How to treat cervical adhesion after abortion

Post-abortion cervical adhesions usually require physical separation, drug-assisted or surgical treatment. The specific treatment plan needs to be selected according to the degree of adhesion and the patient's specific situation. Timely medical diagnosis is the key to avoid further aggravation of adhesions and affecting reproductive function.

1. What is cervical adhesion?

Endocervical adhesion refers to the formation of local scars on the inner wall of the cervical canal due to inflammation or tissue damage, resulting in adhesion or even complete occlusion. The main cause of endocervical adhesion is the stimulation or infection of the cervix caused by instrument operation after abortion. This condition may cause problems such as abnormal menstruation, amenorrhea or secondary infertility. In severe cases, it may also lead to intrauterine blood accumulation and chronic pelvic pain.

2. Treatment Methods

(1) Physical separation:

Patients with mild adhesions usually undergo physical separation, using dilator rods or hysteroscopic manipulation to carefully separate the adhesions.

- Applicable situations: There is adhesion in part of the cervical canal but it is not completely occluded and there are no obvious signs of infection.

-Surgical procedure: Usually only local anesthesia is required, and the uterus is carefully separated under direct vision without damaging healthy tissue. If necessary, a device to prevent re-adhesion, such as an intrauterine contraceptive device or a support ring, may be used.

(2) Drug assistance:

Drug therapy is mostly used in the recovery phase after adhesion separation, with the aim of preventing recurrence and promoting the repair of damaged tissue.

- Commonly used drugs include:

① Antibiotics: to prevent postoperative infection, such as cephalosporins.

② Estrogen preparations: promote endometrial repair, such as estradiol benzoate tablets.

③ Topical medications: reduce inflammation and improve healing, such as hyaluronic acid gel.

(3) Hysteroscopic surgery:

Moderate to severe endocervical adhesions usually require treatment with the aid of delicate hysteroscopic manipulation, with precise separation performed under direct vision.

-Advantages: less damage, quick recovery, and other possible related lesions in the uterine cavity can be observed at the same time.

-Precautions: Anti-scar treatment should be taken after surgery, and anti-adhesion membrane or uterine dilation balloon should be placed for several weeks as needed to avoid postoperative adhesion.

3. Prevention and postoperative care

(1) Maintain good postoperative care:

After a miscarriage, you need to follow up on time to ensure normal tissue repair. Pay attention to private hygiene to prevent infection.

(2) Dietary adjustment promotes recovery:

-High-protein foods: such as fish, eggs, and lean meat, promote tissue repair.

-Fruits rich in vitamin C: such as oranges and kiwis, which enhance immunity.

(3) Avoid high-risk operations:

Avoid resuming sexual life too early after a miscarriage to reduce further trauma to the cervix.

Conclusion

Post-abortion cervical adhesions need to be detected and treated early to avoid more serious complications or fertility problems. Regardless of the severity, it is key to go to a regular medical institution for a clear diagnosis in a timely manner. After treatment, you should insist on follow-up visits, cooperate with the doctor to take measures to prevent recurrence, and pay attention to other health signals of the body.