Is scanty menstruation caused by uterine adhesions?

If a woman finds that her menstrual flow is too little, she should pay attention to correct judgment and understanding, because too little menstrual flow is not necessarily caused by intrauterine adhesions, but intrauterine adhesions may also show symptoms of little menstrual flow. The most important thing is to pay attention to examination.

1. What is intrauterine adhesion?

The normal uterine cavity has a certain amount of space, which can accommodate about 5 ml of liquid. The uterine cavity is lined with the endometrium. If the endometrium is damaged due to disease (such as endometrial tuberculosis, endometritis) or uterine surgery (such as curettage, abortion, etc.), adhesions will occur in the uterine cavity where there was originally space.

Mild adhesions will form some membrane-like or wispy substances in the uterine cavity, which will have little effect on menstruation and may even be unnoticeable. Severe adhesions can cause complete destruction of the endometrium, resulting in extreme reduction of menstruation or even amenorrhea.

2. Why does intrauterine adhesion affect menstruation?

Menstruation is essentially the regular shedding of the uterine lining. Therefore, normal endometrium is a prerequisite for normal menstruation. When intrauterine adhesions occur, the endometrium is destroyed and replaced by some scar tissue or inactive fibrous tissue. When normal endometrial tissue is reduced or even destroyed, the amount of natural menstruation will change.

3. How to diagnose and treat intrauterine adhesions?

If there is a decrease in menstruation or even amenorrhea, and the problem of sex hormone secretion is ruled out, then the problem of intrauterine adhesion should be considered. For patients with a history of endometrial tuberculosis or intrauterine surgery, intrauterine adhesions should be considered first. Hysteroscopy is the best and most accurate means to diagnose intrauterine adhesions.

Hysteroscopy can both diagnose and treat intrauterine adhesions. Under direct hysteroscopy, the doctor can use instruments to separate and open the adhesions and try to restore the normal uterine cavity structure. In order to prevent adhesions from reoccurring after surgery, it may be necessary to place an IUD in the uterine cavity or use large doses of estrogen to promote the repair and growth of the endometrium.