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<title>Pyometra</title>

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<span id="openzim-page-title" class="mw-page-title-main"><span class="mw-page-title-main">Pyometra</span></span>

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</style><table class="infobox infobox-has-images-with-white-backgrounds"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Pyometra</th></tr><tr><th scope="row" class="infobox-label">Other names</th><td class="infobox-data">Pyometritis</td></tr><tr><td colspan="2" class="infobox-full-data"></td></tr><tr><td colspan="2" class="infobox-full-data">A canine pyometric uterus immediately after surgery to remove it. It is extremely distended with purulent material.</td></tr><tr><th scope="row" class="infobox-label"><a href="Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="Obstetrics" title="Obstetrics">Obstetrics</a>, <a href="Gynecology" class="mw-redirect" title="Gynecology">gynecology</a></td></tr></tbody></table><style data-mw-deduplicate="TemplateStyles:r1236303919">

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<p><b>Pyometra</b> or <b>pyometritis</b> is a uterine infection. Though it is most commonly known as a disease of the unaltered female dog, it is also a notable human disease. It is also seen in female <a href="Cattle" title="Cattle">cattle</a>, <a href="Horse" title="Horse">horses</a>, <a href="Goat" title="Goat">goats</a>, <a href="Sheep" title="Sheep">sheep</a>, <a href="Swine" class="mw-redirect" title="Swine">swine</a>, <a href="Cat" title="Cat">cats</a>, <a href="Rabbit" title="Rabbit">rabbits</a>, <a href="Hamster" title="Hamster">hamsters</a>, <a href="Ferret" title="Ferret">ferrets</a>, <a href="Rat" title="Rat">rats</a> and <a href="Guinea_pig" title="Guinea pig">guinea pigs</a>. Pyometra is an important disease to be aware of for any dog or cat owner because of the sudden nature of the disease and the deadly consequences if left untreated. It has been compared to acute <a href="Appendicitis" title="Appendicitis">appendicitis</a> in humans, because both are essentially <a href="Empyema" title="Empyema">empyemas</a> within an <a href="Abdomen" title="Abdomen">abdominal</a> organ.

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<div class="mw-heading mw-heading2"><h2 id="Signs_and_symptoms">Signs and symptoms</h2></div>

<p>The most obvious symptom of open pyometra is a discharge of pus from the vulva in a female that has recently been in heat. However, symptoms of closed pyometra are less obvious. Symptoms of both types include vomiting, loss of appetite, depression, and increased drinking and urinating.<sup id="cite_ref-ACVS_1-0" class="reference"><a href="#cite_note-ACVS-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> Fever is seen in less than a third of female dogs with pyometra.<sup id="cite_ref-Ettinger_2-0" class="reference"><a href="#cite_note-Ettinger-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> Closed pyometra is a more serious condition than open pyometra not only because there is no outlet for the infection, but also because a diagnosis of closed pyometra can easily be missed due to its insidious nature. Bloodwork may show <a href="Dehydration" title="Dehydration">dehydration</a> and/or increased <a href="White_blood_cell" title="White blood cell">white blood cell</a> count. <a href="X-ray" title="X-ray">X-rays</a> will show an enlarged uterus, and <a href="Ultrasound" title="Ultrasound">ultrasound</a> will confirm the presence of a fluid filled uterus.<sup id="cite_ref-Wingfield_3-0" class="reference"><a href="#cite_note-Wingfield-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup>

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<div class="mw-heading mw-heading2"><h2 id="Cause">Cause</h2></div>

<p>The risk of developing pyometra differs between dog breeds.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> Pyometra is a result of hormonal and structural changes in the uterus lining. This can happen at any age, regardless of how many heat cycles have occurred or previous pregnancies (or lack thereof), although it becomes more common as the dog gets older. The main risk period for a female is for eight weeks after her peak standing heat has ended.<sup id="cite_ref-Ettinger_2-1" class="reference"><a href="#cite_note-Ettinger-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> Normally during this period, the <a href="Cervix" title="Cervix">cervix</a>, which opens during heat, begins to close, and the inner lining begins to adapt back to normal. However, cystic <a href="Hyperplasia" title="Hyperplasia">hyperplasia</a> of the <a href="Endometrium" title="Endometrium">endometrium</a> (inner lining of the uterus) – known as cystic endometrial hyperplasia (CEH) – may occur at this time for some animals, as an inappropriate response to <a href="Progesterone" title="Progesterone">progesterone</a>.

