Is adhesion likely to occur after hysteroscopy?

May 04, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Hysteroscopy is generally unlikely to cause adhesions. Hysteroscopy is merely a diagnostic procedure and typically does not damage the basal layer of the endometrium, thus making adhesions uncommon. Intrauterine adhesions are more commonly seen in individuals who have undergone induced abortions or dilation and curettage (D&C) procedures, as surgical manipulation may injure the cervical mucosa, leading to postoperative adhesions.

Generally, adhesions are unlikely to occur after hysteroscopy, so there is no need to be anxious. The detailed explanation is as follows:

Hysteroscopy involves inserting a light-guided fiberoptic endoscope into the uterine cavity to observe physiological and pathological changes in the endometrial cavity, internal cervical os, and tubal openings. As a diagnostic procedure, it typically does not damage the basal layer of the endometrium, thus making intrauterine adhesions uncommon. Intrauterine adhesions usually occur more frequently in individuals who have undergone induced abortions or dilation and curettage (D&C) procedures, as surgical manipulation may injure the cervical mucosa, leading to postoperative adhesions.

If abnormalities are detected after hysteroscopy, it is recommended to undergo standardized treatment under the guidance of an obstetrician-gynecologist to help alleviate symptoms and prevent disease progression.

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Is the hysteroscopy procedure painful?

In general, the level of discomfort during a hysteroscopy varies among individuals. Most people can tolerate the procedure, while a few may experience significant discomfort. If you are concerned about pain, it is recommended to communicate fully with your doctor beforehand and choose an appropriate pain relief method. Additionally, staying relaxed and cooperating with the procedure can further reduce discomfort. Mild abdominal pain or slight bleeding after the examination is usually normal.

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Is hysteroscopy harmful to the body?

In general, whether hysteroscopy causes harm to the body depends on the specific circumstances. If the procedure is performed strictly according to the operational guidelines and post-procedure care is followed as directed by a physician, there is generally no harm. However, if the procedure is performed improperly or post-operative care instructions are not followed, it may cause harm to the body.

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How to detect a scarred uterus

A scarred uterus can be diagnosed through medical history inquiry, transvaginal ultrasound, abdominal ultrasound, computed tomography (CT) scan, laparoscopy, and hysteroscopy. During examination, ultrasound and imaging studies can be used to observe the size, location, and healing status of the scar. When necessary, laparoscopy or hysteroscopy can provide a clearer understanding of the condition of the scarred uterus.

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What tests are needed to confirm a diagnosis of endometrial thickness of 10mm?

Under normal circumstances, women with an endometrial thickness of 10 mm may need examinations such as ultrasound, hysteroscopy, sex hormone level testing, curettage, and magnetic resonance imaging (MRI) to confirm a diagnosis. It is also important to undergo regular gynecological check-ups to monitor endometrial health and promptly detect and address any abnormalities. Additionally, maintaining cleanliness and dryness of the external genital area is recommended.

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What issues can be detected through hysteroscopy?

Under normal circumstances, hysteroscopy can usually detect endometrial polyps, submucosal uterine fibroids, intrauterine adhesions, uterine malformations, blocked fallopian tube openings, and other issues. Hysteroscopy is an invasive procedure that may cause certain physical discomforts, such as vaginal bleeding and abdominal pain. Prior to undergoing hysteroscopy, patients need to adequately prepare.

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Why should you try to get pregnant as soon as possible after a hysteroscopy?

After a hysteroscopy, it is advisable to conceive as soon as possible due to several reasons: optimizing the uterine environment, reducing the risk of condition recurrence, minimizing the chance of re-adhesion, taking advantage of the postoperative recovery window, and increasing the likelihood of successful conception. Scientific preparation for pregnancy should be carried out only after medical evaluation and confirmation of physical readiness. If symptoms such as abdominal pain or abnormal bleeding occur during the preconception period, prompt medical attention is recommended.

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Is the combined hysteroscopy and laparoscopy a major surgery?

When hysteroscopic and laparoscopic surgery are combined for treating mild conditions such as mild tubal obstruction, removal of small uterine polyps, or separation of minor endometrial adhesions, the procedure is simple, short in duration, and causes minimal tissue damage. Patients typically require only brief postoperative observation before getting out of bed, and the risk of complications is low. In such cases, it is not considered a major surgery and has minimal impact on daily life.

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Will prolonged bed rest after hysteroscopy cause adhesions?

In general, whether prolonged bed rest after hysteroscopic surgery leads to intrauterine adhesions should be determined by considering the postoperative recovery and activity level. Daily activities should gradually increase under a doctor's approval. Early after surgery, patients may start with turning over in bed and sitting up, then slowly progress to walking. Maintain external genital hygiene by washing with warm water.

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