Will uterine perforation heal on its own?

The female uterus is the place where life is conceived and is of vital importance to women. Therefore, in daily life, we should pay attention to nourishing the uterus and preventing uterine diseases. This article introduces the problem of uterine perforation. If a woman's uterine perforation is not large, it will generally recover on its own. If the perforation is large, repair surgery may be required, depending on the individual situation. If you have any troubles in this regard, let’s take a look at it together.

1. Will uterine perforation heal on its own ?

Most uterine perforations can heal on their own, and the perforation can be closed through the contraction of the uterine myometrium muscles. Patients do not need to be overly anxious. If there is no obvious internal bleeding or damage to abdominal viscera, uterine contractions can be promoted through uterine contractions, thereby promoting the healing of perforation. If the perforation is large or damages surrounding organs, the chance of spontaneous healing is low and scars are likely to be left. If surrounding organs are perforated, laparoscopic repair may be considered. Patients with uterine perforation need to seek comprehensive consideration from a doctor to decide on a treatment plan, be careful to avoid strenuous exercise, follow the doctor's advice, and avoid more serious consequences.

2. Clinical manifestations of uterine perforation

1. Sudden pain in the lower abdomen during intrauterine surgery.

2. It is found that the depth of the instrument used entering the uterine cavity is significantly greater than the depth of the uterine cavity estimated during the examination, and there is no resistance and no resistance from the uterine wall can be felt.

3. Tenderness and rebound pain in the lower abdomen.

4. If perforation damages large blood vessels, typical symptoms of internal bleeding may appear within a short period of time, and shock may occur rapidly.

5. Parauterine mass: If the isthmus of the uterus penetrates into the broad ligament and damages the blood vessels, a hematoma may form in the broad ligament.

3. Treatment of uterine perforation

1. Conservative treatment: hospitalization and close observation. If the uterine cavity tissue has been scraped clean and there are no signs of internal bleeding, uterotonics and antibiotics can be given. If the uterine cavity tissue has not been completely sucked out, the perforation is small, there is no obvious internal bleeding, and the patient is in good condition, you can ask an experienced doctor to scrape the tissue away from the perforation and then perform conservative treatment, or perform curettage after one week of anti-infection.

2. Surgical treatment: If there are obvious signs of internal bleeding or suspected organ damage, surgery (laparotomy) should be performed immediately.

3. Principles of medication: For patients with small perforations (such as probe perforations) and no other organ damage, oral metronidazole, motherwort fluid extract or injection of oxytocin can be used. Large perforations are not suitable for drug treatment alone, especially when combined with other organ damage or internal bleeding, surgical treatment is required.