</p><p>Under these circumstances, <a href="Bacteria" title="Bacteria">bacteria</a> (especially <i><a href="E._coli" class="mw-redirect" title="E. coli">E. coli</a></i>) that have migrated from the <a href="Vagina" title="Vagina">vagina</a> into the uterus find the environment favorable to growth, especially since progesterone also causes <a href="Mucus" title="Mucus">mucus</a> secretion, closes the cervix (preventing uterine drainage), and decreases uterine contractility.<sup id="cite_ref-Romagnoli_5-0" class="reference"><a href="#cite_note-Romagnoli-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> The condition of the cervix is a major factor in the severity of the condition.

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<dl><dd><ul><li>If the cervix is open, the infected material can leave the body, and this is far easier and safer to treat. This is known as open pyometra.</li>

<li>If the cervix is fully closed, there is no discharge from the <a href="Vulva" title="Vulva">vulva</a>, and like in appendicitis, the uterus may rupture and <a href="Pus" title="Pus">pus</a> escapes into the abdomen, causing <a href="Peritonitis" title="Peritonitis">peritonitis</a> and possible rapid death. This is known as closed pyometra.<sup id="cite_ref-phl_6-0" class="reference"><a href="#cite_note-phl-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup></li></ul></dd></dl>

<div class="mw-heading mw-heading3"><h3 id="Hormonal_influences_and_mis-mating_shots">Hormonal influences and mis-mating shots</h3></div>

<p>Females that have received <a href="Estradiol" title="Estradiol">estradiol</a> as a <a href="Mismating_shot" class="mw-redirect" title="Mismating shot">mismating shot</a> in <a href="Diestrus" class="mw-redirect" title="Diestrus">diestrus</a> are at risk for more severe disease because <a href="Estrogen" title="Estrogen">estrogen</a> increases the number of progesterone receptors in the endometrium. 25 percent of females receiving estradiol in diestrus develop pyometra.<sup id="cite_ref-Wingfield_3-1" class="reference"><a href="#cite_note-Wingfield-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> Pyometra is less common in female cats because progesterone is only released by the ovaries after mating.<sup id="cite_ref-Merck_7-0" class="reference"><a href="#cite_note-Merck-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> Also in cats, the risk of developing the disease differs depending on breed.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup>

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<div class="mw-heading mw-heading2"><h2 id="Treatment">Treatment</h2></div>

<p>The most important aspect of treatment of pyometra is quick action to provide supportive care. Female dogs are often <a href="Sepsis" title="Sepsis">septic</a> and in <a href="Septic_shock" title="Septic shock">shock</a> (see <a href="Septic_shock" title="Septic shock">septic shock</a>).<sup id="cite_ref-ACVS_1-1" class="reference"><a href="#cite_note-ACVS-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> <a href="Intravenous_fluid" class="mw-redirect" title="Intravenous fluid">Intravenous fluids</a> and <a href="Antibiotic" title="Antibiotic">antibiotics</a> should be given immediately. Once the female dog has been stabilized, then the treatment of choice is an emergency <a href="Spaying_and_neutering" class="mw-redirect" title="Spaying and neutering">spay</a>. In livestock the treatment of choice for minor cases is <a href="Prostaglandin_F2alpha" title="Prostaglandin F2alpha">dinoprost tremethamine</a> (lutalyse). Supportive antibiotic treatment may be recommended also. Severe cases require surgery.<sup id="cite_ref-Merck_7-1" class="reference"><a href="#cite_note-Merck-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup>

