What is intrauterine adhesion

What are intrauterine adhesions?

Intrauterine adhesions are actually uterine wall coagulation and thick adhesions. People with this disease are basically infertile. During laparoscopy, it can be observed that intrauterine adhesions involve 1/4 to 3/4 of the uterine cavity, uterine wall adhesions or adhesion hypertrophy, and adhesions of the fallopian tube opening and uterine fundus.

1. History of intrauterine surgery

If it is early pregnancy vacuum suction, mid-pregnancy forceps curettage, mid-pregnancy induced labor curettage, postpartum hemorrhage curettage, spontaneous abortion curettage, it will cause intrauterine adhesions. If you despise some women who frequently curettage, it is easy to damage the basal layer. Most intrauterine adhesions are caused by curettage.

Myomectomy enters the uterine cavity, and submucosal uterine fibroids are destroyed through hysterectomy, uterine septum resection, double uterus correction, etc., which exposes the myometrium in the uterine cavity and causes anterior and posterior adhesions of the uterine wall.

2. Surgical inflammatory factors

There are also intrauterine tuberculosis infection, postmenopausal endometritis, secondary infection after uterine surgery, puerperal infection, and secondary infection after intrauterine contraceptive device placement.

3. Human Factors

Artificial destruction of the basal layer of the endometrium leads to uterine adhesions, such as endometrial electroresection, intrauterine microwave, cryotherapy, chemotherapy and local radiotherapy.

4. Due to various reasons, endometrial damage during curettage

For example, repeated curettage can easily damage the basal layer. Intrauterine adhesions caused by this reason are called traumatic adhesions, which are the most common. Gynecologists should be moderate when performing curettage, and women of childbearing age should take contraceptive measures and avoid abortion surgery, especially abortion of the first child may cause secondary infertility after intrauterine adhesions.

5. Non-pregnancy factors

Myomectomy enters the uterine cavity, and submucosal uterine fibroids are destroyed through hysterectomy, uterine septum resection, double uterus correction, etc., which exposes the myometrium in the uterine cavity and causes anterior and posterior adhesions of the uterine wall.