Endometritis and its relationship to different clinico-pathological parameters: experience from a tertiary care center

Introduction : Endometritis is an inflammation of the endometrium that might be associated with, or present as, some gynecological clinical conditions. However, there is a lack of studies exploring the condition in our locality. Aim : This study aimed to assess the cases of endometritis diagnosed over a period of six years with insight into the relation to different clinico-pathological parameters. Material and methods : A retrospective cross-sectional study was conducted on 137 female patients diagnosed with endometritis. Data were retrieved from hospital records, including demographic, clinical, histopathological, microbiological, and laboratory findings. Statistical analyses were performed using SPSS version 25, including descriptive statistics, chi-square tests, and logistic regression. Results : Among the 137 patients, most were aged between 30 and 50 years. Chronic endometritis constituted about 90% of cases. Abnormal uterine bleeding and lower abdominal pain were the most common symptoms. Among the positive cultures, Gram-positive bacteria were the most identified pathogens. About 3% of women presenting to the general gynecology clinic were diagnosed with endometritis, highlighting a notable prevalence within the population. Conclusions : Endometritis predominantly affects women of reproductive age and is mainly chronic. Clinical evaluation supported by histopathological confirmation and integration of sensitive laboratory markers is essential for proper diagnosis and management.