How long does it take to have menstruation after intrauterine adhesion surgery?

Because women have some special organs in their bodies, their chances of developing diseases are obviously higher than men. Take the female uterus for example. There is no uterus in the male body, so only women suffer from uterine diseases. Intrauterine adhesion is one of the common diseases in women clinically. For the treatment of this disease, surgery is definitely the best option. So, how long does it take to get menstruation after intrauterine adhesion surgery?

Intrauterine adhesion is a minor operation, not a major operation, and the success rate is very high. However, it should be noted that if the recovery is not good, it is easy to relapse. Whether pregnancy can be achieved depends on the patient's recovery degree. After recovery, the patient needs to prevent reinfection.

Generally speaking, after completing hysteroscopic treatment, pregnancy can be achieved normally after one menstrual cycle. This disease will not affect pregnancy after it is cured. However, some doctors suggest waiting for half a year after recovery when the condition stabilizes before considering pregnancy.

Causes

Endometrial damage is a necessary condition for intrauterine adhesions, and its causes are miscarriage, infection and iatrogenic injury.

(1) During pregnancy, the uterus becomes fragile, and the endometrium and the underlying layer are more easily injured; after pregnancy surgery (including abortion, curettage, etc.), the estrogen level decreases, affecting endometrial hyperplasia. Uterine injury during pregnancy (accounting for 90%), including abortion (induced abortion, incomplete/missed abortion), postpartum hemorrhage, retained placenta, cesarean section and gestational trophoblastic disease trauma.

(2) Intrauterine adhesions may also occur during other non-pregnancy periods, such as during diagnostic curettage. Occurs during the non-pregnancy period: after curettage, myomectomy, cervical biopsy or polypectomy, and after radium irradiation. Patients who have undergone hysteroscopic surgery, such as mediastinectomy, submucosal myomectomy, bilateral uterine artery embolization, and uterine artery ligation for postpartum hemorrhage.

(3) Infection: The most common infection is endometrial tuberculosis. Chronic or subacute endometritis may also lead to intrauterine adhesions.

(4) Others: Related to abnormal development of the Müllerian duct, especially septate uterus.

(5) Genetic factors: The disease is related to genetic factors.

Clinical manifestations

There are no typical symptoms for intrauterine adhesions, and the main symptoms are changes in menstruation, scanty menstruation, even amenorrhea, dysmenorrhea and other symptoms. Some patients are also diagnosed with infertility or recurrent miscarriage during medical examinations. Intrauterine adhesions are divided into five degrees according to the degree of adhesion.

Grade I: There are multiple fibrous adhesions in the uterine cavity, and the uterine horns and fallopian tube openings on both sides are normal.

Grade II: There are dense fibrous adhesions between the anterior and posterior walls of the uterus, and the uterine horns and fallopian tube openings on both sides are visible.

Grade III: Fibrous adhesions cause partial uterine cavity and one side of the uterine cornu atresia.

Grade IV: Fibrous adhesions cause partial closure of the uterine cavity and both uterine corners.

VA: Scarring of adhesions causes extreme deformation and narrowing of the uterine cavity.

Ⅴb adhesion band scarring causes complete obliteration of the uterine cavity.

Adhesion classification: ① According to the location: simple cervical adhesion; cervical and uterine cavity adhesion; simple uterine cavity adhesion; ② According to the location of adhesion: central type; peripheral type; mixed type; ③ According to the range of adhesion: mild <1/4 uterine cavity; moderate >1/4 uterine cavity, <1/2 uterine cavity; severe >1/2 uterine cavity.