The best endometritis treatment depends on the cause of the swelling and its severity. In many cases, antibiotics are the treatment of choice. Treating the infection that led to endometritis can also help. If the condition happens after birth or an abortion, a more extreme type of treatment, including surgery to remove the uterus, may be required.
Endometritis is swelling and irritation of the uterine lining. You can get the condition if you have a sexually transmitted infection (STI), such as chlamydia, or another bacterial infection, such as tuberculosis. A difficult labor can also lead to endometritis, as can a Cesarean section (C-section). Procedures that involve inserting equipment into the uterus can also lead to the condition.
Antibiotics are typically given as endometritis treatment. The method of receiving antibiotics varies based on the cause and severity of the endometritis. If you have a mild case, as determined by your doctor, you may receive a prescription and be treated as an outpatient. Usually, you will feel better within a few days of beginning antibiotic endometritis treatment. You should still take the medication as long as it is prescribed to prevent the infection from recurring.
More severe cases may require in-patient treatment and antibiotics administered intravenously. Your doctor will usually decide if that is the course of treatment required for you. If you are to get a C-section, your doctor may give you antibiotics as a prophylactic measure before the procedure to reduce the chance of the condition. Younger women, particularly those in their teens, may need a more vigilant course of treatment to prevent infertility following an abortion.
If the endometritis is caused by another infection, you should take medication to treat the accompanying infection as well. You should also inform any partners if you have an STI so that they can receive proper treatment. Rest and, in some cases, receiving fluids intravenously are also part of endometritis treatment.
Surgical procedures may be needed if tissue remains in the uterus, causing the inflammation. A doctor may need to perform a procedure known as evacuation to remove any remaining tissue, including parts of the placenta, after an abortion, miscarriage, or live birth. If the endometritis is a result of pockets of pus, a doctor may need to remove the pus with a needle. In less common cases, you may need to have your uterus removed if all other types of treatment do not work.