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<div class="mw-heading mw-heading2"><h2 id="References">References</h2></div>

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</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://web.archive.org/web/20060221200356/http://www.acvs.org/AnimalOwners/HealthConditions/SmallAnimalTopics/PyometrainDogsCats/">"Pyometra"</a>. American College of Veterinary Surgeons. 2004. Archived from <a rel="nofollow" class="external text" href="http://www.acvs.org/AnimalOwners/HealthConditions/SmallAnimalTopics/PyometrainDogsCats/">the original</a> on 2006-02-21<span class="reference-accessdate">. Retrieved <span class="nowrap">2006-12-14</span></span>.</cite></span>

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<li id="cite_note-Ettinger-2"><span class="mw-cite-backlink">^ <a href="#cite_ref-Ettinger_2-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Ettinger_2-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><cite id="CITEREFEttinger,_Stephen_J.Feldman,_Edward_C.1995" class="citation book cs1">Ettinger, Stephen J.; Feldman, Edward C. (1995). <i>Textbook of Veterinary Internal Medicine</i> (4th ed.). W.B. Saunders Company. <a href="ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <bdi>0-7216-6795-3</bdi>.</cite></span>

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<li id="cite_note-Wingfield-3"><span class="mw-cite-backlink">^ <a href="#cite_ref-Wingfield_3-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Wingfield_3-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><cite id="CITEREFWingfield,_Wayne_E.1997" class="citation book cs1">Wingfield, Wayne E. (1997). Hanley & Belfus, Inc. (ed.). <i>Veterinary Emergency Medicine Secrets</i>. Hanley & Belfus. <a href="ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <bdi>1-56053-215-7</bdi>.</cite></span>

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<li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><cite id="CITEREFJitpeanHagmanStröm_HolstHöglund2012" class="citation journal cs1">Jitpean, S; Hagman, R; Ström Holst, B; Höglund, OV; Pettersson, A; Egenvall, A (December 2012). "Breed Variations in the Incidence of Pyometra and Mammary Tumours in Swedish Dogs". <i>Reproduction in Domestic Animals</i>. <b>47</b>: <span class="nowrap">347–</span>350. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1111%2Frda.12103">10.1111/rda.12103</a>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/23279535">23279535</a>.</cite></span>

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<li id="cite_note-Romagnoli-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-Romagnoli_5-0">^</a></b></span> <span class="reference-text"><cite id="CITEREFRomagnoli2002" class="citation journal cs1">Romagnoli, Stefano (2002). <a rel="nofollow" class="external text" href="http://www.vin.com/proceedings/Proceedings.plx?CID=WSAVA2002&PID=2686">"Canine Pyometra: Pathogenesis, Therapy and Clinical Cases"</a>. <i>Proceedings of the 27th World Congress of the World Small Animal Veterinary Association</i><span class="reference-accessdate">. Retrieved <span class="nowrap">2006-12-14</span></span>.</cite></span>

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<li id="cite_note-phl-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-phl_6-0">^</a></b></span> <span class="reference-text"><cite id="CITEREFBrooks2003" class="citation web cs1">Brooks, Wendy C. (2003). <a rel="nofollow" class="external text" href="http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=603">"Pyometra"</a>. <i>The Pet Health Library</i>. VeterinaryPartner.com<span class="reference-accessdate">. Retrieved <span class="nowrap">2006-12-14</span></span>.</cite></span>

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<li id="cite_note-Merck-7"><span class="mw-cite-backlink">^ <a href="#cite_ref-Merck_7-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Merck_7-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/112009.htm">"Pyometra"</a>. <i>The Merck Veterinary Manual</i>. 2006<span class="reference-accessdate">. Retrieved <span class="nowrap">2006-12-14</span></span>.</cite></span>

