Cheng Yahui popular science: causes and treatment of intrauterine adhesions

Uterine adhesions may not be unfamiliar to some female friends who are preparing for pregnancy. An unexpected pregnancy or an artificial abortion may cause intrauterine adhesions. Regarding the causes and treatment of intrauterine adhesions, do female friends know?    Causes and treatments of intrauterine adhesions? Treatment 1. History of uterine cavity operation (1) Pregnancy factors: such as early pregnancy negative pressure suction uterus, second pregnancy induction and curettage, middle pregnancy forceps curettage, spontaneous abortion and curettage and postpartum hemorrhage and curettage. During pregnancy, the basal layer of the endometrium of the uterus is more likely to be damaged, which will cause the uterine walls to adhere to each other or form permanent adhesions. (2) Non-pregnancy factors: transuterine submucosal fibroids removal, double uterus orthopedics, and mediastinal resection destroy the basal layer of the endometrium, promote the exposure of the myometrium to the uterine cavity, and cause the uterine wall The front and back adhesion.  2, human factors    after electrical endometrial resection, intrauterine microwave and local radiotherapy, the basal layer of the endometrium was artificially destroyed and intrauterine adhesions appeared.  3. Endometrial injury during curettage due to various reasons    If the patient has multiple curettage, this is a way to damage the basal layer and cause intrauterine adhesions. This is the most common situation.  How to treat intrauterine adhesions?  The treatment of intrauterine adhesions should be based on the principle of syndrome differentiation. The common treatment methods mainly include drugs, physical and surgical treatments.   It should be noted that because the uterine cavity adhesion is already an organic disease, the adhesion zone is intricate in the uterine cavity. Medication and physical therapy alone cannot loosen the adhesion zone, but can only control the further aggravation of the adhesion. Therefore, it is more surgical treatment. The 3D visual hysteroscopy of Beijing Guardian Hospital uses the uterine swelling medium to expand the uterine cavity. The cold light source is guided into the uterine cavity through the hysteroscope through the fiber guide light beam and lens, and the cervical canal, intrauterine orifice, endometrium and fallopian tube are directly viewed. Observe the uterine cavity, inspect and diagnose the physiological and pathological conditions in the uterine cavity. Corresponding treatment can also be performed at the same time. It is more intuitive, reliable and more accurate than traditional curettage and B-mode ultrasound. Obtain materials from the ground and send them for pathological examination. Intrauterine surgery can also be performed under direct vision.

Will endometrial polyps affect pregnancy?

What is endometrial polyps? Endometrial polyps are the excessive growth of local endometrial glands and interstitium in the uterine cavity. The polyps often protrude from the endometrial surface. The functional layer on the polyp surface is often normal with the uterine cavity. The endometrium develops out of sync, causing spotting bleeding between periods.   However, in many cases, endometrial polyps may be asymptomatic, only found on B-ultrasound or hysteroscopy. Polyps vary in size, some are a few millimeters in diameter, some are a few centimeters, there are single growth, there are many hairs, some with slender pedicles, some without pedicles, can grow anywhere in the uterine cavity, there is also a cervix Mouth polyp.  Does endometrial polyps affect pregnancy?   According to the doctor of Kunming Avi Eve Hospital, endometrial polyps will affect pregnancy. ① The polyp mechanically obstructs the opening of the fallopian tube to affect the sperm and egg meeting, and affect the delivery of the fertilized egg.    ② Polyps form a space in the uterine cavity, affect the uterine cavity morphology, and affect the endometrial blood supply.    ③ The inflammatory effect of polyps causes Abnormal expression of factors related to endometrial receptivity interferes with embryo implantation and affects placenta and decidual growth, leading to early pregnancy miscarriage and infertility.   Therefore, it is recommended that women planning to become pregnant should actively treat endometrial polyps. For endometrial polyps found in IVF treatment, it is necessary to comprehensively consider whether the endometrial polyps need to be treated before embryo transfer based on the number, size and location of polyps. For patients who repeatedly fail to transplant during the test tube process, hysteroscopy can improve the clinical pregnancy rate and implantation rate. Through the introduction of this article, I believe that you should have learned that endometrial polyps will affect pregnancy. Generally speaking, for women who are pregnant, if they find that there are endometrial polyps after the examination, the doctor will mostly start from the age of the woman. The size and location of the polyps determine whether the endometrial polyps need to be treated before pregnancy, so as to improve the pregnancy rate of women.