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Может быть острым и хроническим [3](https://www.fdoctor.ru/bolezn/endometrit/)[5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/): \n* **Острый эндометрит** — развивается внезапно, как правило, после вмешательств в полости матки, аборта, выкидыша, осложнённых родов [3](https://www.fdoctor.ru/bolezn/endometrit/). \n* **Хронический эндометрит** — развивается постепенно на фоне инфекции, снижения иммунитета, гормональных нарушений [3](https://www.fdoctor.ru/bolezn/endometrit/). Может быть следствием недолеченного острого эндометрита [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/).\n\n\n\n## Причины\nОсновная причина — **инфекция** [3](https://www.fdoctor.ru/bolezn/endometrit/). Возбудители — патогенные микроорганизмы (бактерии, вирусы, грибки) или условно-патогенная флора (бактерии и грибки, которые присутствуют в половых путях даже у здоровой женщины, но в обычных условиях не вызывают болезнь) [3](https://www.fdoctor.ru/bolezn/endometrit/). Нередко при обследовании выявляется сразу несколько микроорганизмов [3](https://www.fdoctor.ru/bolezn/endometrit/). \n\nРазвитию эндометрита способствуют, например: \n* внутриматочные вмешательства (выскабливание полости матки, гистероскопия) [3](https://www.fdoctor.ru/bolezn/endometrit/); \n* установка внутриматочной спирали [3](https://www.fdoctor.ru/bolezn/endometrit/); \n* осложнённые и затяжные роды [3](https://www.fdoctor.ru/bolezn/endometrit/).\n\n## Симптомы\nПроявления эндометрита зависят от формы заболевания [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/): \n* **Острый эндометрит** — ярко выражены: сильная боль внизу живота, повышение температуры тела, выраженная слабость, гнойные или сукровичные выделения из влагалища [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/). \n* **Хронический эндометрит** — симптомы обычно стёртые или малозаметные: периодические тянущие боли внизу живота, обильные и длительные менструации, кровянистые межменструальные выделения, слизисто-гнойные выделения, боль и дискомфорт при половом акте [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/). Иногда хроническое воспаление протекает бессимптомно, и его выявляют случайно — например, при обследовании по поводу бесплодия [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/).\n\n## Диагностика\nПри появлении нарушений менструального цикла, болей внизу живота или необычных выделений из половых путей необходимо обратиться к гинекологу [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/). Врач проводит обследование, которое может включать: \n* **Гинекологический осмотр** — врач оценивает состояние влагалища и шейки матки, обращает внимание на характер выделений [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/). \n* **Ультразвуковое исследование (УЗИ)** — позволяет определить патологические процессы в стенках матки и наличие экссудата, что может свидетельствовать о воспалительном процессе [1](https://mamadeti.ru/zabolevaniya/endometrit/). \n* **Бактериологические анализы** — помогают определить возбудителя инфекции [1](https://mamadeti.ru/zabolevaniya/endometrit/).\n\n## Лечение\nЛечение эндометрита подбирают в индивидуальном порядке, исходя из причин развития воспаления [4](https://www.smclinic.ru/diseases/endometrit/). **Острую форму** обычно лечат в стационаре, так как существует риск септических осложнений [4](https://www.smclinic.ru/diseases/endometrit/). **Хронический эндометрит** требует комплексного лечения, которое часто сочетает хирургический и консервативный подходы [4](https://www.smclinic.ru/diseases/endometrit/). \n\n**Важно!** Чем раньше удаётся поставить диагноз и начать лечение, тем выше шансы подавить воспалительный процесс и избежать осложнений [5](https://spb.fomin-clinic.ru/zabolevaniya/endometrit/).","linksData":[{"sourceId":1,"url":"https://mamadeti.ru/zabolevaniya/endometrit/","shownUrl":"https://mamadeti.ru/zabolevaniya/endometrit/","title":"Эндометрит - 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