How to treat intrauterine adhesions after cesarean section

How to treat intrauterine adhesions after cesarean section

The best treatment for intrauterine adhesions after cesarean section is surgical separation of adhesions combined with postoperative comprehensive therapy, such as medication, physical therapy or assisted reproductive technology, to promote uterine cavity repair and functional recovery.

Intrauterine adhesions after cesarean section are mostly caused by postpartum infection, incomplete placental removal or abnormal healing of uterine wounds. Surgical separation is the main treatment method, and hysteroscopic surgery is recommended, which can accurately and directly separate adhesions and protect normal uterine cavity tissue. Mild adhesions can be separated by simple hysteroscopy, and moderate adhesions and above are recommended to be combined with uterine stents or intrauterine cavity fillers to prevent re-adhesion. Hormonal drugs (such as estrogen + progesterone regimen) are required after surgery to promote endometrial repair, and antibiotics are used to prevent infection. Physical therapy such as red light irradiation and Bohm lamp can also assist in anti-inflammatory repair. For patients with severe intrauterine adhesions leading to oligomenorrhea and infertility, combined with assisted reproduction (such as artificial insemination, in vitro fertilization) can effectively increase the chance of fertility.

Intrauterine adhesions after cesarean section are mostly caused by postpartum infection, incomplete placental removal or abnormal healing of uterine wounds. Surgical separation is the main treatment method, and hysteroscopic surgery is recommended, which can accurately and directly separate adhesions and protect normal uterine cavity tissue. Mild adhesions can be separated by simple hysteroscopy, and moderate adhesions and above are recommended to be combined with uterine stents or intrauterine cavity fillers to prevent re-adhesion. Hormonal drugs (such as estrogen + progesterone regimen) are required after surgery to promote endometrial repair, and antibiotics are used to prevent infection. Physical therapy such as red light irradiation and Bohm lamp can also assist in anti-inflammatory repair. For patients with severe intrauterine adhesions leading to oligomenorrhea and infertility, combined with assisted reproduction (such as artificial insemination, in vitro fertilization) can effectively increase the chance of fertility.

After surgery, you need to take medications according to the doctor's instructions, have regular checkups, and avoid strenuous exercise and infection to ensure the treatment effect. It is recommended to eat a light diet, supplement more protein and vitamins to promote the recovery of the endometrium; pay attention to the menstrual cycle, and return for follow-up if abnormalities are found. If intrauterine adhesions are confirmed or suspected, seek medical attention in time to prevent the condition from worsening and affecting reproductive function.

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