The optimal surgical time for intrauterine adhesions

  Uterine adhesions usually occur in women undergoing abortion or gynecological surgery. The main symptoms of uterine adhesions are infrequent menstruation and abdominal pain. In severe cases, it can lead to infertility, and everyone must take it seriously. Uterine adhesions can be treated. When is the optimal surgical time for uterine adhesions?

  

The optimal surgical time for intrauterine adhesions1

  The optimal surgical time for intrauterine adhesions

  Surgery for intrauterine adhesions is generally best performed 3-7 days after menstruation in women. There are various clinical manifestations of intrauterine adhesions, such as amenorrhea, oligomenorrhea, dysmenorrhea, recurrent miscarriage, and infertility. The diagnostic criteria include medical history, uterine probe test, uterine iodine oil imaging, and hysteroscopy examination. After diagnosis, how much do you know about the widely accepted treatment method of intrauterine adhesion separation surgery?

  The main method for separating intrauterine adhesions is hysteroscopy therapy, which can be used in clinical practice to solve some difficult gynecological diseases intuitively, simply, and safely. Not only can it determine the degree and type of adhesion, but it can also assess the toughness of the adhesion.

  For membranous adhesions and fibromuscular adhesions, they can be separated under hysteroscopy or surgically removed, while for connective tissue like dense adhesions, electrocautery separation surgery should be performed under B-ultrasound monitoring. After surgery, an intrauterine device should be placed to prevent re adhesion, and estrogen and progesterone should be administered continuously to promote endometrial growth. Restore menstrual flow to patients, and some patients may become pregnant again.

  The hazards of intrauterine adhesions

  1. Oligomenorrhea and amenorrhea: Uterine adhesions can lead to amenorrhea, accounting for about 60% -90% and lasting for a long time.

  2. Periodic abdominal pain: One month after surgery, there may be sudden lower abdominal pain, a feeling of heaviness in the anus, restlessness, and difficulty moving. The pain lasts for 3-7 days and occurs periodically.

  3. Female infertility: secondary infertility or recurrent miscarriage, premature birth. Due to adhesions in the uterine cavity and damage to the endometrium, the volume of the uterus decreases, affecting normal embryo implantation and leading to infertility. Even if conception occurs, it also affects the growth and development of the implanted embryo and fetus, resulting in miscarriage and premature birth.

  The optimal surgical time for intrauterine adhesions is 3-7 days after menstruation. Hysteroscopy therapy is commonly used for intrauterine adhesions to help women successfully resolve the adhesions and achieve their desire to conceive again. If you are diagnosed with intrauterine adhesions, you can go to the hospital for hysteroscopic surgery to separate them, and get pregnant as soon as possible after the surgery to avoid re adhesion.

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