Treatment of adhesions in the uterine cavity or cervical os after artificial abortion

Abortion is very harmful to women. Patients may experience various complications after the operation, such as incomplete abortion, uterine perforation, abortion syndrome, adhesion of the uterine cavity or the cervical os, etc. If the patient has amenorrhea or oligomenorrhea after abortion, accompanied by periodic lower abdominal distension and pain, or uterine enlargement and blood accumulation, adhesion of the uterine cavity or the cervical os should be considered.

Adhesions in the uterine cavity or the cervix are mainly caused by rough suction, repeated operations on the cervix, repeated in and out of the cervix with negative pressure, and healing of endometrial and cervical infections. When treating adhesions in the cervix, a probe should be used to penetrate the cervical canal, slowly separate and probe into the uterine cavity, and dark red, viscous menstrual blood can be seen flowing out. After the accumulated blood has drained away, the cervix can be dilated with a suitable type of cervical dilator.

For patients with intrauterine adhesions, a probe or a dilator of appropriate size can be inserted into the uterine cavity and then swung horizontally left and right to separate the intrauterine adhesions, or the adhesions can be separated under direct vision of the hysteroscope. After the adhesions are separated, an intrauterine contraceptive device can be placed, and artificial cyclic therapy can be used for 2 to 3 cycles starting on the day of separation.

It should also be noted that if the patient does not pay attention to treatment, uterine infection may occur. In severe cases, it may spread to the pelvic cavity, abdominal cavity and even the whole body, complicated by pelvic inflammatory disease, peritonitis, etc. Therefore, patients need to use antibacterial drugs to prevent infection after separation surgery.

TIPS-artificial cycle therapy simulates the production of female sex hormones (estrogen and progesterone) in the human body during the normal menstrual cycle. By artificially administering exogenous sex hormones, the estrogen and progesterone in the patient's body conform to the rules of the normal menstrual cycle, thereby achieving the purpose of regulating the menstrual cycle.