Can intrauterine adhesions found during cesarean section be managed simultaneously?

Uterine adhesions, also known as Asherman's syndrome, are a form of intrauterine cavity obstruction caused by damage to the endometrium due to various factors. Although there is no evidence indicating that uterine adhesions discovered during cesarean section cannot be simultaneously treated, it is generally not recommended to perform such treatment during cesarean delivery for safety reasons related to both the fetus and the mother. Doing so may lead to complications that could endanger the lives of either the fetus or the mother. The detailed explanation is as follows:

Although treating uterine adhesions at the time of cesarean section may seem convenient, cesarean delivery itself carries certain risks. The primary focus of this surgery is ensuring the safety of both mother and baby. If additional procedures to address uterine adhesions are performed, the complexity and duration of the surgery may increase, potentially delaying completion and raising the risk of complications such as fetal asphyxia or maternal hemorrhage—events that could threaten the lives of the mother or infant. Therefore, it is not advisable to treat uterine adhesions during cesarean section.

The progression of uterine adhesions is typically slow. Thus, it is generally recommended to proceed first with the cesarean delivery. After about one month, once the body has recovered, patients should return to the hospital for follow-up evaluation. Based on the severity of the adhesions, doctors will advise on appropriate subsequent surgical interventions, such as hysteroscopic adhesiolysis.

If diagnosed with uterine adhesions, patients should consult a qualified medical professional at a正规 hospital prior to surgery and follow the physician’s guidance throughout the process. After surgery, attention should be paid to personal hygiene, and sexual intercourse should be avoided in the short term to prevent infection and other complications.