What are the symptoms of uterine adhesions after a painless abortion?

Uterine adhesion refers to the partial or total adhesion of the front and back walls of the uterine cavity to each other, so that the uterine cavity becomes narrower or disappears. Uterine cavity adhesion is mainly due to surgical or pathological changes in the endometrial basal layer of the endometrium due to damage, occasionally after suction or scraping, endometrial tuberculosis, severe uterine cavity infection, fibroid removal or caesarean section surgery, can damage the endometrium, the occurrence of uterine cavity adhesion.

Clinical manifestations

1. Secondary menorrhagia and amenorrhea. 2. post abortion or curettage menorrhagia, amenorrhea with cyclic abdominal pain. 3. infertility.

Diagnostic basis

1. The main symptoms and signs mentioned above. 2. Narrow or inaccessible uterine cavity when exploring the uterine cavity. 3. Iodine oil imaging of the uterus, which shows that the uterine cavity is only partially filled or not filled at all.

Treatment principles

1. Separation of adhesions with cervical dilator or probe. 2. Separate the adhesions under the direct vision of hysteroscope. 3. After separating the adhesions, a birth control device is placed in the uterine cavity for 3￣6 months to prevent recurrence of adhesions. 4. After the operation, artificial cycle therapy can be given for 2-3 cycles.

The principle of medication is that after surgical separation of adhesions, the intrauterine placement of a sterilization ring is often used, and artificial cycle therapy with estrogen and progesterone is used as appropriate.

Auxiliary examination of this disease can be correctly diagnosed by choosing "A" examination, and if the diagnosis cannot be confirmed by "A" examination, "B" or "C" examination can be chosen. "It is a very good idea to have a good time with your family and friends.

Evaluation of the efficacy of treatment

1. Cure: complete separation of adhesions and disappearance of symptoms. 2. Improved: symptoms are reduced. 3. Uncured: adhesions still exist, no improvement in symptoms.

Experts suggest that hysterosalpingography should not be overdone to avoid damage to the endometrial basal layer. Separation of adhesions should be sufficient, after separation should be placed at the same time IUD and artificial cycle treatment.