What are the signs and symptoms of endometritis?

Updated: Apr 25, 2019
  • Author: Michel E Rivlin, MD; Chief Editor: Michel E Rivlin, MD  more...
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Diagnosis usually is based on clinical findings, as follows:

  • Fever

  • Lower abdominal pain

  • Foul-smelling lochia in the obstetric population

  • Abnormal vaginal bleeding

  • Abnormal vaginal discharge

  • Dyspareunia (may be present in patients with pelvic inflammatory disease [PID])

  • Dysuria (may be present in patients with PID)

  • Malaise

In postpartum cases, patients present with fever, chills, lower abdominal pain, and foul-smelling lochia. Patients with PID present with lower abdominal pain, vaginal discharge, dyspareunia, dysuria, fever, and other systemic signs. However, PID caused by Chlamydia tends to be indolent, with no significant constitutional symptoms.

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