Continuous menstruation after cesarean section

Cesarean section is also a relatively common method of delivery. We know that cesarean section will have a certain impact on the health of pregnant women. If you do not pay attention to care, it may cause some postpartum diseases. If menstruation is not continuous in the future, the most common reason is the formation of uterine diverticulum. This cause is relatively complicated. Women who have undergone cesarean section have a relatively high probability of developing uterine diverticulum.

Continuous menstruation after cesarean section

Why does a uterine diverticulum form after a cesarean section? The reasons for the formation of a uterine diverticulum are rather complicated. Nowadays, cesarean sections basically use a transverse incision at the lower end of the uterus. This incision causes less damage to the uterus, but if the thickness of the uterine muscle layer is uneven, thick at the upper end and thin at the lower end, and if the upper and lower muscle layers of the incision are not well aligned during suturing, a uterine diverticulum is likely to form.

Multiple cesarean sections increase the risk of uterine diverticulum. The blood supply to the original uterine scar from cesarean section is relatively poor. If another cesarean section is performed and sutures are done at the location of the original scar, it will affect the healing of the new scar and increase the probability of uterine diverticulum.

Data show that the probability of uterine diverticulum in women who have undergone one cesarean section is about 60%. If they have undergone two cesarean sections, the probability of uterine diverticulum will increase to 80%. The more cesarean sections you have, the greater your risk of developing a uterine diverticulum.

Uterine diverticulum is equivalent to having an extra "small room" on the uterine wall. Menstrual blood will enter this small room and come out from time to time, so it will manifest as prolonged menstruation and inability to drip cleanly. Some of them may also cause local infection and lower abdominal pain, seriously affecting women's quality of life.

For women who want to get pregnant again, this uterine diverticulum is a major hidden danger. The muscle layer at the uterine diverticulum is relatively thin. As the fetus grows during pregnancy, the thin muscle layer is unable to withstand the pressure and uterine rupture may occur. If the fertilized egg implants in the uterine diverticulum, forming a scar pregnancy, it can be very dangerous.

Pay attention to prolonged menstruation after cesarean section

If the obstetrician who performed the cesarean section on me was very skilled, could the occurrence of uterine diverticulum be avoided? Director Zheng Wei's answer was that if the obstetrician tried to do a good job of suture the uterus when suturing it, the occurrence of uterine diverticulum could be reduced, but it could not be completely avoided. He had a patient who had a cesarean section in the United States. The doctor who performed the operation on her was a world-class obstetrician. However, this patient also developed uterine diverticulum after the cesarean section. Later, she asked Director Zheng Wei to perform a scar uterine repair surgery on her.

The factors that cause uterine diverticulum are very complex. In addition to the doctor's suturing technique, it is also related to multiple factors such as the patient's uterine myometrium condition, the number of cesarean sections, etc. Therefore, in order to prevent the occurrence of uterine diverticulum, the best way is to avoid unnecessary cesarean sections. If there is a significant delay in menstruation after a cesarean section, you should be alert to the possibility of uterine diverticulum. You can go to the hospital for an ultrasound and uterine MRI examination. This problem is easy to diagnose. Uterine diverticulum can be cured through surgery. Under hysteroscopy or laparoscopy, the uterine diverticulum is removed and the uterine incision is sutured again.