Is hysteroscopic surgery required for intrauterine adhesions?

Hysteroscopy is a uterine cavity procedure used to observe and treat conditions within the uterine cavity. Intrauterine adhesions, also known as Asherman's syndrome, are a type of adhesion occurring inside the uterine cavity and fall under gynecological disorders. Whether hysteroscopic surgery is needed for intrauterine adhesions mainly depends on the severity of the condition. Generally, for mild intrauterine adhesions, hysteroscopic surgery may not be immediately necessary, but regular follow-up is recommended. However, severe intrauterine adhesions often require hysteroscopic surgery to remove the adhesion tissue. The detailed analysis is as follows:

1. Mild intrauterine adhesions: If the degree of adhesion is not severe and symptoms such as significant abdominal pain, reduced menstrual flow, or dysmenorrhea are absent, and fertility has not been affected by the adhesions, surgery is usually not immediately required, nor is hysteroscopic surgery necessary. However, regular follow-up examinations are advisable to monitor the adhesion status, with further management based on disease progression.

2. Severe intrauterine adhesions: More serious intrauterine adhesions may affect menstruation, leading to irregular menstrual cycles, reduced menstrual flow, and dysmenorrhea. In severe cases, fertility can be impaired, potentially causing infertility. In such situations, timely hysteroscopic surgery is generally recommended to precisely remove the adhesion tissue within the uterine cavity, thereby restoring normal uterine shape and function. This approach involves minimal trauma, allows quick recovery, and carries a low risk of postoperative bleeding.

If hysteroscopic surgery is required, it should be performed at a reputable medical facility under the guidance of a qualified physician. After surgery, patients should rest adequately and avoid strenuous physical activity. If complications such as heavy bleeding or signs of infection occur postoperatively, prompt medical attention is advised.