Gonorrheal endometritis

The spread of infection in the lining of the uterus is usually accompanied by violent inflammatory phenomena. However, in some cases rising infection is asymptomatic.
That such cases do have a place, documented the fact that during the various gynecological operations in the pelvis sometimes find extensive lesions of the uterine appendages, adhesive processes peritoneum, although the patient categorically denies any transferred its inflammatory processes of female genital mutilation.
Usually, however, the penetration of an infection in the uterus affects a number of specific symptoms: chills, fever, sharp pains in the lower abdomen and purulent discharge from the cervix.
Having penetrated into the uterus, gonorrhea apply here, mainly within the lining of the uterus. Gonorrhea in the lumen glands usually do not penetrate deeply, but in glands mucous membrane of the uterus are observed reactive changes - hyperplasia, hypertrophy, which is invariably accompanied by increased emissions. The presence of infection in the endometrium causes a reaction on the part of all authority in the form of serous impregnation and small cell infiltration of the muscular wall of the uterus. In addition, hyperemia of uterus as a result of vessels; the menstrual cycle is broken, frequent bleeding type menorragii.
When examining the patient in such cases, determined by the increase and softening of the cervix, and noted its sensitivity during feeling. As the remission of acute events monthly take more or less normal, but often when they observed temperature increase (37,5-38 C, which indicates not quite deserted gonorrheal process. Further highlight take slezotechenie and then purely slimy character.
If the process takes a chronic course, in the womb develop changes, characteristic for chronic metroendometritis, namely: hyperemia, serous soaking fabrics and small cell infiltration gradually disappear, but is growth of a young connective tissue, making the uterus remains increased, but already tight to the touch. Isolated lesions of the cervix without hitting appendages, as a rule, does not happen; on the contrary, both processes are usually combined.