What to do if uterine adhesions occur after miscarriage

After a miscarriage, a woman's body is relatively weak, and miscarriage, especially some complications caused by artificial abortion, or uterine cavity infection, may cause uterine adhesions, so it is necessary to pay attention to correct treatment, and try to avoid abortion surgery in life.

1. Uterine cavity adhesion refers to the partial or complete adhesion of the anterior and posterior walls of the uterine cavity, causing the uterine cavity to narrow or disappear.

Intrauterine adhesions are mainly caused by damage to the basal layer of the endometrium due to surgery or pathological changes. They occasionally occur after vacuum extraction or curettage. Endometrial tuberculosis, severe intrauterine infection, myomectomy or laparotomy can all damage the endometrium and cause intrauterine adhesions.

2. Clinical manifestations

1. Secondary oligomenorrhea and amenorrhea. 2. Oligomenorrhea, amenorrhea and cyclical abdominal pain after abortion or curettage. 3. Infertility. Diagnostic basis: 1. The above main symptoms and signs.

2. When exploring the uterine cavity, the patient feels that it is narrow or cannot be explored. 3. Uterine iodized oil contrast examination shows that the uterine cavity is only partially filled or not filled at all. Treatment principles 1. Use a cervical dilator or probe to separate adhesions. 2. Separate adhesions under direct hysteroscopy.

3. After separation of adhesions, an IUD is placed in the uterine cavity for 3 to 6 months to prevent adhesions from occurring again. 4. Artificial cycle treatment can be given after surgery for 2-3 cycles.

Principles of medication: After surgical separation of adhesions, this disease is often treated with intrauterine contraceptive ring placement, and artificial cyclic treatment with estrogen and progesterone as appropriate.

III. Evaluation of therapeutic efficacy 1. Cure: Adhesions are completely separated and symptoms disappear. 2. Improvement: Symptoms are alleviated. 3. Not healed: Adhesions still exist and symptoms have not improved.

Experts suggest that intrauterine suction curettage should not be performed excessively to avoid damaging the basal layer of the endometrium. Adhesions should be separated sufficiently, and after separation, an intrauterine contraceptive device should be placed simultaneously and artificial cycle treatment should be adopted.