Does mild intrauterine adhesion require surgery?

Uterine adhesions prevent sperm from fusing with eggs, and fertilized eggs from implanting and growing, which often leads to infertility. Some women are able to get pregnant, but end up with repeated miscarriages. Therefore, mild intrauterine adhesions should be treated actively. So, does mild intrauterine adhesion require surgery? Let's have a simple understanding and knowledge of this issue below. I hope the following points will be of some help to everyone!

Treatment of intrauterine adhesions

1. General treatment: first eliminate the patient's mental concerns, enhance the patient's confidence in treatment, improve nutrition, exercise, pay attention to reasonable time management, and enhance the body's resistance.

2. Chinese medicine abdominal injection therapy: According to the pathogenesis of intrauterine adhesions, we use high technology, apply Chinese medicine syndrome differentiation and treatment, and combine unique Chinese medicine prescriptions to promote the absorption and disappearance of inflammation.

3. Hysteroscopic treatment: The use of hysteroscopy in clinical medicine can help treat some difficult gynecological diseases in a visual, simple and safe way. It can not only distinguish the level and type of adhesion, but also the toughness of adhesion. Membranous adhesions and fibromuscular adhesions can be separated under hysteroscopy or removed surgically.

Intrauterine adhesion test

1. Growth hormone test: For patients who do not have menstruation after curettage, if they are given copper corpus luteum or copper corpus luteum estrogen test, and there is no withdrawal bleeding, the possibility of intrauterine adhesion should be considered. If accompanied by regular abdominal pain or B-ultrasound shows fluid shadows in the uterine cavity, the possibility of adhesion of the cervical os may be considered.

2. Ultrasound: Intravaginal B-ultrasound examination has been increasingly used to diagnose intrauterine adhesions due to its minimally invasive advantages. If intravaginal B-ultrasound shows thin endometrium, interrupted endometrial lines, and irregular fluid shadows in the uterine cavity, further examination is needed to eliminate the possibility of intrauterine adhesions. Three-dimensional intravaginal ultrasound is an ultrasonic diagnostic technology that has developed rapidly in recent years. It can display the three-dimensional shape of the uterine cavity, so it is more sensitive to mild intrauterine adhesions than basic two-dimensional intravaginal B-ultrasound. Three-dimensional B-ultrasound imaging is more intuitive, vivid and non-invasive, and is likely to become the preferred method for diagnosing intrauterine adhesions.

3. Hysterography: HSG is a common test for diagnosing intrauterine adhesions. If the HSG film shows that the intrauterine cavity is filled with damaged tissue, it indicates the possibility of intrauterine adhesion. However, HSG has certain limitations because it is traumatic, has a high false-positive rate, and cannot distinguish the type of adhesions.

4. Hysteroscopy: Hysteroscopy is still the gold standard for diagnosing intrauterine adhesions. Under hysteroscopic observation, the scope and type of intrauterine adhesions can be clearly identified, which is conducive to corresponding surgical treatment. According to the degree of blockage in the uterine cavity, especially the extent of adhesion between the bilateral fallopian tube ostium and the uterine fundus, it can be divided into three degrees: (1) Mild: less than 1/4 of the uterine cavity, with high-density adhesions, only a small amount of adhesions on the uterine fundus and the bilateral fallopian tube ostium or not extended; (2) Mild to moderate: no more than 3/4 of the uterine cavity has adhesions, but the uterine wall is not adhered, and the uterine fundus, that is, the bilateral fallopian tube ostium, is partially blocked; (3) Moderate to severe: more than 3/4 of the uterine cavity has firm adhesions, the uterine wall is adhered, and the bilateral fallopian tube ostium and the uterine fundus are adhered.