Treatment of uterine adhesion after artificial abortion with traditional Chinese and western medicine

Abortion is very harmful to women and may cause various complications such as incomplete abortion, uterine perforation, abortion syndrome, adhesion of the uterine cavity or cervical os, etc. Because the uterine wall is soft during pregnancy, it is difficult to control the depth during curettage, or excessive scratching of the uterine cavity, excessive negative pressure during suction, and prolonged time can lead to postoperative uterine adhesions; at the same time, curettage during abortion is also one of the causes of cervical adhesions. If treatment is not timely, it can lead to amenorrhea, infertility, etc. in women. Therefore, early diagnosis and early treatment are very important. The main treatment methods include the following:

For those with adhesions at the cervical os, a probe can be used to penetrate the cervical canal, slowly separate the adhesions, and probe into the uterine cavity, and then a cervical dilator can be used for treatment; for those with intrauterine adhesions, a probe or dilator can be used to penetrate the uterine cavity and then swing horizontally left and right. After separating the intrauterine adhesions, an intrauterine device can be placed, and estrogen and progesterone can be given continuously to promote endometrial growth.

2. Traditional Chinese Medicine Treatment

Blood stasis: After abortion, the patient will experience less menstrual volume, dark red color, thicker texture, accompanied by lower abdominal pain, heaviness and distension that refuses to be pressed. The tongue is dark purple, the coating is thin and white, and the pulse is stringy and astringent.

Treatment method: Promote blood circulation and remove blood stasis, replenish qi and tonify kidney

Prescription: modified Bushen Huayu Decoction. The ingredients include cooked rehmannia root, eucommia bark, white peony root, Achyranthes bidentata root, astragalus root, epimedium, angelica root, safflower, Millettia reticulata, Cistanche deserticola, Cibotium barometz, and costusroot.