Endometritis is the inflammation of the endometrial lining of the uterus. In addition to the endometrium, inflammation may involve the myometrium and occasionally, the parametrium.
Aim of the study: the study aimed to find
1. The correlation of endometritis with various clinical characteristics of the patients e.g. pelvic pain, dysfunctional uterine bleeding, dyspareunia, vaginal discharge, infertility, recurrent miscarriage and amenorrhea.
2. To determine the various attributing etiological factors and history e.g. its relation with PID, IUD, Postpartum factor, Post abortal factors, postmenopausal, tubercular and idiopathic cause.
Material and Method: A retrospective study was done of chronic endometritis reports and cases that were diagnosed as chronic endometritis after aspiration biopsy using pipelle procedure. The duration of the study was from January 2016 to September 2020 at a private clinic and a pathology centre of Shivpuri. Out of cases, 353 cases 34 histopathological reports of chronic endometritis were reviewed to identify the cause of endometritis and its association with clinical findings and any significant history.
Results: In our study Out of 353 cases 34 cases found to be reported as endometritis. A total of 34 cases were studied. The prevalence of endometritis was 9.6%. The age of women ranges from 20 to 70 years. A maximum number of patients was between 25-35 years. Most of the patients were rural (79.41%), most of them were married (97.06%) and (47.06%) cased were multiparous. The most common presenting complain was (35.29%) abnormal uterine bleeding followed by (17.65%) abnormal vaginal discharge, lower abdominal pain (14.71%) and infertility (14.71 %). Recurrent miscarriage 8.82%, Dysmenorrhoea 2.94%, Dysparaaunia 2.94% and Amenorroea 2.94%. The most common finding on trans abdominal and Trans-vaginal ultrasound scan was thickened and heterogeneous endometrium, asynchronous with the phase of the menstrual cycle (47.05%). In 58.82% cases, no significant past history was there, in 14.71% cases the history of instrumentation was there and in 8.82% cases history of IUD insertion was there. 5.88% cases posted abortal, 2.94% were postpartum, 2.94% were postmenopausal with cervical stenosis and with hematometra and 5.88% were Tubercular.
Conclusion: Chronic endometritis though asymptomatic is associated with infertility and poor reproductive outcome, Diagnosis is usually done by hysteroscopy, histopathology, and microbial examination.