Post-abortion pelvic inflammatory disease, absence of menstruation, and uterine adhesions

  Examination and laboratory tests: white belt routine normal treatment: please February 1, painless abortion, 21 days after taking eosin began to rise in the stomach, and finally developed to full abdominal pressure pain rebound pain, said pelvic inflammatory disease, appendicitis, March 1 ultrasound: tau cavity effusion 1.1 centimeters. Injections levoxyl 7 days, well, March 8 recheck ultrasound all normal. 2 days after stopping the medication began to waist up, after doing ultrasound guard uterus, size 5.7 * 4.1 * 5.6. anterior and posterior diameter of the uterine cavity with 0.7CM liquid dark area, single layer of endometrial thickness of about 0.4, right ovary size 4.8 * 3.2, within the 2.7 * 2.4 anechoic area, smooth wall.  Hints: uterine cavity effusion and right ovarian corpus luteum cyst. Dilation was done at that time and there was little blood coming out. After 4 days of anti-inflammatory injection, the ultrasound was repeated. The uterine fluid was gone, the endometrium was 1.1, and the ovarian cyst was significantly enlarged, which was considered a luteinizing cyst. Medical history: 2 miscarriages, 1 childbirth Please tell me why the menstruation does not come and how to treat it? Will the luteal cysts not go away?  According to the medical history you provided, the first thing to consider is uterine cavity adhesions. It is recommended to perform hysteroscopy to confirm the diagnosis and to separate the adhesions under hysteroscopy. Generally, luteal cysts can be eliminated and dynamic observation is recommended.  Click here to view my clinic hours Uterine adhesions are caused by uterine injury or post-inflammatory scarring. more than 90% of uterine adhesions are caused by curettage, with trauma often occurring after delivery or 1-4 weeks after miscarriage due to excessive bleeding requiring curettage. During this susceptible period, any trauma can cause shedding of the basal endometrium, resulting in the uterine walls adhering to each other and forming permanent adhesions, leading to deformation of the uterine cavity. Uterine adhesions may cause menstrual changes such as dysmenorrhea, amenorrhea, and decreased menstrual flow, affecting normal fertility.  The treatment is surgical separation or removal of the adhesions. In the past, scraping, probing and dilating rods were usually used to separate the adhesions, all of which were operated blindly and not only failed to obtain satisfactory treatment results, but also had a low pregnancy rate after surgery. With the advancement of minimally invasive technology, hysteroscopic dissection of uterine adhesions is now the standard treatment for uterine adhesions, as it allows targeted separation or removal of adhesions under direct vision to restore normal menstruation and improve pregnancy and delivery outcomes.