Classification of endometritis

A. Acute endometritis in the nonobstetric population is usually related to pelvic inflammatory disease (PID) secondary to sexually transmitted infections or gynecologic procedures. Acute endometritis in the obstetric population occurs as a postpartum infection, usually after a labor concluded by cesarean delivery.

B. Chronic endometritis in the nonobstetric population is due to infections (eg, chlamydia, tuberculosis, and other organisms related to cervicitis and PID), intrauterine foreign bodies (eg, intrauterine device, submucous leiomyoma), or radiation therapy. In the obstetric population, chronic endometritis is associated with retained products of conception after a recent pregnancy.

C. Symptoms in both acute and chronic endometritis consist of abnormal vaginal bleeding and pelvic pain. However, patients with acute endometritis frequently have fevers in contrast to chronic endometritis.

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