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<li id="cite_note-8"><span class="mw-cite-backlink"><b><a href="#cite_ref-8">^</a></b></span> <span class="reference-text"><cite id="CITEREFHagmanStröm_HolstMöllerEgenvall2014" class="citation journal cs1">Hagman, R; Ström Holst, B; Möller, L; Egenvall, A (1 July 2014). <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.theriogenology.2014.03.007">"Incidence of pyometra in Swedish insured cats"</a>. <i>Theriogenology</i>. <b>82</b> (1): <span class="nowrap">114–</span>20. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.theriogenology.2014.03.007">10.1016/j.theriogenology.2014.03.007</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/24726694">24726694</a>.</cite></span>

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<li id="cite_note-9"><span class="mw-cite-backlink"><b><a href="#cite_ref-9">^</a></b></span> <span class="reference-text"><cite id="CITEREFHöglundLövebrantOlssonHöglund2016" class="citation journal cs1">Höglund, Odd Viking; Lövebrant, Johanna; Olsson, Ulf; Höglund, Katja (17 November 2016). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112883">"Blood pressure and heart rate during ovariohysterectomy in pyometra and control dogs: a preliminary investigation"</a>. <i>Acta Veterinaria Scandinavica</i>. <b>58</b> (1): 80. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1186%2Fs13028-016-0263-y">10.1186/s13028-016-0263-y</a></span>. <a href="PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a> <span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112883">5112883</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/27855712">27855712</a>.</cite></span>

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</ol></div></div>

<div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2></div>

<ul><li><a rel="nofollow" class="external text" href="http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=603"><i>Pyometra</i> from The Pet Health Library</a></li>

<li><a rel="nofollow" class="external text" href="https://web.archive.org/web/20071112032132/http://www.thepetcenter.com/sur/pyo.html">Pyometra Surgery Photos and Description from The Pet Center</a></li></ul>

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</style><div id="Female_diseases_of_the_pelvis_and_genitals116" style="font-size:114%;margin:0 4em"><a href="Female_genital_disease" title="Female genital disease">Female diseases</a> of the <a href="Human_pelvis" class="mw-redirect" title="Human pelvis">pelvis</a> and <a href="Sex_organ" title="Sex organ">genitals</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%">Internal</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Adnexa68" scope="row" class="navbox-group" style="width:1%"><a href="Adnexa_of_uterus" class="mw-redirect" title="Adnexa of uterus">Adnexa</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Ovarian_disease" title="Ovarian disease">Ovary</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Endometriosis_of_ovary" class="mw-redirect" title="Endometriosis of ovary">Endometriosis of ovary</a></li>

<li><a href="Female_infertility" title="Female infertility">Female infertility</a>

<ul><li><a href="Ovulatory_disorder" class="mw-redirect" title="Ovulatory disorder">Ovulatory disorder</a>

<ul><li><a href="Anovulation" title="Anovulation">Anovulation</a></li>

<li><a href="Oligoovulation" class="mw-redirect" title="Oligoovulation">Oligoovulation</a></li></ul></li>

<li><a href="Poor_ovarian_reserve" title="Poor ovarian reserve">Poor ovarian reserve</a></li></ul></li>

<li><a href="Mittelschmerz" title="Mittelschmerz">Mittelschmerz</a></li>

<li><a href="Oophoritis" title="Oophoritis">Oophoritis</a></li>

<li><a href="Ovarian_apoplexy" title="Ovarian apoplexy">Ovarian apoplexy</a></li>

<li><a href="Ovarian_cyst" title="Ovarian cyst">Ovarian cyst</a>

<ul><li><a href="Corpus_luteum_cyst" title="Corpus luteum cyst">Corpus luteum cyst</a></li>

<li><a href="Follicular_cyst_of_ovary" title="Follicular cyst of ovary">Follicular cyst of ovary</a></li>

<li><a href="Theca_lutein_cyst" title="Theca lutein cyst">Theca lutein cyst</a></li></ul></li>

