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[Popular Science] Unable to get pregnant, the uterine cavity looks like a "pansi hole"! 4 things you can't ignore before having a baby

Posting time:2022-12-02 07:23:51

[Popular Science] Unable to get pregnant, the uterine cavity looks like a "pansi hole"! 4 things you can't ignore before having a baby

Ms. Liu, who was 30 years old and had no children, could never have imagined that an induced abortion after 7 years would make her unable to conceive when she wanted a baby again... Motion picture from SOOGIF

Failure to get pregnant, only use pads during menstruation

It turns out The uterine cavity was "stuck"

In August last year, Ms. Liu hurriedly came to the deputy chief physician Wang Fang in the gynecological clinic of our hospital, and as soon as she entered the clinic, she asked, "Doctor Wang, I have been preparing for pregnancy for a long time and have not been pregnant. "Hey, is it related to my lack of menstruation?" Wang Fang inquired and learned that Ms. Liu had an induced abortion 7 years ago, and her menstrual period was only 2-3 days after that. , but she never cared about it until she had plans to have children, and she began to pay attention to this issue. During Dr. Wang Fang’s consultation, according to the gynecological ultrasound examination, Ms. Liu had signs of uneven thickness and thin endometrium, and the intrauterine line was interrupted and disappeared at the intrauterine adhesions. Considering the intrauterine adhesions, this may be her failure to prepare for pregnancy. main reason. "What kind of disease is this? Can I still have children?" Ms. Liu asked anxiously. The normal uterine cavity is originally a smooth inverted pear-shaped avenue, but when the endometrium is damaged due to some reasons, the endometrial fibrosis is deposited, and a "blocking network" is woven between the uterine cavity muscle walls, making the uterine cavity. Partial or complete occlusion of the cavity, resulting in reduced menstrual flow or even amenorrhea, periodic pain in the lower abdomen, repeated miscarriage, infertility and other symptoms, this is intrauterine adhesions. If you want to get pregnant, you must first clean up this "net". Ms. Liu was eager for a baby, and Wang Fang immediately performed hysteroscopic separation of the uterine adhesions for her, and dredged the fallopian tubes for her. During the operation, it was further confirmed that Ms. Liu had reached moderate intrauterine adhesions. After treatment, Ms. Liu successfully became pregnant in February this year. However, things didn't end there. At the 11th week of pregnancy, Ms. Liu had another miscarriage due to sudden reasons, and underwent a palace-clearing operation in a foreign hospital. Since then, she has never had a menstrual period. She came to the Hangzhou Women's Hospital again for an examination. Sure enough, the intrauterine adhesions were causing trouble. This time, the degree of adhesions had reached a severe level, causing uterine amenorrhea. At this time, in addition to hysteroscopic separation of intrauterine adhesions, it is necessary to place an IUD in Ms. Liu's uterus, supplemented by postoperative drug treatment, to prevent re-adhesion of the uterine cavity. After a series of treatments, Ms. Liu finally had a small menstrual period. Dr. Wang Fang was performing 2 months after the operation. Wang Fang performed a hysteroscopy review for Ms. Liu and took out the contraceptive ring. During the operation, it was found that there was no obvious adhesion in the uterine cavity and the endometrium recovered well. Ms. Liu happily told Dr. Wang Fang: "Now the menstrual flow has gradually increased, and there is no dysmenorrhea." Wang Fang said that generally after menstruation returns to normal, you can prepare for pregnancy.

What factors

cause Intrauterine adhesions?

Why does intrauterine adhesions make a comeback and entangle Ms. Liu? This may be related to her second miscarriage in an outer hospital. Induced abortion is difficult to avoid re-injury to the endometrium. In addition, if there is infection after the uterus, the injured endometrial tissue will weave a thicker "net". Wang Fang reminded: In addition to repeated abortions, the following two conditions are also likely to cause intrauterine adhesions: 1. Secondary infections, such as pelvic inflammatory disease, endometritis, endometrial tuberculosis, gonorrhea, etc.; 2. . History of multiple uterine cavity operations, such as hysterotomy, endometrial resection, etc. Of course, there are also cases of repeated miscarriages without adhesions, which are related to standardized uterine cavity operations and postoperative care, but don’t take chances.

Prevention of intrauterine adhesions

Experts suggest to do these 4 points

Intrauterine adhesion is a "stumbling block" on the road to pregnancy and a dangerous enemy of pregnancy, so prevention is very important. Dr. Wang Fang suggested that women of childbearing age who need fertility: 1. Avoid unintended pregnancy and unclean sex. Data show that the incidence of intrauterine adhesions caused by repeated abortions and curettage is as high as 25%-30%. If you do not have a birth plan for the time being, use contraception. In addition, women should try to fix their sexual partners as much as possible, and pay attention to hygiene issues before and during sex. 2. Improve the pre-pregnancy inspection. Intrauterine adhesions can cause placenta accreta, low-lying placenta, and postpartum hemorrhage, etc., increasing the rate of dystocia and early pregnancy miscarriage, and may even lead to hysterectomy. Therefore, it is recommended to do a comprehensive examination before preparing for pregnancy to rule out abnormal uterine cavity problems. 3. Post-abortion protection After abortion, the body's resistance is weak, and the endometrium has not been repaired. At this time, early sexual life, swimming activities, etc., are prone to inflammation. It is recommended to avoid sexual life and avoid swimming activities within 1 month after surgery. 4. Enhance personal physical work and rest rules, exercise properly, avoid staying up late, improve immunity, and enhance personal physical fitness. Medical Review丨Editor/Producer Wang Fang | Health Development Department

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