Parametritis is a relatively rare inflammatory disease. Early medical treatment often increases the success of therapy and can prevent complications.


What is parametritis?

Parametritis is an inflammation of the pelvic cell tissue (also known as parametrrum) in women. In most cases, parametritis occurs only on one side.

Parametritis is a disease that is comparatively uncommon. The symptoms associated with parametritis include, above all, severe, persistent pain in the pelvic area. This pain usually only affects a single side of the pelvis. Depending on the affected patient, the pelvic pain caused by parametritis can radiate to the buttocks and thighs.

The typical pain associated with parametritis is often accompanied by acute fever and chills. In addition, parametritis can cause pain when emptying the bowel. Another possible consequence of parametritis is bladder spasms, which are accompanied by an increased urge to urinate. See ezhoushan for What does Hepatitis C Stand for.


In most cases, parametritis is caused by bacteria that penetrate the pelvic tissues and cause inflammatory processes here. Above all, so-called staphylococci or streptococci (round bacteria) are often responsible for developing parametritis.

The migration of bacteria into the tissue can be favored by various factors. These include injuries in the pelvic region as a result of a birth process. Cervical surgery that accidentally pierces tissue can also result in parametritis.

Furthermore, parametritis is a possible consequence of radiation therapy (a form of therapy to fight cancer) or an existing cervical carcinoma (a malignant change in the cervix).

Symptoms, Ailments & Signs

Parametritis is initially expressed by the characteristic pain in the pelvic area. In some patients, this pain radiates to the abdomen or buttocks. For this reason, the pain is difficult to localize and assign to a specific disease. The inflammation also leads to typical general symptoms such as fever, chills, tiredness and malaise.

Externally, the inflammation can be recognized by non-specific signs such as paleness, the rims of the eyes and reddened cheeks. In the advanced stage, there are also problems with urination and defecation. Patients usually feel severe pain, which can lead to urinary retention and subsequent complications. As the parametritis progresses, abscesses form in the pelvic area.

These can be felt from the outside and hurt when touched. If left untreated, further abscesses may develop. These can become inflamed and, in the worst case, lead to blood poisoning, which can have fatal consequences for the patient. If parametritis is recognized and treated early, serious complications can be avoided. Treatment with antibiotics helps the patient to be completely symptom-free again after one to two weeks.

Diagnosis & History

Parametritis can often be diagnosed in the context of a so-called palpation (a medical examination using the feel of body structures).

If there is parametritis, it can be felt in the form of a thickening that extends to the pelvic wall. Another indication of an existing parametritis is, for example, a slight displacement of the uterus to the side of the body that is not affected by the inflammation.

Affected women often also have restricted mobility in the pelvic area. Finally, parametritis is typically accompanied by an increased number of white blood cells.

In the course of a parametritis, the painful thickening that can be felt at the level of the pelvis can increasingly harden. Without therapeutic treatment, parametritis often leads to the formation of abscesses (encapsulated accumulations of pus). Treatment successes of the inflammatory disease usually increase the earlier the start of therapy.


In most cases, the complications of parametritis can be avoided relatively well if the disease is treated early. This usually results in a positive course of the disease without any particular symptoms. Those affected primarily suffer from severe pain in the pelvis and abdomen.

Pain in the buttocks can also occur and have a very negative effect on the patient’s quality of life. Furthermore, the parametritis leads to complaints and symptoms of flu, resulting in chills, fever and exhaustion. Pain during bowel movements and urination can also occur. This pain often leads to psychological problems or severe depression and can also cause the patient to become permanently irritable.

Due to the pain in the pelvis, parametritis can promote restricted mobility. The treatment of parametritis is carried out without complications. Most symptoms can be quickly curbed with the help of antibiotics. Surgical interventions are only necessary in serious cases in order to eliminate injuries to the tissue. The life expectancy of the patient is usually not reduced or otherwise influenced by the parametritis.

When should you go to the doctor?

Stellen sich über mehrere Tage Beschwerden wie Harndrang oder Krämpfe im Unterleib ein, besteht Anlass zu Besorgnis. Sobald das Bedürfnis des Urinierens unmittelbar nach einem Toilettengang eintritt, weist dies auf eine Erkrankung hin, die ärztlich abgeklärt werden sollte. Schmerzen im Unterleib oder bei der Darmentleerung gelten als ungewöhnlich. Leidet der Betroffene unter grippeähnlichen Symptomen wie Fieber, Schüttelfrost oder Abgeschlagenheit, ist ein Arzt zu konsultieren. Müdigkeit, ein Krankheitsgefühl sowie innere Schwäche sind Anzeichen einer Erkrankung und sollten behandelt werden. Kommt es zu einer Zunahme der Beschwerden oder halten die Unregelmäßigkeiten über eine längere Zeit an, ist ein Arztbesuch notwendig. Entwickeln sich Abszesse, sollte besondere Vorsicht gelten.