<li><a href="Ovarian_hyperstimulation_syndrome" title="Ovarian hyperstimulation syndrome">Ovarian hyperstimulation syndrome</a></li>

<li><a href="Ovarian_cancer" title="Ovarian cancer">Ovarian cancer</a></li>

<li><a href="Ovarian_germ_cell_tumors" title="Ovarian germ cell tumors">Ovarian germ cell tumors</a></li>

<li><a href="Ovarian_torsion" title="Ovarian torsion">Ovarian torsion</a></li>

<li><a href="Paraovarian_cyst" title="Paraovarian cyst">Paraovarian cyst</a></li>

<li><a href="Tubo-ovarian_abscess" title="Tubo-ovarian abscess">Tubo-ovarian abscess</a></li>

<li><a href="Polycystic_ovary_syndrome" title="Polycystic ovary syndrome">Polycystic ovary syndrome</a></li>

<li><a href="Infertility_in_polycystic_ovary_syndrome" title="Infertility in polycystic ovary syndrome">Infertility in polycystic ovary syndrome</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Fallopian_tube" title="Fallopian tube">Fallopian tube</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Female_infertility" title="Female infertility">Female infertility</a>

<ul><li><a href="Fallopian_tube_obstruction" title="Fallopian tube obstruction">Fallopian tube obstruction</a></li></ul></li>

<li><a href="Fallopian_tube_cancer" title="Fallopian tube cancer">Fallopian tube cancer</a></li>

<li><a href="Hematosalpinx" title="Hematosalpinx">Hematosalpinx</a></li>

<li><a href="Hydrosalpinx" title="Hydrosalpinx">Hydrosalpinx</a></li>

<li><a href="Salpingitis" title="Salpingitis">Salpingitis</a></li>

<li><a href="Tubo-ovarian_abscess" title="Tubo-ovarian abscess">Tubo-ovarian abscess</a></li></ul>

</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Uterus" title="Uterus">Uterus</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Endometrium" title="Endometrium">Endometrium</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Asherman's_syndrome" title="Asherman's syndrome">Asherman's syndrome</a></li>

<li><a href="Dysfunctional_uterine_bleeding" class="mw-redirect" title="Dysfunctional uterine bleeding">Dysfunctional uterine bleeding</a></li>

<li><a href="Endometrial_hyperplasia" title="Endometrial hyperplasia">Endometrial hyperplasia</a></li>

<li><a href="Endometrial_polyp" title="Endometrial polyp">Endometrial polyp</a></li>

<li><a href="Endometriosis" title="Endometriosis">Endometriosis</a></li>

<li><a href="Endometritis" title="Endometritis">Endometritis</a></li>

<li><a href="Endometrial_cancer" title="Endometrial cancer">Endometrial cancer</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i><a href="Menstrual_disorder" title="Menstrual disorder">Menstruation</a></i></span></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Amenorrhea" title="Amenorrhea">Amenorrhea</a></li>

<li><a href="Hypomenorrhea" title="Hypomenorrhea">Hypomenorrhea</a></li>

<li><a href="Oligoamenorrhea" title="Oligoamenorrhea">Oligoamenorrhea</a></li>

<li><a href="Oligomenorrhea" title="Oligomenorrhea">Oligomenorrhea</a></li>

<li><a href="Polymenorrhea" title="Polymenorrhea">Polymenorrhea (epimenorrhea)</a></li></ul></li>

<ul><li><a href="Dysmenorrhea" title="Dysmenorrhea">Dysmenorrhea</a></li>

<li><a href="Premenstrual_syndrome" title="Premenstrual syndrome">Premenstrual syndrome</a></li></ul></li>

<li><a href="Menstrual_disorder#Disorders_of_cycle_length" title="Menstrual disorder">Timing</a>

