What are the examination methods for endometrial tuberculosis?

We all know that endometrial tuberculosis is a common gynecological disease in women and is also a relatively chronic gynecological disease. The occurrence of endometrial tuberculosis may be difficult to detect, so it is particularly important for patients with endometrial tuberculosis to do a good job of endometrial tuberculosis examination. Let's take a look at what examinations for endometrial tuberculosis are introduced below.

1. Speculum examination

The uterine cavity discharge should be sent for bacterial culture and drug sensitivity, and smear test should be performed as much as possible to provide reference for the drug. Speculum examination shows a large amount of purulent or foul bloody and smelly secretions overflowing from the uterine ostium. Bimanual examination shows pain when the cervix is ​​lifted. The uterus is swollen due to congestion and edema, soft, and tender. Laboratory tests show an increase in the total white blood cell count and neutrophil count.

2. Diagnostic curettage

The cause of the disease can be determined and malignant lesions can be excluded. Tuberculosis should be controlled for three days before surgery, and antibiotics should be continued after surgery to eliminate tuberculosis. The operation should be gentle during surgery, because the infected uterine wall is fragile and can easily cause uterine perforation. The endometrium of senile endometrial tuberculosis is thin, so more care should be taken when scraping it. Endometrial tuberculosis after abortion may have residual embryonic tissue, which should be carefully and comprehensively scraped, which can often play a therapeutic role at the same time.

3. Pathological examination

This is all the examinations for endometrial tuberculosis. I hope that patients with endometrial tuberculosis will carefully examine their own condition. At the same time, when they have endometrial tuberculosis, they must go to a regular gynecological hospital for treatment as soon as possible. After all, endometrial tuberculosis is not a minor disease, and delaying treatment will affect women's fertility.