There is a risk of blood poisoning and, if left untreated, the risk of the affected person dying prematurely. A decrease in performance, a pale appearance and the rims of the eyes indicate a health problem. Attention and concentration deficits, sleep disorders and apathy are signs of a disease.

A doctor’s visit is necessary so that the cause can be investigated. In addition, a treatment plan must be drawn up in order to achieve an improvement in the state of health as quickly as possible. If emotional or mental stress occurs as a result of the physical complaints, a doctor is also required. In the case of behavioral problems, the person concerned needs to see a doctor.

Treatment & Therapy

The professional treatment of a parametritis usually takes place via the administration of antibiotics (drugs for the targeted fight against bacteria).

So-called anti- inflammatory drugs can also be used in the treatment of parametritis; these are drugs that inhibit inflammatory processes. If abscesses have formed as a result of parametritis, they can be treated with drainage, for example. In this context, drains are used to drain away the accumulated pus. As a rule, an appropriate drainage treatment for abscesses resulting from parametritis is carried out through the vagina of an affected patient.

Depending on the individual cause of a parametritis, the treatment steps mentioned must occasionally be supplemented by further therapeutic measures to eliminate promoting factors; If, for example, injuries in the pelvic area have encouraged bacteria to migrate into the organism of an affected person and thus caused parametritis, the corresponding injury may also require medical care.

If accidents during an operation have led to severe tissue damage (which also promoted parametritis), corrective surgery may be necessary in severe cases, for example.

Outlook & Forecast

The prognosis of parametritis is usually favorable. If medical support is sought at an early stage, a significant reduction in the symptoms can be observed within a short period of time through the administration of medicines. Freedom from symptoms and thus recovery is documented in the patients on average after a few weeks.

In some cases there may be intolerance to the medication administered. This means that your health will deteriorate for a short time. It is necessary to change the treatment plan that has been developed so that the side effects that have occurred recede and at the same time the underlying disease can be cured with alternative active ingredients.

If medical treatment is refused or avoided by the person concerned, the state of health can deteriorate significantly within a short period of time. The pathogens can spread further in the organism and lead to an increase in the existing symptoms. This causes severe impairments, especially in people with a weakened immune system.

In addition, secondary diseases and complications can occur. In addition to changes in mental strength or irreparable damage to the tissue, surgical interventions can no longer be avoided if the course of the disease is extremely unfavorable. Otherwise, irregularities in bodily functions or organic disorders may occur. In high-risk patients, this poses a threat to average life expectancy.


Parametritis due to injuries during childbirth or during surgery can hardly be prevented. Parametritis as a result of malignant diseases such as cervical carcinoma can be prevented to a limited extent by treating the cancer at an early stage. If parametritis has already set in, doctors recommend starting treatment as early as possible. In this way, the risk of complications occurring can be reduced.


In the case of parametritis, the person affected should first and foremost see a doctor very early on, since the measures and options for aftercare for this disease are in most cases significantly limited. Therefore, the affected person should consult a doctor as soon as the first symptoms and signs of the disease appear in order to prevent the further occurrence of complaints.

Usually, self-healing is not possible. Most patients are dependent on taking various medications. The doctor’s instructions should always be followed. If anything is unclear or if there are severe side effects, the doctor should always be consulted first. Likewise, the affected person should not drink alcohol when taking antibiotics in order not to reduce the effect of the antibiotics.

The respective injury should also be well protected and disinfected. A high standard of hygiene must also be observed. Regular check-ups by a doctor are also very useful to monitor the current condition of the parametritis. The disease usually does not reduce the life expectancy of the affected person if it is treated correctly and, above all, in time. Further measures of aftercare are usually not necessary.

You can do that yourself

The most important step towards self-help is adhering to the course of antibiotics usually prescribed for parametritis without prematurely breaking off or self-dosing. Probiotics can be taken to help. They prevent damage to the bowel caused by the antibiotic and at the same time make it easier to empty the bowel with the associated pain. The diet should be light and low in fat so that the body and intestines are not additionally burdened. In addition, inflammatory foods such as sugar or red meat should be temporarily avoided.

Cold calf compresses, airy clothing and a slight reduction in room temperature help during fever attacks. In addition, hot teas made from elderflower or lime blossom can help reduce fever. Antipyretics from the pharmacy should only be taken with care and after consulting a doctor. If you have additional chills, a warm bath is also advisable.

Basically, it is important to drink significantly more. Hot ginger and chamomile tea are ideal for this. They have a pain-relieving or anti-inflammatory and anticonvulsant effect. Those affected should also avoid heavy physical exertion and, above all, relax their abdomen. Alternatively, pain that occurs can be reduced by distraction. In doing so, intensive concentration on another activity or a sensory impression consciously distracts from the pain and pushes it into the background. A similar effect is also possible through meditation.