How to determine if there is uterine adhesion?

The most important thing to determine whether the uterus is adhered is the menstrual period. If the period comes on time every month, the menstrual flow is normal, and there is no abdominal pain, it means that the uterus is intact and there is no adhesion. However, if the menstruation does not come for a certain period of time, for example, for a month or even a month and a half, and is accompanied by abdominal pain, intrauterine adhesions may have occurred. Therefore, the most important thing is to observe the menstrual period, the time of the menstrual period, the characteristics of the menstrual period, and whether it is accompanied by abdominal pain.

It is recommended that patients undergo a B-ultrasound examination to determine whether the intrauterine line is flat and whether there is blood accumulation in the uterine cavity, so as to help determine whether there is uterine adhesion. It is also important to understand whether the patient has a history of intrauterine surgery, such as repeated abortions or cervical conization, and medical records of surgeries that may cause cervical and intrauterine adhesions, in order to understand the condition of intrauterine adhesions.

Cervical adhesions are adhesions of the uterine wall, which can be distinguished based on the following aspects:

1. Menstrual flow gradually decreases or menstruation stops;

2. Color Doppler ultrasound examination: Clear ultrasound can detect adhesions in the uterine cavity. The uterine wall becomes soft or does not grow and develop, indicating the presence of intermittent adhesions;

3. Hysteroscopy is the best way to check. Through hysteroscopy, the shape of the endometrium in the uterine cavity can be grasped, and the location, level and size of the uterine wall adhesions can be found, including whether the bilateral fallopian tubes are open. It is the most intuitive way to check uterine wall adhesions.

4. Hysterography can indirectly diagnose whether there is adhesion of the uterine wall and whether there is stenosis in the uterine cavity;

5. MRI can determine the thickness of the uterine wall, but the cost is relatively high.

In clinical medicine, to determine whether there is adhesion in the uterine cavity, it is mainly necessary to combine medical history, clinical symptoms, B-ultrasound examination, and comprehensive analysis to obtain a basic diagnosis. Intrauterine adhesions usually occur in patients with a history of actual intrauterine operations, such as abortion, curettage, or diagnostic curettage. After the operation, the main symptom was a significant decrease in menstrual volume, which was 1/3 less than before; B-ultrasound examination found that the uterine wall was thin, and some areas had uneven echoes. Combining these types of examinations, it can be determined that there is a possibility of intrauterine adhesion. The adhesion needs to be separated under hysteroscopy, and an IUD should be inserted at the same time to prevent re-adhesion. After the operation, Progynova should be taken orally for 3 months.