Be careful! These symptoms suggest that you have intrauterine adhesions, don't ignore them

Menstruation becomes less and less frequent, or even stops coming altogether, pregnancy is difficult to conceive, miscarriage is easy, and there is periodic lower abdominal pain...these may all be caused by "intrauterine adhesion".

Recently, several girls with similar symptoms were admitted to the Department of Gynecology of Hunan Provincial Hospital of Traditional Chinese Medicine. They usually had light menstrual flow and dysmenorrhea; they had been trying to get pregnant for many years but were still infertile. After examination, it was found that the environment in their uterine cavity was like a "Pansi Cave".

It turns out that the culprit for their infertility is intrauterine adhesion. So what is intrauterine adhesion? Let the gynecologist explain it to you!

1. What is intrauterine adhesion?

Intrauterine adhesions are a series of syndromes caused by various factors that damage the basal layer of the endometrium, resulting in partial or complete blockage of the uterine cavity. Intrauterine adhesions are truly a "three-high" disease: high incidence, high infertility rate, and high recurrence rate.

2. Causes of intrauterine adhesions:

Pregnancy (90%)

1. Abortion: artificial abortion, incomplete abortion

2. Missed abortion and cesarean section

3. Postpartum hemorrhage

4. Placenta Retention

5. Gestational trophoblastic disease trauma

Non-pregnancy (10%)

1. Various traumatic operations and surgeries through the uterine cavity

2. Uterine artery embolization or uterine vascular occlusion

3. Inflammation: endometrial tuberculosis, endometritis

4. Genetic predisposition

3. In what situations should we be alert to intrauterine adhesions?

1. Patients with regular menstruation in the past, but no menstruation after abortion or weaning, accompanied by periodic lower abdominal pain;

2. Decreased menstrual flow after artificial abortion or medical abortion and curettage;

3. A history of intrauterine surgery, combined with infertility or recurrent miscarriage;

4. Previous history of endometritis and pelvic tuberculosis, decreased menstrual volume;

5. Ultrasound has repeatedly shown that the endometrium is thin.

When any of the above situations occur, seek medical attention promptly for early diagnosis and early treatment!

4. How to treat intrauterine adhesions?

The treatment plan for intrauterine adhesions is to loosen the adhesions. Hysteroscopic adhesion loosening is a safe and reliable plan. However, not all patients need treatment.

Important things should be said three times! Patients with intrauterine adhesions who have no clinical symptoms and no fertility requirements do not need surgical treatment! Some patients may think that small menstrual volume will lead to premature aging, which is a misunderstanding. Intrauterine adhesions do not affect ovarian function.

Patients who do not desire to have children but have pelvic pain, dysmenorrhea or intrauterine blood require surgical treatment.

If intrauterine adhesions lead to fertility problems, active hysteroscopic treatment is necessary.

5. How to effectively prevent intrauterine adhesions?

1. Regular gynecological examinations, once every six months or a year, can detect abnormalities in time;

2. Avoid unclean sex, pay attention to menstrual hygiene, and do not have sex during menstruation. At the same time, the man should also cooperate in the examination of reproductive system diseases;

3. If you are not ready for pregnancy, take contraceptive measures during sex to avoid accidental pregnancy. If an artificial abortion or mid-term induced labor is required for an accidental pregnancy, a regular medical institution should be selected to ensure the safety of the operation.

4. Genital tract inflammation should be actively treated before uterine cavity surgery to prevent postoperative infection.

5. After the operation, cooperate with traditional Chinese medicine to nourish the kidney and regulate menstruation, promote blood circulation and remove blood stasis, and promote the growth of endometrium.

6. Electrical stimulation of the pelvic floor muscles promotes pelvic blood circulation and is also helpful for the growth of the endometrium.

At present, the diagnosis of intrauterine adhesion is not difficult. When the endometrium is severely traumatized, it is quite difficult to repair it. Prevention is far more important than treatment. The endometrium is very delicate. Please cherish our uterus, do a good job of contraception, try to use efficient contraceptive methods, stay away from unwanted pregnancy, protect yourself, and take action.

Hunan Medical Chat Special Author: Liu Qian, Department of Gynecology, Hunan Provincial Hospital of Traditional Chinese Medicine

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(Edited by ZS)