(Disclaimer: This article is only for scientific purposes, in order to protect the privacy of the patient, the following content of the relevant information has been processed) Abstract: The main character of this case is a 36-year-old Ms. Wu, who reported to the doctor: she had undergone a purging operation, and her menstrual flow was significantly reduced after the operation, and she had been infertile for more than a year after the preparation for conception, and so she was admitted to the hospital. Ultrasound showed that the endometrial line was interrupted, and the possibility of uterine adhesions was considered. Diagnosis: 1) secondary infertility; 2) uterine adhesions, of which uterine adhesions are a kind of intrauterine adhesions. Surgery and medication were given to her, and she recovered well after the surgery. 【Basic information】Female, 36 years old 【Disease type】Uterine Cavity Adhesion 【Hospital visit】Guangxi Zhuang Autonomous Region Jiangbin Hospital 【Date of visit】July 2021 【Treatment plan】Surgical treatment (hysteroscopic surgery) + medication (injection of Cefuroxime Sodium, Metronidazole injection, Estradiol valerate tablets, Progesterone capsule) 【Treatment cycle】Inpatient treatment for 4 days, outpatient follow-up for 3 months 【Treatment effect】. Menstruation returned to normal with good treatment effect I. Initial Consultation Patient’s self-report: 1 normal delivery in 2015, 1 abortion in January 2020 and 1 hysterectomy. After the operation, the amount of menstrual blood decreased by nearly half compared with the previous period, and she went to the hospital for follow-up. The doctor considered that the menstruation had not yet returned to normal after the operation and suggested that the patient should be observed for 3 months first. After that, the patient went to a small clinic to take traditional Chinese medicine to regulate her body (the specific medication used is not known), but her menstrual flow did not increase significantly, and she occasionally had lower abdominal distension and pain. She planned to have a second child and failed to get pregnant for more than 1 year. In July 2021, she went to our outpatient clinic and completed the pregnancy preparation related examination, and the ultrasound suggested that “the endometrial line was interrupted, and it was considered that the uterine cavity might be adherent”, and it was recommended that the patient underwent hysteroscopy after her next menstrual period was cleansed. on August 10th, the patient was cleansed for 2 days, and the diagnosis was as follows: 1, Secondary infertility; 2. Uterine adhesions, and was admitted to the hospital. (July 22 outpatient ultrasound examination) Second, the treatment process After admission, hysteroscopic surgery related examination, no obvious abnormalities, no contraindications to surgery, August 11 in the lumbar hard anesthesia under the combined hysteroscopic detection surgery, through the hysteroscopy, found that part of the uterus endometrium inflammatory adhesions, at the same time, see a number of uterine adhesion bands, given to the loosening of the uterine cavity adhesion, excision of uterine cavity adhesion bands, restoration of uterus within the normal morphology. The endometrial morphology was normalized. After surgery, intravenous anti-inflammatory treatment with cefuroxime sodium and metronidazole injection was given to minimize re-adhesion caused by inflammatory factors. At the same time, the patient was told that the main cause of infertility was too severe uterine adhesions. Hysteroscopic surgery was successful in loosening the intrauterine adhesions, but there was still a possibility that the adhesions might reoccur after the surgery, and it was recommended that the patient take hormone therapy to prevent the reoccurrence of adhesions. The patient’s vital signs were normal after the operation, and after 3 days of intravenous anti-inflammatory treatment, the blood count was normal, and the intravenous anti-inflammatory treatment was discontinued, and the patient was discharged from the hospital on August 14th. After discharge, the patient continued treatment in the outpatient clinic, taking estradiol valerate tablets and progesterone capsules to adjust the menstrual cycle, promote the growth of the endometrium, and reduce the recurrence of adhesions. 3 months later, the uterine ultrasound showed that: the endometrium was normal in morphology, and the patient’s menstrual flow was normal, which indicated that the surgery was successful, and there was no recurrence of adhesions after the surgery, which made the treatment effective, and the patient was instructed to start the preparation for pregnancy. Precautions We are glad that the problem of intrauterine adhesions was solved after the surgery and the menstrual flow returned to normal after the surgery. The patient was advised to stop hormone treatment, start normal pregnancy preparation, and take folic acid tablets to prevent fetal neural tube defects and malformations. Prolonged infertility tends to produce certain psychological pressure on the patient, and it is recommended to consult the psychiatric clinic to adjust the mindset and stay relaxed, which is more conducive to conception. In order to improve the chances of conception, patients are advised to exercise properly, increase diet and nutrition scientifically, ensure sleep time and sleep quality, and avoid overly heavy work. It is recommended that patients pay attention to personal hygiene habits during the preparation for pregnancy, to avoid infection, triggering re-adhesion, and avoid contact with toxic substances, such as formaldehyde, alcohol, second-hand smoke. Fifth, personal perception after the removal of the uterus surgery led to patients with endometrial damage is a relatively common situation, but the general damage is mild, after 1-3 months of menstruation, will be naturally repaired, but there are women who occur after the operation of infection, malnutrition, disease and other factors, affecting the growth of the endometrium or even lead to the original endometrial trauma occurred adhesion, the appearance of uterus in the area of reduced menstruation, menstruation, amenorrhea, infertility, and so on. For patients with intrauterine adhesions, if there is no requirement for childbearing, no surgery can be performed, but if there is a requirement for childbearing, hysteroscopic surgery is needed to loosen the adhesions as soon as possible.