What happened to my period since the C-section? –The scarred diverticulum of the uterus is responsible for the incessant menstrual flow. For various reasons, the number of cesarean deliveries has increased in recent years, and so have the problems associated with cesarean incisions, of which uterine scar diverticulum is one of many. What is a uterine scar diverticulum? Uterine scar diverticulum is a crypt formed when the uterine incision does not heal properly after a cesarean delivery, due to the lack and thinning of the muscular layer at the scar. Is the diverticulum because the cesarean operation was not done properly? It may be due to poor healing of the incision, infection, reunion, obstruction of uterine contents, endometriosis, etc. What are the manifestations of uterine scar diverticulum? The most common manifestations are prolonged menstruation, incomplete menstruation, vaginal bleeding which is significantly reduced 3-7 days after the normal menstruation, but continues for many days, 8-9 days on the rare side and 10-20 days on the more frequent side, some manifestations are a little vaginal bleeding again 1-3 days after the menstruation, which continues to be incomplete, some may also have back pain and lower abdominal distension. What are the dangers of uterine scar diverticulum? 1.Prolonged menstruation in patients with uterine scar diverticulum can affect the quality of sexual life, 2.Scar pregnancy may occur. 3.Severe uterine scar diverticulum may cause uterine rupture when pregnant again. How do I know if I have a scar diverticulum? If you have a history of cesarean delivery and abnormal menstruation, you should pay attention to the presence of uterine scar diverticulum, ultrasound and hysteroscopy can confirm the diagnosis. What are the treatments for uterine scar diverticulum? 1. Medication: Taking contraceptive pills can normalize menstruation, but cannot treat uterine scar defects, and prolonged menstruation may occur again after stopping the pills. 2. Surgical treatment: There are various surgical treatment modalities, which are divided into Yin uterine scar repair, laparoscopic uterine scar repair, abdominal uterine scar repair, and hysteroscopic electrodesiccation. The surgical results of each modality are better. Among them, negative surgery has been adopted as the gold standard procedure because of less damage, faster recovery and better results. The decision of which procedure to use for a specific patient needs to be made after a thorough evaluation.