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Metroendometritis - Causes, Symptoms, Diagnosis, and Treatment

Published on Sep 26, 2022   -  4 min read


Metroendometritis is a rare condition affecting the endometrium and myometrium layer of the uterus. This article explains its causes, symptoms, and treatment.



Metroendometritis occurs if there is inflammation involving two layers of the uterus, the endometrial layer (internal lining of the uterus) and the myometrium (uterine muscle layer).

What Causes Metroendometritis?

The leading cause of metroendometritis is the uterus infection caused by damage to the endometrial layer (internal lining of the uterus) that generally occurs in women with less immunity. In most cases, the infection reaches the uterine cavity through the vagina. About 80 % to 90 % of the disease is not caused from outside but by the normal vaginal microflora. When microorganisms find a tear or damage in the tissue lining the uterus, they multiply and slowly penetrate the deeper layers. Streptococci, staphylococci, viruses, e.coli, and other microorganisms cause metroendometritis.

Below are the causes of endometrial infections:

Postnatal metroendometritis occurs due to

What Are the Types of Metroendometritis?

There are two types of Metroendometritis, acute and chronic.

Acute Metroendometritis - It occurs after childbirth, abortion, or medical and diagnostic procedures in the uterine cavity. The infection penetrates the endometrium (internal lining of the uterus). The disease causes fever, purulent or serous-purulent discharge, and severe pain. During the examination, purulent discharge from the cervical canal can be seen, and probing the uterus causes discomfort and may be slightly enlarged and softened.

Chronic Metroendometritis - It does not show any prominent signs making the diagnosis difficult. In the early chronic stage, there may be prolonged menstruation, and in advanced stages, there will be a slight increase in temperature, moderate pelvic pains, and persistent serous-purulent discharge.

What Are the Signs and Symptoms of Metroendometritis?

The symptoms of metroendometritis differ depending on the type of infection, immunity status of the patient, and the form of the disease. These are the common symptoms seen in patients with metroendometritis.

How Is Metroendometritis Diagnosed?

The following tests diagnose Metroendometritis:

What Is the Treatment for Metroendometritis?

Acute Metroendometritis – In acute cases, hospitalization is necessary to prevent the transition from acute to chronic stage and further spread of infection.

Chronic Metroendometritis - In chronic inflammation, the location of the infection is identified inside the mucous layer, so administering antibiotics to the location is effective.


Metroendometritis is an infectious inflammation of the uterus's endometrium and myometrium layer. It usually occurs when the infection penetrates deep inside the uterus and is most commonly seen in immunosuppressed patients. The symptoms are mild and often left unnoticed. Antibiotic treatment is recommended to reduce and eliminate infections. Consult a healthcare provider at the earliest if you experience any of the symptoms of metroendometritis.


Last reviewed at:
26 Sep 2022  -  4 min read




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