What Is Endometritis?
Endometritis is inflammation or infection of the inner lining of the uterus. Unlike endometriosis, which involves tissue growing outside the uterus, endometritis directly affects the uterine lining, often disrupting fertility and causing chronic pelvic discomfort.
Common causes include:
- Postpartum complications
- Miscarriage or pregnancy loss
- IUD placement
- Uterine procedures such as DNCs or biopsies
Because endometritis can be subtle, many women remain undiagnosed, assuming symptoms like mild pelvic pain or irregular bleeding are “normal.”
Symptoms & Red Flags
While endometritis may sometimes be asymptomatic, common signs include:
- Pelvic or uterine pain, particularly during periods
- Brown spotting before or between periods
- Abnormal menstrual odor
- Chronic fatigue or unexplained infertility
Even if symptoms seem minor, early evaluation is crucial for protecting fertility and reproductive health.
How Is Endometritis Diagnosed?
Endometritis often goes undetected on standard imaging. The most accurate diagnostic tools include:
- Endometrial biopsy: Advanced testing using CD138 staining identifies inflammation and immune activity
- Tissue cultures: Detect bacterial infections
- Evaluation of acute vs. chronic inflammation
Prompt, accurate diagnosis allows for effective treatment and prevention of long-term complications.
Treatment & Holistic Support
Treatment of endometritis often combines conventional and holistic approaches:
Medical treatments:
- Targeted antibiotics with probiotic support
- Uterine washes, including steroid or PRP (platelet-rich plasma) therapy
- Retesting to ensure infection is fully resolved
Lifestyle and holistic support:
- Anti-inflammatory diet and adequate protein
- Immune support through nutrition and supplements
- Reducing sugar and inflammatory foods
- Stress management and self-care to support hormone balance
This comprehensive approach not only treats the infection but also restores uterine health and supports fertility.
Why Endometritis Matters for Fertility
Untreated endometritis can:
- Cause infertility or recurrent implantation failure
- Contribute to chronic pelvic pain
- Disrupt normal hormone function and menstruation
Addressing endometritis promptly improves reproductive health, energy levels, and overall well-being.
Next Steps
If you suspect you might have endometritis or want a personalized fertility and uterine health plan, Dr. Sarah Pederson and the team at Vera Health and Fertility can help.