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 of seeking medical advice and seeking children, we may have overlooked some human factors that may be the root cause of our infertility – cavity adhesions.
A. What is uterine adhesion?
A normal uterus is somewhat like a pear, with an inverted triangle shape, and 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 complete 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, commonly after abortion or spontaneous miscarriage 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 signs of uterine adhesions?
Many mushrooms think that the reduction of menstrual flow is the manifestation of cavity adhesions, you are too naive! Menstrual flow is not a measure to determine whether you have cavity adhesions. Some mushrooms have a thinning of the endometrium, which can also cause a decrease in menstrual flow.
Some patients may also experience a change in their menstrual cycle, while others may experience a decrease in menstrual flow accompanied by a cramping sensation in the lower body. There are even people who do not have obvious symptoms yet, and only after the emergence of fertility disorders to seek medical attention to find themselves suffering from cervical adhesions!
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?
If there is no fertility requirement, such cavity adhesions will not have any effect on health, some adhesions may lead to abdominal pain if the menstrual blood flow is impaired, and the most troublesome thing about cavity adhesions is that they lead to reduced fertility, inability to get pregnant or embryo miscarriage.
6. 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 serious 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 children on your own, and adopting a child or seeking surrogacy overseas is the only way (reply “surrogacy” for more information).
For patients with cervical adhesions, it is wise to find experienced specialists to deal with them. There are many nationally renowned specialists in cervical adhesions in the VaMed Group, and you can make appointments with these specialists through VaMed Customer Service.
Seven, the symptoms are not obvious need to be treated?
If you do not have obvious symptoms, such as periodic abdominal pain, and do not have fertility requirements, this surgery can be done without.
If you have fertility requirements, every time you have a period, it is painful and the adhesions in the lower part of the uterine cavity have led to the accumulation of 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 clearance 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 avoid unwanted pregnancies, which can cause uterine adhesions.