How can endometritis and submucosal fibroid be treated?

Question

Hello doctor,

I underwent a pelvic scan, and the results indicated the following:

There is a minimal fluid collection within the endometrial cavity, along with a thickening of its wall, which is suggestive of endometritis.
A solitary submucosal fibroid nodule is present in the anterior region, measuring approximately 0.92 x 0.69 inches. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your pelvic scan report indicates two significant findings:

What is endometritis?

Endometritis is inflammation of the inner lining of the uterus (the endometrium). In your report (attachments were removed to protect the patient's identity), the presence of a small amount of fluid and the thickening of this lining suggest a possible infection or irritation.

Causes:

It is often caused by bacterial infections, which can occur after childbirth, miscarriage, or gynecological procedures such as surgery or insertion of an intrauterine device (IUD).

Symptoms:

Pelvic pain or discomfort.
Unusual vaginal discharge (which may have a foul smell).
Fever or chills.
Irregular or heavy vaginal bleeding.

Treatment:
1. The most common treatment is antibiotics to eliminate the infection.
2. If left untreated, endometritis can lead to complications such as chronic pain or fertility issues.
3. Consulting a doctor as soon as possible is important for proper diagnosis and treatment.
  
  Submucous fibroid (0.92 x 0.69 inches):
  
  A fibroid is a non-cancerous growth made of muscle and fibrous tissue that develops in the uterus. A submucous fibroid specifically grows just beneath the inner lining of the uterus, bulging into the uterine cavity.
  
  Effects:
  
  Depending on its size and location, it can cause:
  1. Heavy or prolonged menstrual bleeding.
  2. Severe menstrual cramps.
  3. Difficulty getting pregnant.
  4. Increased risk of miscarriage (the loss of a pregnancy before the 20th week) or pregnancy complications.
    
    Treatment options:
    
    If the fibroid is small and not causing symptoms, treatment may not be necessary.
    
    If symptoms occur, I suggest the following treatment:
    1. Medications to reduce bleeding or shrink the fibroid. Kindly consult your doctor for medications.
    2. Minimally invasive procedures like uterine artery embolization, which cuts off blood supply to the fibroid.
    3. Surgical removal (for example, hysteroscopic myomectomy, a minimally invasive surgical procedure used to remove submucous fibroids), especially if fertility is affected.
      
      Next steps:
      1. For endometritis: If you have pelvic pain, fever, or abnormal vaginal discharge, a doctor may prescribe antibiotics.
      2. For the fibroid: If it is causing symptoms, your doctor may discuss medication or surgical options to relieve discomfort and improve reproductive health.
        
        I hope this helps.
        
        Kindly revert so I can assist you further.
        
        Thank you.