What color is the menstrual blood in cases of cervical adhesion?

Jul 15, 2022 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Common symptoms in women with cervical adhesions include lower abdominal distension and pain during menstruation, secondary amenorrhea, and lower abdominal distension and pain without menstrual blood flow. Vaginal discharge may be slightly increased in these women. Initially, cervical adhesions often cause no specific discomfort, making early detection difficult. Lower abdominal distension typically appears only after menstruation begins and endometrial shedding occurs, leading to accumulation of menstrual blood within the cervical canal.

Many patients with cervical adhesions experience changes in menstrual blood color compared to before the onset of the condition. So, what color is menstrual blood in cases of cervical adhesion?

What color is menstrual blood in cervical adhesion?

Menstrual blood in cervical adhesion may appear darker—sometimes even black—but in some cases, the color may remain unchanged. Cervical adhesion typically requires surgical intervention, as pharmacological treatment generally yields poor efficacy. Since disease severity varies among individuals, symptom presentation may also differ.

Common symptoms among women with cervical adhesion include lower abdominal distension and pain during menstruation, secondary amenorrhea, and lower abdominal discomfort without menstrual blood flow. Vaginal discharge may slightly increase in these women. Early-stage cervical adhesion often causes no specific symptoms and thus may go undetected until menstruation begins: endometrial shedding leads to accumulation of menstrual blood within the cervical canal, resulting in lower abdominal distension. Transvaginal ultrasound revealing blood pooling within the cervical canal supports the diagnosis of abnormal cervical adhesion.

Cervical adhesion is commonly caused by chronic cervicitis. Following localized adhesion formation, menstrual blood cannot drain normally, leading to its retention. In many women, menstrual blood is expelled immediately after adhesiolysis surgery, and associated abdominal distension and pain resolve spontaneously. Therefore, in addition to administering antibiotics postoperatively to prevent infection, adhesiolysis also facilitates rapid expulsion of retained menstrual blood. Women undergoing this procedure are advised to prioritize rest during recovery.

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