<ul><li><a href="Menorrhagia" class="mw-redirect" title="Menorrhagia">Menorrhagia (hypermenorrhea)</a></li>

<li><a href="Metrorrhagia" class="mw-redirect" title="Metrorrhagia">Metrorrhagia</a></li></ul></li>

<li>Mixed

<ul><li><a href="Menometrorrhagia" title="Menometrorrhagia">Menometrorrhagia</a></li>

<li><a href="Polymenorrhagia" title="Polymenorrhagia">Polymenorrhagia</a></li></ul></li>

<li>Other

<ul><li><a href="Metropathia_haemorrhagica" title="Metropathia haemorrhagica">Metropathia haemorrhagica</a></li></ul></li></ul>

</div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Female_infertility" title="Female infertility">Female infertility</a>

<ul><li><a href="Recurrent_miscarriage" title="Recurrent miscarriage">Recurrent miscarriage</a></li></ul></li></ul>

</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Myometrium" title="Myometrium">Myometrium</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Adenomyosis" title="Adenomyosis">Adenomyosis</a></li>

<li><a href="Uterine_fibroid" title="Uterine fibroid">Uterine fibroid</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Parametrium" title="Parametrium">Parametrium</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Parametritis" title="Parametritis">Parametritis</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Cervix" title="Cervix">Cervix</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Cervical_cancer" title="Cervical cancer">Cervical cancer</a></li>

<li><a href="Cervical_intraepithelial_neoplasia" title="Cervical intraepithelial neoplasia">Cervical dysplasia</a></li>

<li><a href="Cervical_incompetence" class="mw-redirect" title="Cervical incompetence">Cervical incompetence</a></li>

<li><a href="Cervical_polyp" title="Cervical polyp">Cervical polyp</a></li>

<li><a href="Cervicitis" title="Cervicitis">Cervicitis</a></li>

<li><a href="Female_infertility" title="Female infertility">Female infertility</a>

<ul><li><a href="Stenosis_of_uterine_cervix" title="Stenosis of uterine cervix">Cervical stenosis</a></li></ul></li>

<li><a href="Nabothian_cyst" title="Nabothian cyst">Nabothian cyst</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">General</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Hematometra" title="Hematometra">Hematometra</a> / </li>

<li><a href="Retroverted_uterus" title="Retroverted uterus">Retroverted uterus</a></li>

<li><a href="Vesicouterine_fistula" title="Vesicouterine fistula">Vesicouterine fistula</a></li>

<li><a href="Uterine_prolapse" title="Uterine prolapse">Uterine prolapse</a></li>

<li><a href="Uterine_cancer" title="Uterine cancer">Uterine cancer</a></li>

<li><a href="Uterine_sarcoma" title="Uterine sarcoma">Uterine sarcoma</a></li></ul>

</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Vaginal_disease" title="Vaginal disease">Vagina</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Hematocolpos" title="Hematocolpos">Hematocolpos</a> / <a href="Hydrocolpos" title="Hydrocolpos">Hydrocolpos</a></li>

<li><a href="Leukorrhea" title="Leukorrhea">Leukorrhea</a> / <a href="Vaginal_discharge" title="Vaginal discharge">Vaginal discharge</a></li>

<li><a href="Vaginitis" title="Vaginitis">Vaginitis</a>

<ul><li><a href="Atrophic_vaginitis" title="Atrophic vaginitis">Atrophic vaginitis</a></li>

<li><a href="Bacterial_vaginosis" title="Bacterial vaginosis">Bacterial vaginosis</a></li>

<li><a href="Candidal_vulvovaginitis" class="mw-redirect" title="Candidal vulvovaginitis">Candidal vulvovaginitis</a></li></ul></li>

<li><a href="Hydrocolpos" title="Hydrocolpos">Hydrocolpos</a></li>

<li><a href="Vaginal_atresia" title="Vaginal atresia">Vaginal atresia</a></li>

<li><a href="Vaginal_anomalies" title="Vaginal anomalies">Vaginal anomalies</a></li></ul>

