Does intrauterine adhesions require surgery?

Whether surgery is required for intrauterine adhesions depends on the degree of adhesion. Mild adhesions may not require surgery, while moderate to severe adhesions are usually recommended for surgical treatment. Intrauterine adhesions may be related to factors such as induced abortion, uterine infection, endometrial damage, etc., and usually manifest as symptoms such as decreased menstrual flow, amenorrhea, and infertility.

The treatment of intrauterine adhesions mainly depends on the extent of adhesions and the impact on fertility needs. For patients who are asymptomatic or have only a slight decrease in menstrual flow, conservative treatment with drugs can be tried, such as estrogen to promote endometrium repair, or traditional Chinese medicine to regulate qi and blood. If adhesions cause obvious abnormalities in the shape of the uterine cavity or are combined with infertility, hysteroscopic surgery to separate the adhesions should be considered, and an intrauterine device or balloon stent should be placed after surgery to prevent re-adhesives. For patients who have no desire to have children but experience severe dysmenorrhea, surgery can improve symptoms but the risk of recurrence needs to be assessed.

The recovery of the uterine cavity needs to be reviewed regularly after surgery, and strenuous exercise and sexual life should be avoided for 3 months. Daily supplements of high-quality protein and vitamin E can help repair the endometrium, and avoid cold, spicy food stimulating pelvic congestion. It is recommended to formulate an individualized treatment plan under the guidance of a doctor. The six months after surgery is a critical period to prevent re-adhesion, and drugs and physical therapy need to be used to consolidate the effect.