Talking about the blockbuster on the road to pregnancy

Ms. Wang has been married for more than 3 years, and has undergone abortion operations two years ago.Half a year after the operation, she found that the menstrual flow was less than before, and she could not be pregnant.She was anxious to go to the hospital for treatment, and was diagnosed with uterine cavity adhesion after examination.She asked: "Do you, what is the disease of the uterine cavity? Can you cure it? Can I still get pregnant in the future?" There are still many patients similar to Ms. Wang.Today, I will tell you about this stop on the road to pregnancy -the uterine cavity adhesion.

Repeated abortion Be careful of uterine cavity adhesion

In the depths of the pelvic cavity, there is a sacred palace, where the embryo bed and growth and development, it is the uterus.Like the clouds of the moon, under the action of the ovarian secretion, the small endometrium also interprets the changes in the hyperplasia period, secretion period, and menstrual period every month.But one day, this calm was broken.Due to the plan to be pregnant or stopped, women have to accept artificial abortion, curettage, etc., trauma and infection cause the soft and sensitive endometrium to be seriously damaged.The adhesion healing causes the uterine cavity to stenosis and even atresses.The incidence of artificial abortion has gradually risen in recent years.The number of artificial abortion in my country exceeds 13 million cases/year.Studies have shown that the uterine cavity adhesion after multiple abortion accounted for 56%to 90%of the total uterine adhesion, which seriously threatened the physical and mental health of women.

Uterine cavity adhesion can cause infertility

The uterine adhesion is a common disease in gynecological and reproductive clinics.Decreased menstruation or amenorrhea is the most common symptom.Women with light adhesion may not have obvious symptoms.If a adhesive obstruction occurs in menstrual debut, dysmenorrhea or periodic abdominal pain will occur.If the uterine cavity adhesion produces scars, the shape of the uterine cavity will be abnormal, which will affect the bed and development of the embryo, which can lead to secondary infertility and premature birth.Circles such as postpartum hemorrhage seriously affect the health of women of childbearing age.

What diagnosis does uterine adhesion depend on

If there is no menstrual tide after the uterine cavity surgery, and periodic abdominal pain occurs, the possibility of adhesion should be considered.Abdominal pain occurs during the expected menstrual period. When you go to the hospital for examination, ultrasound often manifests in a hydraulic dark area in the uterine cavity, and further prompts cervical tubular adhesion.If the menstrual flow is reduced, the ultrasound prompts that the endometrium or endometrial interruption, then the possibility of adhesion of the uterine cavity is very high.These situations need to be diagnosed by hysteroscopy.

If there is a need for fertility, treatment should be treated as soon as possible

Not all uterine adhesion requires surgical treatment.This disease can affect fertility, but it is not fatal. Therefore, for patients with no fertility, in addition to suspecting that there are surgical treatment with menstrual flow obstruction, the rest can choose drug treatment or regular review.But if you still want to have children, once he is highly doubted that there is uterine adhesion, you need to treat it as soon as possible.The current treatment methods include surgery and drugs, which are indispensable for both.The treatment of uterine cavity adhesions requires experienced doctors to diagnose and deal with in order to achieve the ideal results.

Text: Lin Ziqi Yang Qing, Affiliated to Shengjing Hospital of China Medical University

Edit: Liu Yang Xu Bingnan

Review: Cao Zheng

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