Causes and treatment of mild intrauterine adhesions

I don’t know if you female friends have ever heard of this term - intrauterine adhesion. Let me explain to you: Intrauterine adhesion is an organic disease that is extremely harmful. It can not only cause amenorrhea, infertility and habitual abortion in women, but also is ineffective with medication and must be treated surgically. Today, I will talk to you about the causes of mild intrauterine adhesions and some surgical treatments.

Causes of mild intrauterine adhesions: Mild intrauterine adhesions are a pathological phenomenon in which partial or complete adhesions form after the endometrium is damaged. About 90% of intrauterine adhesions are caused by excessive curettage. A few cases are caused after acute endometritis and sometimes coexist with adenomyosis. Intrauterine adhesions are extremely harmful and should be treated early once discovered. Intrauterine adhesions can cause 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. Intrauterine adhesions can also cause cyclical 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. Severe intrauterine adhesions can cause 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.

How to treat mild intrauterine adhesions:

1. Dilate with the dilator rod and insert the intrauterine contraceptive device after dilation. However, this surgery is blind and cannot completely restore the original uterine cavity shape, and the incidence of re-adhesion is high.

2. Use an electric knife to separate adhesions under hysteroscopy. However, electrocautery can easily cause new trauma and a new round of adhesions, making the original condition worse. Regarding estrogen, a large amount of exogenous hormones entering the body will inhibit the production of endogenous hormones and may not be effective in preventing adhesions.

3. Intrauterine adhesions can be treated by hysteroscopic cold knife or plasma separation under the monitoring of electronic laparoscopy. After the operation, a biological pear-shaped anti-adhesion stent can be placed to prevent recurrence of adhesions and achieve good results. For patients with particularly severe adhesions, alloendothelial transplantation combined with pear-shaped stent can be used.

Mild intrauterine adhesion is a disease that is extremely harmful to women and cannot be treated with medication. Therefore, the editor reminds all female friends to pay more attention to their physical condition. If you find mild intrauterine adhesion, you should seek treatment as soon as possible. I hope my sharing will be helpful to you all. I also hope that everyone is in good health.