Treatment of Intrauterine Adhesions
Keywords: endometrium; hysteroscopic surgery; intrauterine adhesion; pathophysiology; prevention
Introductions
Intrauterine adhesion (IUA), and its severe form Asherman syndrome (Asherman’s syndrome), is a common uterine disease, often accompanied with severe clinical problems contributing to a significant impairment of reproductive function, such as menstrual disturbance (amenorrhea), infertility or recurrent miscarriage. Among these, its correlated infertility may be one of the most challenging problems. Although there are many etiologies for the development of IUA, uterine instrumentation is the main cause of IUA. Additionally, more complicated intrauterine surgeries can be performed by advanced technology, further increasing the risk of IUA.
Intrauterine adhesion is a pathological phenomenon caused by partial or total adhesion of the endometrium after damage. Thus this is an acquired condition.
Etiology of intrauterine adhesions
About 90% of cases of intrauterine adhesions are caused by excessive curettage or surgical trauma within the uterine cavity, and a few patients tend to develop IAU from acute endometritis. Sometimes, intrauterine adhesions coexist with adenomyosis. Lastly, IAU can also arise, in rare cases, from untreated chronic inflammation of the inner lining of the uterus.
Symptoms of uterine adhesions
Intrauterine adhesions usually cause fewer months, and severe adhesions may cause amenorrhea. If adhesion closed part of the uterine cavity, easy to produce abortion, premature birth, ectopic pregnancy, fetal death intrauterine, placental implantation, placental adhesion and infertility. Risks for the following may occur as well:
- Missed Miscarriage
- Recurrent Miscarriage
- Retained product of conception
- Hysteroscopic myomectomy
- Hypomenorrhea
- Oligomenorrhea
- Severe or mild abdominal cramping
Diagnosis of intrauterine adhesions
Hysteroscopy is the gold standard in diagnosing patients with intrauterine adhesions. Not only can the degree of severity of the IUA be confirmed, but also the type of adhesion can be determined as well. Lipiodol angiography and B-mode ultrasonography are only indirect indications (for clinical accuracy, dynamic digital oviduct angiography HSG and vaginal 4-D colour doppler ultrasonography and are generally not as accurate as HSG.
Treatment of intrauterine adhesion at Antai Hospital
The traditional/conventional approach taken by most hospitals for the treatment of intrauterine adhesions is done without direct visualisation and cannot completely restore the original uterine cavity shape, and the incidence of postoperative readhesion is very high. Hysteroscopic separation of adhesions via electric knife is now the treatment method in many hospitals, and electric knife removal can cause new traumas, causing a new round of adhesions. Postoperative intrauterine adhesions are more severe than preoperatively and can further cause amenorrhea. As for the adjuvant therapy of oestrogen supplementation, a large number of exogenous hormones introduced to the body can inhibit the generation of endogenous hormones, which may not be effective in preventing adhesion in the long run.
Antai Hospital reminds the vast number of patients with intrauterine adhesions, intrauterine adhesions are organic diseases, only surgical treatment is effective. Antai hospital has three unique techniques in the treatment of uterine adhesions. one is to perform hysteroscopic cold knife or plasma separation adhesion under 3D laparoscopic monitoring; Second is to insert an intrauterine pear-shaped stent, not only can it prevent adhesions, but also prevents future recurrence; The third is to place Bio-adhesion barrier membrane on the pear-shaped stent, which can more effectively prevent the severe adhesion of the uterine cavity after surgery and promotes recovery.
Patients with more serious intrauterine adhesions can undergo endometrial transplantation using tissue from the patient’s biological mother. Techniques involved include 3D laparoscopic surgery + pear-shaped stent + bio-adhesion barrier membrane. Get in touch with our experts to kickstart your treatment today.
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.