Incomplete treatment in the acute phase can lead to recurrent attacks
(1) Pelvic region pain: About 40% of patients claim lower abdominal distension pain and lumbosacral pain during menstrual intervals.
(2) Increased vaginal discharge: Increased secretion of endometrial glands. It is generally a thin water sample, light yellow, and sometimes bloody leukorrhea.
(3) Excessive menstruation: The physiological day is still regular, but the physiological volume doubles and the bleeding period is significantly prolonged. A very small number of patients may experience anemia due to extensive bleeding, endometrial thickening, and inflammation and congestion. Irregular bleeding is rare, with occasional bleeding lasting for several hours or lasting for 1-2 days.
(4) Dysmenorrhea: It often occurs in nulliparous women, but severe dysmenorrhea is rare. The endometrium is too thick, which may hinder normal tissue degeneration and necrosis, and stimulate excessive spasmodic contractions of the uterus.
Senile endometritis often accompanies atrophic vaginitis, resulting in purulent vaginal discharge with a small amount of blood, which can be mistaken for uterine malignancy. When there is pus accumulation in the uterus, the secretion has a purulent and foul odor. In addition to feeling dull abdominal pain, patients may have symptoms of systemic inflammatory response, but there are also asymptomatic cases.
Physical signs: Patients with mild inflammation, double diagnosis without abnormalities, often diagnosed clinically as dysfunctional uterine bleeding. Someone conducted pathological tissue examination in 1000 patients with dysfunctional uterine bleeding and found that 11% were diagnosed with endometritis.
If there is pus in the uterus, the uterus will become larger and softer, and you can even contact the mass on the center line of the pubic symphysis to compress pain. When the secretion is intermittently discharged through the neck canal, bloody pus and peculiar odor can be seen during the inspection of the endoscope. Acute vaginitis often coexists.