What does a scarred uterus mean?
Jan 25, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, a scarred uterus refers to a uterus that has developed scars on the uterine wall due to surgery or trauma. Scarring of the uterus primarily results from uterine surgeries or injuries that damage the myometrium (uterine muscle layer), leading to scar formation on the uterine wall during the postoperative wound healing process. Additionally, certain infectious diseases, such as endometrial tuberculosis, may also cause scarring of the endometrium.
Generally speaking, a scarred uterus refers to the formation of scars on the uterine wall due to surgery or trauma. A detailed explanation is as follows:
A scarred uterus mainly results from uterine surgeries or injuries that damage the myometrium (uterine muscle layer). During the healing process after the injury or surgery, scars form on the uterine wall. A scarred uterus may lead to symptoms such as infertility, chronic abdominal pain, and menstrual irregularities. When pregnancy occurs again, the risks of complications—including uterine rupture, placenta accreta, postpartum hemorrhage, placental abruption, and fetal demise before birth—are significantly increased, endangering both maternal and fetal lives.
For women who do not desire future fertility and who do not experience symptoms related to a scarred uterus, specific treatment generally is not required. If symptoms such as menstrual irregularities appear, medications such as estradiol valerate tablets, estrogen tablets, or progesterone capsules may be used under a doctor's guidance. If the uterine scar heals poorly, surgical repair may be considered—for example, repairing the scar via hysteroscopy or laparoscopy to improve the structure and function of the uterus.
In daily life, it is recommended to maintain a balanced diet and consume sufficient nutrients to promote overall health and scar healing. Avoid excessive intake of greasy, spicy, or irritating foods.
