Endometritis is a condition characterized by inflammation of the endometrium (inner uterine lining) . In severe cases, it may also involve the myometrium (middle uterine lining) and parametrium (fibrous tissue adjacent to the uterus). Inflammations of the endometrium and myometrium are sometimes specified as endomyometritis.
The condition can be classified into obstetric endometritis (pregnancy-related) and non-obstetric endometritis (not related to pregnancy) . The pregnancy related inflammation often occurs after giving birth (postpartum endometritis), but can also occur during pregnancy.
It can also be divided into chronic (long term) and acute endometritis depending on the severity of the symptoms. The acute form is usually caused by various puerperal infections while the chronic form is often associated with retained placenta and other cell residues following elective abortion or childbirth .
The doctor performs a thorough physical examination as well as a detailed pelvic exam to rule out any other pregnancy or postpartum complication . Additional diagnostic procedures may include:
Mild cases occurring after a vaginal delivery can be cured with oral antibiotics administered on an outpatient basis .
The symptoms of inflammation begin to subside with 48 to 72 hours of antibiotic treatment in around 90% of the cases. It is advisable to get further expert advice if the symptoms persist or continue to worsen after this period of time .
The ICD-9 code for endometritis is 615.9  while its ICD-10s code is N71 .