There are more and more patients with gradually decreased menstruation, and it has extended to most women. Women do not care about the decreased menstruation for no reason, especially women between 30 and 40 years old. They will think that they have passed the childbearing age and the decreased menstruation is a normal phenomenon. Over time, they will forget the problems caused by the decreased menstruation. Long-term decreased menstruation will not only cause amenorrhea, but may also cause pelvic inflammatory disease and intrauterine adhesions, which require timely diagnosis and examination. Reduced menstruation - be careful of intrauterine adhesions If you used to have normal menstruation but later developed oligomenorrhea or even amenorrhea, be careful of intrauterine adhesions. At present, there are more and more patients with reduced menstruation. The possible causes of reduced menstruation are endocrine disorders, ovarian dysfunction, life stress, uterine infertility, and endometrial damage leading to uterine adhesions. Causes of intrauterine adhesions: The cause of intrauterine adhesion is damage to the endometrium. The following factors may damage the endometrium: artificial abortion, curettage, uterine curettage, placenta adhesion, placenta implantation, endometritis, uterine artery embolization interventional treatment, endometrial tuberculosis, etc. If you have undergone the above-mentioned surgeries or have a medical history, and currently have decreased menstruation or even amenorrhea, it is recommended that you go to the hospital as soon as possible to rule out the possibility of intrauterine adhesions. Diagnosis of Intrauterine Adhesions: Intrauterine adhesions can be initially diagnosed through B-ultrasound and hysterography, but only hysteroscopy can confirm the diagnosis, and hysteroscopy can also evaluate the severity of adhesions. According to the severity of intrauterine adhesions, adhesions are usually divided into mild, moderate and severe. Treatment of intrauterine adhesions: 1. For mild intrauterine adhesions, the doctor will usually cut them open directly with scissors during hysteroscopy, and there is no need for elective surgery. 2. Moderate to severe intrauterine adhesions usually require hospitalization and hysteroscopy with electrocautery, laser incision, or scissor incision. Effect of surgery for intrauterine adhesions: The surgical effect of mild adhesion is good, while that of moderate to severe adhesion is poor. Only a few can resume normal menstruation and a few can have normal pregnancy. It is one of the main causes of infertility today. Factors that affect surgical results: 1. The more severe the adhesion, the worse the effect. 2. The causes of adhesions are different and the effects are different. The effect of intrauterine adhesions caused by endometrial tuberculosis after uterine artery embolization intervention is the worst. 3. The skills of the surgeon. The better the skills, the less damage to the endometrium during the operation and the better the effect. 4. Postoperative care and application of anti-adhesion measures. |
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