Treatment methods for uterine adhesions include

Uterine adhesions can be treated through drug therapy, hysteroscopic adhesion separation, uterine balloon dilatation, estrogen therapy, and traditional Chinese medicine conditioning. Uterine adhesions are usually caused by factors such as injury to the uterine cavity, infection, abnormal endometrial repair, etc., and may manifest as symptoms such as decreased menstrual flow, amenorrhea, and infertility.

1. Drug treatment

Medication treatment is suitable for mild uterine adhesions. You can use estradiol valerate tablets, progesterone capsules, aspirin enteric-coated tablets and other drugs as directed by your doctor. Estradiol valerate tablets help promote endometrial growth, progesterone capsules can regulate endocrine, and aspirin enteric-coated tablets can improve local blood circulation. Drug treatment needs to be combined with regular review to observe the improvement of adhesion.

2. Hysteroscopic adhesion separation

Hysteroscopic adhesion separation is the main method to treat moderate to severe uterine adhesions. It accurately separates adhesions under direct vision of the hysteroscope. The surgery is less invasive and recovers quickly. An intrauterine device or balloon stent needs to be placed after surgery to prevent re-adhesion. Antibiotics need to be used to prevent infection before and after surgery, and hysteroscopy needs to be reviewed 1-2 months after surgery to assess recovery.

3. Uterine balloon dilatation

Uterine balloon dilatation is suitable for local adhesions in the uterine cavity, and the adhesions are separated by mechanical balloon dilation. The balloon needs to be left in place for 3-5 days after surgery to maintain the shape of the uterine cavity, and at the same time, it is combined with estrogen therapy to promote endometrial repair. This method is easy to operate, but you need to pay attention to the risk of postoperative infection, and use antibiotics such as cefixime dispersible tablets as directed by your doctor to prevent infection.

4. Estrogen treatment

Estrogen therapy is often used as an auxiliary method for surgery to promote endometrial proliferation by supplementing estrogen drugs such as estradiol valerate tablets. The treatment cycle is generally 2-3 months, and regular ultrasound monitoring of intimal thickness is required. Side effects such as breast swelling and pain may occur during medication. Patients with severe liver and kidney dysfunction should use with caution and need to adjust the dosage under the guidance of a doctor.

5. Traditional Chinese medicine conditioning

Traditional Chinese medicine conditioning can be used as auxiliary treatment. Traditional Chinese patent medicines such as Shaofu Zhuyu Granules, Guizhi Fuling Capsules, and Motherwort Granules are commonly used. Shaofu Zhuyu Granules can activate blood circulation and remove blood stasis, Guizhi Fuling Capsules can regulate qi and blood, and Motherwort Granules can help promote uterine contraction and repair. Traditional Chinese medicine needs to be treated based on syndrome differentiation to avoid interaction with Western medicine. During the period of taking the medicine, avoid eating cold, spicy food.

Patients with uterine adhesions need to keep their perineum clean and avoid strenuous exercise and sexual intercourse for 1-2 months after treatment. Eat more high-quality protein and vitamin-rich foods such as fish, eggs, broccoli, etc. to promote tissue repair. A follow-up ultrasound or hysteroscopy is required 3-6 months after the operation. Those who plan to become pregnant are advised to prepare for pregnancy under the guidance of a doctor. Avoid frequent uterine cavity operations on a daily basis, and seek medical advice promptly if menstrual abnormalities occur.