Post-operative precautions for uterine adhesions

Treatment of uterine adhesions is tedious and may require multiple hospitalizations. The first hospitalization is to clarify the diagnosis, take hormones to promote endometrial growth under the doctor’s guidance, and after 2 months of taking hormones, perform hysteroscopic separation of adhesions. After the separation surgery, depending on the endometrial status, you will need to take hormones for another 2 months, perform a second exploration, and decide whether to perform a second separation based on the exploration. The decision to continue hormones is based on the status of the endometrium. The rate of K cure for uterine adhesions is about 30-50%. Patients with good endometrial growth will have increased menstruation, and hysteroscopic view shows pink, thick endometrium and can see glandular openings. If the hysteroscopic second probing of adhesions improves the uterine cavity volume is large enough, usually no further separation is done and the patient is encouraged to actively prepare for pregnancy. Because of the high dose of hormone therapy before and after surgery, it is recommended to retreat from the progesterone cycle for 1 month after surgery and actively try to conceive for 6 months thereafter, and if there is still no pregnancy in 6 months, IVF is recommended.