Somehow, with the progress of society, more and more women of the right age are troubled by the difficulty of getting pregnant. In the way that we are constantly seeking medical advice and eager to have children, perhaps we all overlooked some human factors that were once the root cause of our long infertility – uterine adhesions.
The normal uterus is somewhat like a pear, inverted triangle
I. What is uterine adhesion?
A normal uterus is somewhat like a pear, with an inverted triangle shape. The part of the uterus closest to the inside is covered with a layer of endometrium, which peels off periodically to form menstruation. Uterine adhesions are partial or total occlusion of the uterine cavity due to endometrial adhesions, or occlusion of the inner cervical opening, where there is usually a partial defect of the endometrium and the front and back or left and right walls of the uterus are glued together.
Second, what triggers uterine adhesions?
Any factor that causes endometrial destruction can cause uterine cavity adhesions, which are common after abortion or spontaneous abortion and after postpartum bleeding and curettage.
Endometrial tuberculosis is another cause of uterine adhesions, often after a history of tuberculosis or peritoneal tuberculosis, followed by reduced menstruation.
What are the manifestations of uterine adhesions?
Many women think that a decrease in menstrual flow is a sign of uterine adhesions, you are too naive! Menstrual flow is not a measure to determine whether you have cavity adhesions. In some women, the thinning of the endometrium can also cause a decrease in menstrual flow.
It is important to be alert when menstrual flow is low after an abortion. Individual patients may also show changes in their menstrual cycle, while others have reduced menstrual flow accompanied by a cramping sensation in the lower body. There are even people who have no obvious symptoms yet, and only find out they are suffering from uterine adhesions after they have developed fertility disorders and seek medical attention!
IV. What tests can detect them?
If there is a lack of menstruation after miscarriage, the initial impression can be obtained through ultrasound, especially three-dimensional ultrasound, but of course, many times ultrasound may not always find, if highly suspected, you need to consider hysteroscopy to clarify, hysteroscopy is the gold standard for the diagnosis of hysteroscopic adhesions.
What are the hazards of uterine adhesions?
The most troublesome thing is that it leads to reduced fertility, inability to conceive or miscarriage of embryos.
Hazards of uterine adhesions: reduced fertility, inability to conceive or miscarriage of embryos
VI. How to treat the disease?
After the occurrence of cavity adhesions, if there are no symptoms and no fertility requirements, they can be left untreated. If there are symptoms or fertility requirements, it is usually necessary to consider hysteroscopic surgery for treatment. Hysteroscopic separation of cavity adhesions often requires a high level of experience for the operator, and inexperience often leads to an unsuccessful operation and destruction of the residual endometrium, leading to difficulties in secondary surgery or childbirth afterwards. Many patients with uterine adhesions are prone to re-adhesions after surgery, so a balloon or urinary catheter is often placed inside the uterine cavity after surgery to prevent re-adhesions and, if necessary, a second hysteroscopic exploration.
For some patients with severe endometrial damage, it is not easy to restore the damaged endometrium to its previous state even after surgery, so it is often very difficult to have a child on your own.
For patients with uterine adhesions, it is wiser to find an experienced doctor to deal with them.
Do I need to treat the symptoms that are not obvious?
If you do not have obvious symptoms, such as periodic abdominal pain, and do not have fertility requirements, this procedure can be done without it.
If you have fertility requirements, every time you have a period it is very painful, and there are adhesions in the lower part of the uterine cavity that cause fluid in the uterine cavity, it is recommended that you seek medical attention as soon as possible and undergo surgery!
TIPS: After the surgery of the uterine adhesions, we must regularly review, because the adhesions are very easy to recur!
Eight, prevention is better than cure, how to do?
I often say that now abortion ads are flying, but no one does contraceptive education, “painless abortion” maybe you do not have pain, but the damage to the uterus is inevitable. Any intrauterine device abortion or removal of the uterus can lead to secondary uterine adhesions, so it is important to avoid uterine adhesions and to use good contraception first. In case of embryonic abortion or unavoidable miscarriage, reducing the number of surgical clearing operations is also a preventive measure to avoid uterine adhesions. Carefulness and gentleness when the doctor performs the uterine operation is also a key point to avoid the occurrence of uterine adhesions.
We hope that all women will cherish our uterus and stay away from unwanted pregnancies to avoid harming the uterus and causing uterine adhesions.