Pyometria In Humans ??

[cherokee03]

Anyone suffered or heard of this ? Not a lot of info out there !!

[Buenchico]

It's certainly rare:
https://patient.info/doctor/pyometra

[Peter Pedant]

yeah - pyometra I think
it is pretty damn uncommon
basically in man (!) it is an infection inside the uterus, and would be infected blood which was not expelled during the usual period
( well you did ask)
There has to be an abnormality of the cervix preventing drainage such as stenosis ( narrowling)
OR in children - an anatomical abnormality of the uterus so that when the periods start - it doesnt drain and backs up in the uterus ( haematometra ) and then becomes infected ( pyo metra)

In vet science (!) hey I bet you didnt expect me to know about pyo metra in farm animals ! - it is divided into open and closed pyometra - and open one is where the uterus drains normally but there is an infection of the lining of the uterus - and presents as as a foul smelling discharge "down there". And a closed pyometra is as above but in an animal.

This classification is NOT used in man as there are virtually no open pyometras. except one - TB of the lining of the uterus

well that is just about all I know about pyometra
( I dont think I have seen one - you know)
I carry this stuff around in my head you know

[douglas9401]

:-)

[Sqad]

Bottom line is, that it is a pus forming infection in the uterus and it is rare NOW because the commonest cause was infection following abortions perfumed by amateurs.
Now abortions are either performed by the professionals and with contraception controlled by pills, instrumentation is rarely required .
Back stree abortionists are now out of business.

[Peter Pedant]

oh I forgot - TB endometritis ( not really PYO metra) is incompatible with a successful past pregnancy

[Peter Pedant]

Sqad - that was really septic abortion

really not seen since 1967. Golly that's another thing I've never seen. These are all terribly rare diagnoses - there is greater chance of seeing nerve gas poisoning, or Zika, or Obama-virus - whatever the really bad one was called, or batty-botty syndrome ( sozza just made that one up) or Tampanuli Fever - the one that Dr Watson missed in Sherlock Holmes.

[Sqad]

PP...I am not with you....septic is infection,pyometria is pus forming organisms in the uterus.

[cherokee03]

I seem to have recurring pyometra, one I didn't know, 2 drained in surgery, latest scan shows its back, now waiting for a hystorectomy, but worried it'll rupture before then ! ???

[Sqad]

Your story doesn't make sense.
No hysterectomy would be contemplated in the presence of pus.
Please give us the full and honest picture if you need informed answers.

[jakep]

Having worked in veterinary clinics for eight years, all cases of pyometra were ‘treated’ with emergency hysterectomy.

[cherokee03]

Sqad, had unusual bleeding for past year, in November gyny done a scan n said it was a fibroid. Went back to see him, as advised, tried a biopsy, twice, but pain was awful! Had an awful discharge for 4 days between. Had to go in to hospital for a biopsy and a d n c, while in he drained 'pyometra'. Course of antibiotics, back to check up n back to square 1 !!!

[Sqad]

Thanks......that makes sense now.
You shouldn't have Googled pyometra as it sent us all up the wrong avenue.
You did not give us the result of the biopsy which is important, but probably was a fibroid (not malignant).

In your case there will not be enough pus to rupture the uterus so don't worry.
Your problem is probably a degenerated fibroid which hysterectomy under an antibiotic cover will be the necessary treatment.
Don't worry and don't Google...;-)