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Which of the following is NOT a symptom of endometritis?

  1. Purulent vaginal discharge

  2. Lower abdominal pain

  3. Painful urination

  4. Fever

The correct answer is: Painful urination

Painful urination is not typically associated with endometritis. Endometritis is an infection or inflammation of the endometrium, which is the inner lining of the uterus. Common symptoms of this condition include purulent vaginal discharge, lower abdominal pain, and fever, as these elements reflect the body's response to infection within the reproductive system. Purulent vaginal discharge indicates the presence of infection and is often characterized by a thick, yellow or greenish fluid. Lower abdominal pain arises due to inflammation and irritation of the uterine lining. Fever is a systemic response to infection, reflecting the body's effort to fight off pathogens. While urinary symptoms can occur in some reproductive infections due to proximity to the urinary tract, they are not hallmark symptoms of endometritis itself.