How to prevent adhesion after uterine curettage?

How to prevent adhesion after uterine curettage?

Curing is a very scary treatment for women. It is mainly used to clean foreign objects in the uterine cavity, including cleaning residual tissues after miscarriage, etc. The effect of curing is very good and generally does not cause side effects to the body. However, curing may also have adverse effects on the uterus. For example, uterine adhesion is a common phenomenon after curing. Let’s take a look at how to prevent adhesion after curing.

Intrauterine adhesions refer to extensive adhesions in the uterine cavity, which are common after miscarriage or rough curettage. Uterine adhesions can cause amenorrhea and endometriosis. Secondary infertility and subsequent pregnancy may cause miscarriage.

The main symptoms of intrauterine adhesions are amenorrhea or oligomenorrhea after artificial abortion. It is often accompanied by cyclical abdominal pain and secondary infertility. Menstrual disorders are seen in almost all cases. Of the 116 cases reported, 106 had amenorrhea and 7 had oligomenorrhea. Cyclic abdominal pain is mainly caused by adhesions in the uterine cavity, especially adhesions of the internal os of the cervix, which form stenosis and prevent menstrual blood from flowing out, causing menstrual blood to be retained in the uterine cavity or flow back into the fallopian tubes and abdominal cavity. The pain is located in the lower abdomen and is most severe during menstruation. Secondary infertility also accounts for a considerable proportion. It was reported that 141 out of 192 patients were infertile and 51 had recurrent miscarriages. In addition, physical examination may reveal that the uterus is slightly enlarged and tender, and about half of the patients experience cervical pain when pulled out.

Intrauterine adhesions are completely preventable. As long as you strictly follow the suction curettage operation procedures and pay attention to the following points, you can avoid the occurrence of intrauterine adhesions.

Several ways to prevent intrauterine adhesions:

(1) The patient’s chronic cervicitis and endometritis should be actively treated before surgery to prevent postoperative infection.

(2) The cervix should not be dilated roughly and the dilator should not be skipped to avoid damaging the cervical canal.

(3) The negative pressure during suction should be appropriate, and the negative pressure should be closed when entering and exiting the cervix.

After treatment, most symptoms of intrauterine adhesions are alleviated, and 30-60% of women can recover their fertility, but some sequelae are often left behind. The general purpose of treatment is to release adhesions and prevent re-adhesion after release. Adhesions can be released by separating them with a probe or a small dilator. In recent years, hysteroscopy has been used to release adhesions with good results. To prevent further adhesions, intrauterine contraceptive devices are often placed. Some people also use cortical hormones to prevent fibrosis, or use estrogen and progesterone for artificial cycles to stimulate endometrial growth and prevent further adhesions in the uterine cavity.

<<:  If I get pregnant again after two months of curing the uterus, can I keep the baby?

>>:  Does it hurt to have a uterine curettage immediately after medical abortion?

Recommend

Can I have sex in the first month of pregnancy?

A woman's body is the most unstable in the fi...

What to do if there is no dominant follicle during ovulation

If a woman wants to get pregnant successfully, sh...

What are the symptoms of hypoglycemia in women?

Some female friends may suddenly faint after suff...

What is amniotic band syndrome?

Amniotic band syndrome is still relatively common...

How to jump rope to promote ovulation?

Nowadays, many women want to increase their ovula...

What are the reasons why women often have headaches?

Some women will experience headaches during menst...

The milk is coming back and it hurts and there are lumps

When children are weaned, many mothers experience...

Pregnant women giving birth

Women are very happy and contented after becoming...

I got pregnant after drinking every day

In daily life, not only many men have the habit o...

How to relieve excessive eye strain during confinement

During the confinement period, the body is more s...

Do you always want to check your partner's phone? It may be your hormones

Review expert: Chen Mingxin, national second-leve...

Pain in vagina during pregnancy

If you experience vaginal pain during the eighth ...

Will I have back pain during the fifth or sixth day of pregnancy?

Women are very prone to problems in the early sta...