How to treat uterine adhesions

  Uterine adhesions are a condition that occurs secondary to inflammation of the endometrium and after surgical procedures on the uterus. Uterine adhesions can affect pregnancy and are therefore highly valued by women.  The clinical treatment of uterine adhesions depends on the degree and extent of the adhesions. Mild and small-scale adhesions generally have no significant impact on the patient’s reproductive function and can therefore be treated temporarily under observation. In most patients, mild adhesions can separate on their own after pregnancy as the uterus increases in size. For moderate to severe uterine adhesions, the adhesions do not separate on their own. Currently, the treatment for moderate to severe adhesions is mostly hysteroscopic. Hysteroscopy is a common surgical approach in obstetrics and gynecology in which a lens is inserted vaginally into the uterine cavity to investigate the extent of adhesions in the uterine cavity. The hysteroscope is used to separate and remove the uterine adhesions at the same time, allowing direct visualization of the uterine cavity after removal. It is important to note that there is a possibility of recurrence after removal of uterine adhesions. During the process of uterine trauma repair, uterine adhesions can form again. Therefore, patients are advised to have a close postoperative follow-up.  The treatment of uterine adhesions depends on the degree of adhesions and close follow-up is noted during treatment.