How long can I get pregnant after intrauterine adhesion surgery?

We all know that a woman's uterus is where the baby is conceived, but surgical treatment of gynecological diseases or cesarean section will cause a certain degree of damage to the uterus. If the postoperative care is not good, the healing of the uterus will be affected, and intrauterine adhesions will easily occur. Once the intrauterine adhesions occur, it is difficult to get pregnant again. The adhesions can only be separated by surgery. With careful postoperative care, you can become pregnant normally about a month after the uterus recovers.

How long after surgery can I get pregnant?

When there is inflammation in the female uterus or surgical trauma, if it is not cared for and effectively healed, it is very easy to cause edema inside the uterine cavity and exudation of inflammatory substances or abnormal healing, which may cause uterine adhesions. Once adhesions occur inside the uterus, it will definitely lead to structural changes, and may even directly cause abnormalities in the patency of the uterine cavity, which will ultimately affect the chance of conception and gestational status.

Uterine adhesions must be treated surgically to effectively separate and treat the adhesion sites in order to achieve a cure. During the surgical operation, it is necessary to use local surgery to effectively divide the adhesion area and ensure smooth healing of the intracavitary tissue in order to achieve a curative effect. During surgical treatment, incisions will be formed in the intracavitary tissues, so a period of effective rest is definitely needed after the operation to allow the uterus to fully recover and ensure that the pregnancy function can proceed normally. Therefore, it is not advisable to become pregnant immediately after the operation. Generally speaking, after completing hysteroscopic treatment, pregnancy can be achieved normally after one menstrual cycle. The cure of this disease will not affect pregnancy. However, some doctors suggest waiting for half a year after recovery when the condition stabilizes before considering pregnancy.

The dangers of uterine adhesions:

1. Secondary oligomenorrhea and amenorrhea. Patients with complete adhesion in the uterine cavity may experience amenorrhea, accounting for about 60%-90%, and the period may last for a long time.

2. Periodic abdominal pain. Generally, sudden lower abdominal pain and a feeling of heaviness and distension in the anus will occur one month after the operation. In severe cases, the patient will feel restless and have difficulty moving. The pain usually lasts for 3-7 days and occurs cyclically.

3. Female infertility. Secondary infertility or recurrent miscarriage, premature birth. Due to intrauterine adhesion, the endometrium is damaged and the uterine volume is reduced, which affects the normal implantation of the embryo and leads to infertility. Even if conception occurs, it affects the embryo after implantation and the growth and development of the fetus, leading to miscarriage and premature birth.

Does cervical adhesion need to be treated?

The main cause of cervical adhesion is inflammatory stimulation of the cervical mucosa, which leads to occlusion of the cervical canal. At this time, normal menstruation and secretion discharge will be hindered, and the consequences are very serious. If the disease develops seriously, it will cause pus and fluid accumulation in the uterine cavity, which will not only cause inflammation in other parts of the pelvic cavity, but also affect the normal pregnancy function of women. Cervical adhesion will hinder the movement of sperm, resulting in the inability of sperm and egg to combine.

Commonly used treatments for cervical adhesions include traditional Chinese medicine treatment, physical treatment, cervical dilation treatment, etc. Traditional Chinese medicine treatment is mainly aimed at patients with mild symptoms, while physical therapy methods include laser, freezing, electric ironing, etc. If cervical adhesion is more serious and fluid accumulation and pus accumulation occur, cervical dilation and drainage must be performed in time to avoid acute abdomen caused by pus accumulation in the uterine cavity.

How to treat cervical adhesions:

In a regular hospital, cervical adhesions can be treated by hysteroscopic surgery or by dilating the cervical opening. The specific treatment method should be selected based on the degree of cervical adhesions. Hysteroscopic surgery is the most widely used treatment method for cervical adhesions. It has good therapeutic effects, little pain, and quick recovery, allowing many women to get rid of the trouble of cervicitis. Postoperative medication can stimulate endometrial growth and rebuild the cervical environment.

How to check cervical adhesions:

1. Ultrasound examination

During ultrasound examination, if the examination results show uneven echo of the edge of the endometrium, the possibility of cervical adhesion is very high.

2. Hysteroscopy

Hysteroscopy can provide a comprehensive understanding of the specific conditions of the uterine cavity, including whether there are adhesions of the cervix, and determine the location, size, area, and degree of adhesion. Currently, hysteroscopy is the gold standard method for diagnosing uterine adhesions. However, this examination is more complicated and the cost is relatively high.

3. Hysterosalpingography

Hysterosalpingography is a primary screening method for intrauterine adhesions. It can determine whether there is cervical adhesion, but it cannot specifically check the degree of cervical adhesion.

4. Uterine probe examination

This test involves inserting a hysteroprobe about 1 to 3 inches into the cervix. If there is resistance, it can be considered cervical adhesion. In severe cases of severe adhesion, the probe has a very small range of motion or cannot be inserted at all.