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Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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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