Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Abc123 on December 17, 2025, 07:32:30 PM
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Hi, I was looking for others experiences of an infection (endometritis) after a coil or biopsy please.
What length antibiotic course did you need to clear it up? I've just started my second, this time a week's worth.
Did you have to remove the coil for resolution of the infection?
Were you able to use Ovestin internally while treating the infection? I was told it was fine to use straight after the biopsy and coil. I didn't but I did use it while on first course of antibiotics as I was so sore internally. I'm not sure if I'm best to avoid it as the first course ab didn't clear it up and I don't want to introduce anything that may aggravate things. But it feels like death by a thousand paper cuts internally so I wonder if it's better to use it as if tissues are so fragile due to oestrogen loss, maybe they'll fight the infection better with the cream? And the soreness is from the infected discharge burning as it comes down the vagina from the uterus I think as well as reduced frequency of using ovestin.
Thanks so much for any input even if it's thinking out loud.
Thanks muchly.
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I would carry on using it. The antibiotics are taken orally so shouldn't interfere with the topical cream and the longer you stop using it the longer it will take to get better.
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If you aren't systemically unwell the antibiotics should clear it up without the need to remove the coil.
You should be able to use vaginal estrogen without any problems - I always say the only "risk" of vaginal estrogen is where it props up subtherapeutic or absent systemic estrogen.
The bloodstream is nature's preferred way of getting estrogen to all tissues including the vagina, so I would also consider your systemic estrogen status. This bypasses any issues with local application.
I had endometritis many years ago after a barbaric manual removal of placenta with neither anaesthesia nor antibiotic cover. It settled after 2 weeks of oral co-amoxiclav.
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Thanks both. I was getting worried about reintroducing bacteria as it's a reusable applicator. I was worried that even though I'm cleaning it thoroughly that plastic may still harbour it. I think I'm likely being over cautious though!
Sorry you had such an awful placenta removal Bombsh3ll. Good to know 2 weeks co-amoxiclav was enough to knock it on the head. I was originally given 5 days and only showed improvement day 5 then got worse again, so have a week this time. Thankfully still systemically well. As much as I'd currently like to rip the coil out, I'd like this infection to be worth something and solve the issue the coil was put in for!!
Usually I'm well controlled with twice weekly Ovestin and my systemic O, this has just flared things due to the burning from the infection. I remember a similar burning to my ear canal when my eardrum burst from an infection and let it all out, so I'm not surprised it's aggravated the VA.
Thanks again.
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I don't use the applicator just a very clean finger and apply inside and out.