What is a scarred uterus?

Mar 18, 2025 Source: Cainiu Health

Dr. Liu Wenmin

Introduction

Scarred uterus is a common complication after uterine surgery, possibly caused by poor healing. If not treated promptly, a scarred uterus may lead to postpartum hemorrhage and even affect pregnancy. Therefore, timely treatment according to disease progression is necessary. For mild cases, observation and monitoring may be sufficient, while severe cases or those planning pregnancy may require surgical intervention, followed by hormone therapy as directed by a physician after surgery.

Generally, a scarred uterus refers to the formation of scar tissue during the healing process after the uterus has experienced certain surgeries or injuries. A detailed analysis is as follows:

A scarred uterus results from injury to the uterus, where scar tissue forms as the wound heals. It is usually associated with poor postoperative wound healing or infections, such as those following cesarean section, uterine corrective surgery for congenital anomalies, cornual resection, or repair surgery after uterine rupture. In the absence of pregnancy or infection, there are typically no obvious symptoms. When poor healing of the uterine scar occurs, it may lead to postpartum hemorrhage and can even affect normal pregnancies.

If the scarring of the uterus is relatively mild, observation without specific treatment may be advised. However, if there is evidence of poor scar healing or if another pregnancy is planned, timely surgical intervention is required, such as uterine scar repair or hysterectomy. After surgery, doctors may prescribe medications like estradiol valerate tablets, nylestriol tablets, or conjugated estrogen tablets to help clear old tissue from the uterine cavity and promote the growth of new tissue.

It is important to note that a scarred uterus is a relatively common complication. If a woman currently has plans for pregnancy, comprehensive evaluation prior to conception is recommended to assess her ability to carry a pregnancy. Additionally, maintaining local dryness and hygiene in daily life is essential to reduce the risk of infection.

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