Infection of the Uterus Treatment
Treatment for endometritis often includes intravenous fluids, antibiotics, and pain medications. Dilation and curettage may be required in some cases.
Treatment for endometritis may include:
- Intravenous fluids
- Antibiotics for endometritis: selection depends on infecting organism
- Often a combination of clindamycin and an aminoglycoside
- Gentamicin (Gentacidin, Garamycin)
- Clindamycin (Cleocin)
- Ampicillin (Omnipen, Marcillin)
- Metronidazole (Flagyl)
- Ampicillin/sulbactam sodium (Unasyn)
- Doxycycline (Bio-Tab, Doryx, Vibramycin)
- Ertapenem (Invanz)
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Celecoxib (Celebrex)
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- Dilation and curettage for endometritis:
- To remove tissue that remains in the uterus after delivery
For more information:
Infection of the Uterus D and C
Dilation and curettage or D and C may be required in the treatment of severe endometritis.
A dilation and curettage (D and C) is a surgical procedure where the inner lining of the uterus is removed. Before this can be done the cervix needs to be dilated. This allows for the passage of special surgical instruments that are used to remove the endometrium. One of these instruments is called a curette. It is used to gently scrape away the endometrial lining.
A sample of the material is sent to the laboratory for microscopic analysis. Recovery from a D and C is very rapid: you may have some vaginal bleeding and mild pain for about a day.
Risks of D and C include:
- Persistent bleeding
- Infection or endometritis
- Damage to the uterus
Infection of the Uterus Questions For Doctor
The following are some important questions to ask before and after the treatment of endometritis.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Infection of the Uterus Specialist
Continue to Infection of the Uterus Home Care
- French LM, Smaill FM. Antibiotic regimens for endometritis after delivery. Cochrane Database Syst Rev. 2004 Oct 18;(4):CD001067. 
- Hopkins L, Smaill F. Antibiotic regimens for management of intraamniotic infection. Cochrane Database Syst Rev. 2002;(3):CD003254. 
- Lichtenberg ES, Henning C. Conservative management of clostridial endometritis. Am J Obstet Gynecol. 2004 Jul;191(1):266-70.