[Chlamydia trachomatis endometritis]

Endometritis are upper genital tract infections. They are part of the Pelvic Inflammatory Diseases and are often difficult to differentiate from salpingitis. C. trachomatis, a sexually transmitted micro-organism, is a major pathogen of the genital tract. Most of the time, the upper genital tract infections are polymicrobial and C. trachomatis can be combined with other aerobes (E. coli, streptococci...) and anaerobes. Diagnosis of chlamydial endometritis is difficult since the clinical symptoms--lower abdominal pain, cervical discharge--often lack specificity or can be completely absent. Bacteriological studies from intra-uterine or intra-cervical samples are necessary. A laparoscopy can be useful to ascertain the integrity of Fallopian tubes. The treatment requires broad spectrum antibiotics effective against C. trachomatis and other probable pathogens, for 2 to 3 weeks.