Endometritis
Endometritis is uncommon during reproductive life as the endometrial cavity is well protected by:
- the acid barrier of the vagina
- the cervical mucus
- the menstrual shedding of the endometrium
Endometritis in this age group is most likely:
- following childbirth or abortion
- curettage or other operations
- insertion of IUCD
Gonococcus may spread to the endometrium from the cervix, or more rarely, infection may occur secondary to tuberculous salpingitis.
Endometritis is more common in post-menopausal women due to loss of the oestrogen dependent protective factors. Low virulence organisms may be involved.
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