How to prevent re-adhesion after intrauterine adhesion surgery

After intrauterine adhesion surgery, re-adhesion can be prevented by regular review, placing an intrauterine device, using estrogen drugs, keeping the vulva clean, and avoiding premature intercourse. Intrauterine adhesions are usually caused by endometrial injury, infection, surgical operations and other factors. Postoperative re-adhesion may manifest as symptoms such as decreased menstrual flow and periodic abdominal pain.

1. Regular review

Vaginal ultrasound or hysteroscopy is required 1 month, 3 months, and 6 months after surgery to evaluate the repair of the endometrium. If early signs of re-adhesion are found, the adhesions can be separated through hysteroscopy. During reexamination, attention should be paid to changes in the menstrual cycle, and abnormal bleeding or amenorrhea require timely intervention.

2. Inserting an intrauterine device

A copper-containing or progestin-containing intrauterine device is placed for 3-6 months after surgery to mechanically block contact with the uterine cavity wall. The IUD stimulates endometrial hyperplasia and reduces fibrin deposition. During the period of placement, antibiotics such as cefixime dispersible tablets must be used as directed by the doctor to prevent infection.

3. Use estrogen drugs

Take estradiol valerate tablets or estradiol dydrogesterone tablets orally as directed by your doctor to promote endometrial proliferation and repair. Liver function needs to be monitored during medication to avoid the risk of thrombosis. A cyclical dosing regimen is usually used to simulate physiological fluctuations in hormone levels.

4. Keep the vulva clean

Wash your vulva with warm water every day after surgery and avoid using a vaginal douche. Choose pure cotton breathable underwear and replace sanitary napkins promptly during menstruation. When abnormal secretions occur, infection needs to be investigated, and topical clotrimazole vaginal tablets can be used to treat fungal infections.

5. Avoid having sex too early

Sexual intercourse is prohibited for 1-2 months after surgery until the endometrium is completely repaired. Premature intercourse may introduce pathogens or cause mechanical irritation. After resuming sexual intercourse, you need to pay attention to contraception to avoid the risk of uterine damage caused by pregnancy in the short term.

Avoid strenuous exercise or heavy physical labor within 3 months after surgery to reduce pelvic congestion. Increase the intake of high-quality protein such as fish and soy products in the diet, and supplement vitamin E to promote endometrium regeneration. If you have fever, persistent abdominal pain or abnormal menstruation, you should seek medical attention immediately. Within half a year after surgery, the basal body temperature will be monitored every cycle to evaluate the recovery of ovarian function. People at high risk of recurrence of intrauterine adhesions, such as patients with tuberculous endometritis, need to prolong the use period of anti-tuberculous drugs.