It is possible for adhesions to reoccur after surgery, but the chances vary from person to person, depending on the severity of the condition, proper care, and cooperation with other treatments after surgery.
Uterine adhesions are categorized into mild, moderate and severe. Mild uterine adhesions, because of the small trauma, take hysteroscopic surgery to separate the effect is better, after the operation with estrogen, progesterone and other drugs, such as the combination of estrogen tablets, dydrogesterone tablets, etc. to repair the uterine lining, the chances of recurrence are relatively small.
The chance of re-adhesion after surgery for moderate to severe uterine adhesions is higher.
Because the endometrium is more traumatized, the surgery can only cut the adhesions and restore the volume of the uterine cavity. After the surgery, it is often necessary to take a larger dose of estrogen orally, such as estradiol valerate tablets, combined with estrogen tablets to promote the growth of the endometrium, and at the same time, placing the intrauterine device and balloon support to consolidate the surgical effect; however, not all of these adjuvant treatments can achieve a satisfactory efficacy, and therefore, the recurrence may occur after the surgery.
In addition, due to severe uterine adhesions endometrial repair is slower, the recovery period is longer, postoperative immunity is low, if the care is not appropriate local inflammation may arise, stimulated by inflammation the risk of re-adhesion will also increase.
In order to prevent re-adhesion, the operation should choose regular hospitals, and after the operation, we should choose balloon support and sodium hyaluronate gel according to our own situation to prevent recurrence. After surgery, you should also pay attention to nursing, prohibit sexual intercourse and tub baths, eat a reasonable diet, and ensure sufficient sleep.