Monday, June 7, 2010

Endometrial infection

A common medical complaint is pelvic pain for females. However pelvic pain can come from a variety of sources and the most common culprit is a simple bladder infection. Other less common reasons are ovarian cysts rupturing, other infection, endometriosis, ectopic pregnancy, cancer, bowel inflammation and so on. It is important to do a complete physical with a gyn and it should to be thorough include: cultures of the cervix, palpation of each organ uterus/ovary/bladder to try to deduce where pain is coming from, and finally ultrasound abdominal/pelvic-endovaginal. It maybe neccessary to do ct scan/mri if ultrasound normal. Additionally labs to rule out inflammatory, hematological, or infectious causes.
Some people have to endure colonoscopy and urology work up to rule out each and every organ to find source of pain.
Endometrial infection however does not have always a clear signal or test to clearly state this is the problem. Pain is the most common symptom with all other causes ruled out. The uterus on palpation is painful but not the cervix necessary. Blood tests, vaginal cultures can be normal and fever may not be present. It can be diagnosed by laproscope. Which is often recommended for pelvic pain if all other tests are normal this is the final step to find a diagnosis. However I recommend seeing a good infectious disease doctor if gyn, urology, gi are not helpful. There is also those patients who can not get pregnant and this is he cause. To treat this infection cultures are needed if possible and then oral antibiotics are started for several weeks. Some times the patient needs to get a picc-(indwelling iv line that goes near the heart and inserted in the arm) to infuse daily antibiotics. This infusion is typically for two weeks, often patients get sick to their stomach from medicine and get a secondary infection called yeast an uncomfortable experience and/or Cdiff- which comes with explosive diarrhea. (oh joy) Be sure to discuss prevention and treatment of these with the specialist.

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