

• a WBC (white blood count) - elevated
• an ESR (sed rate) - elevated
• endocervical cultures for strep, Chlamydia, gonorrhea, and other organisms
• an endometrial biopsy
• a laparoscopy