</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i><a href="Sexual_dysfunction" title="Sexual dysfunction">Sexual dysfunction</a></i></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Dyspareunia" title="Dyspareunia">Dyspareunia</a></li>

<li><a href="Hypoactive_sexual_desire_disorder" title="Hypoactive sexual desire disorder">Hypoactive sexual desire disorder</a></li>

<li><a href="Sexual_arousal_disorder" title="Sexual arousal disorder">Sexual arousal disorder</a></li>

<li><a href="Vaginal_cancer" title="Vaginal cancer">Vaginal cancer</a></li>

<li><a href="Vaginismus" title="Vaginismus">Vaginismus</a></li></ul>

</div></td></tr><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Urogenital_fistula" title="Urogenital fistula">Urogenital fistulas</a>

<ul><li><a href="Ureterovaginal_fistula" title="Ureterovaginal fistula">Ureterovaginal</a></li>

<li><a href="Vesicovaginal_fistula" title="Vesicovaginal fistula">Vesicovaginal</a></li>

<li><a href="Obstetric_fistula" title="Obstetric fistula">Obstetric fistula</a></li></ul></li>

<li><a href="Rectovaginal_fistula" title="Rectovaginal fistula">Rectovaginal fistula</a></li>

<li><a href="Female_genital_prolapse" class="mw-redirect" title="Female genital prolapse">Prolapse</a>

<ul><li><a href="Cystocele" title="Cystocele">Cystocele</a></li>

<li><a href="Cul-de-sac_hernia" title="Cul-de-sac hernia">Cul-de-sac hernia</a></li>

<li><a href="Enterocele" title="Enterocele">Enterocele</a></li>

<li><a href="Rectocele" title="Rectocele">Rectocele</a></li>

<li><a href="Sigmoidocele" title="Sigmoidocele">Sigmoidocele</a></li>

<li><a href="Urethrocele" title="Urethrocele">Urethrocele</a></li></ul></li></ul>

</div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Vaginal_bleeding" title="Vaginal bleeding">Vaginal bleeding</a>

<ul><li><a href="Postcoital_bleeding" title="Postcoital bleeding">Postcoital bleeding</a></li></ul></li></ul>

</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Pelvic_congestion_syndrome" title="Pelvic congestion syndrome">Pelvic congestion syndrome</a></li>

<li><a href="Pelvic_inflammatory_disease" title="Pelvic inflammatory disease">Pelvic inflammatory disease</a></li></ul>

</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">External</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Vulvar_disease" title="Vulvar disease">Vulva</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">

<ul><li><a href="Vulvar_cancer" title="Vulvar cancer">Vulvar cancer</a></li>

<li><a href="Bartholin's_cyst" title="Bartholin's cyst">Bartholin's cyst</a></li>

<li><a href="Kraurosis_vulvae" title="Kraurosis vulvae">Kraurosis vulvae</a></li>

<li><a href="Vestibular_papillomatosis" title="Vestibular papillomatosis">Vestibular papillomatosis</a></li>

<li><a href="Vulvitis" title="Vulvitis">Vulvitis</a></li>

<li><a href="Vulvodynia" title="Vulvodynia">Vulvodynia</a></li>

<li><a href="Persistent_genital_arousal_disorder" title="Persistent genital arousal disorder">Persistent genital arousal disorder</a></li></ul>

</div></td></tr></tbody></table><div></div></td></tr></tbody></table></div></div><div><div class="zim-footer">

This article is issued from <a class="external text" title="Last edited on 2025-01-09" href="https://en.wikipedia.org/wiki/?title=Pyometra&oldid=1268406872">Wikipedia</a>. The text is available under <a class="external text" href="https://creativecommons.org/licenses/by-sa/4.0/deed.en">Creative Commons Attribution-Share Alike 4.0</a> unless otherwise noted. Additional terms may apply for the media files.

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