What are the early symptoms of intrauterine adhesions?

Women need to pay attention to the problem of intrauterine adhesions, because it will not only affect their reproductive health, but may also cause infertility. Therefore, it is necessary to understand the symptoms, such as amenorrhea, oligomenorrhea, or repeated miscarriage and premature birth.

1. Symptoms vary depending on the location of adhesions , but the main symptoms are amenorrhea with cyclical abdominal pain, oligomenorrhea, and secondary infertility after repeated artificial abortions or curettage.

(1) Amenorrhea (or oligomenorrhea) Patients with complete uterine adhesion may experience amenorrhea, which may last for a long time, and treatment with estrogen and progesterone does not cause withdrawal bleeding. Partial adhesion of the uterine cavity and/or partial destruction of the endometrium will result in scanty menstruation but normal menstrual cycles.

(2) Cyclic abdominal pain usually occurs about one month after an artificial abortion or curettage, with sudden spasmodic pain in the lower abdomen. More than half of patients experience an anal distension. Some patients experience severe abdominal pain, restlessness, difficulty moving, and even painful gas and bowel movements, and sometimes a feeling of urgency and heaviness in the abdomen. The pain usually lasts for 3 to 7 days before gradually subsiding and disappearing. About a month later, cyclical abdominal pain occurs again and gradually worsens.

(3) Infertility, recurrent miscarriage and premature birth. Secondary infertility is prone to occur after uterine cavity adhesion, and even if pregnancy occurs, recurrent miscarriage and premature birth are prone to occur. Due to adhesions in the uterine cavity, damage to the endometrium, and reduction in uterine volume, the normal implantation of the embryo is affected. And affect the fetus's survival in the uterine cavity to full term.

2. Signs: There is tenderness in the lower abdomen . In severe cases, there is rebound pain and even resistance to pressure. Gynecological examination revealed that the uterus was normal in size or slightly larger and softer, with obvious tenderness and sometimes cervical tenderness. Bilateral adnexa examination showed that the uterus was normal in mild cases, tenderness or thickening in severe cases, or a mass could be palpated. The posterior fornix could be tender, and even dark red blood that did not coagulate could be drawn out by puncturing the posterior fornix. Therefore, it is called ectopic pregnancy-like syndrome.