Does intrauterine adhesion always cause lower abdominal pain?

Dec 02, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, intrauterine adhesion refers to cervical canal adhesion. Whether cervical canal adhesion causes persistent lower abdominal pain depends on the specific circumstances. If it is mild cervical canal adhesion, persistent lower abdominal pain usually does not occur; however, if it is severe cervical canal adhesion, persistent lower abdominal pain may be present. During treatment, attention should be paid to rest and dietary regulation to promote recovery.

Generally, intrauterine adhesion refers to cervical or uterine cavity adhesion. Whether lower abdominal pain persists in patients with cervical or uterine cavity adhesion depends on the specific circumstances. In cases of mild cervical or uterine cavity adhesion, continuous lower abdominal pain usually does not occur; however, persistent lower abdominal pain may appear in cases of severe cervical or uterine cavity adhesion. Detailed analysis is as follows:

If the cervical or uterine cavity adhesion is mild and the affected area is small without involving the functional layer of the endometrium, patients may not experience significant abdominal pain. In some cases, patients may even have no noticeable symptoms and only discover the condition during gynecological examinations or when experiencing difficulty in becoming pregnant. In such cases, there is generally no need for concern, and patients can follow medical advice for regular hospital visits for observation.

If the cervical or uterine cavity adhesion is severe and significantly impacts the shape and function of the uterus, patients may experience persistent lower abdominal pain. This is because the adhesions might pull or compress surrounding tissues, triggering an inflammatory response and resulting in pain. Furthermore, intrauterine adhesions may also be accompanied by menstrual irregularities and infertility. These adhesions can be treated under a doctor's guidance through procedures such as hysteroscopy or cervical dilation to relieve the adhesions and alleviate the pain.

Patients with cervical or uterine cavity adhesion should seek timely medical attention for diagnosis and treatment in order to alleviate or eliminate discomfort such as pain. Additionally, during the treatment period, patients should focus on rest and dietary regulation to promote recovery.

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