What are endometrial adhesions?

Jul 19, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, endometrial adhesions may be caused by poor healing following endometrial trauma, decreased endometrial repair capacity due to aging, postoperative infections after intrauterine procedures, endometritis, uterine tuberculosis, and other related factors. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, it is important to maintain genital hygiene and avoid unprotected sexual activity; appropriate contraceptive measures should also be taken.

Normally, endometrial adhesion may be caused by poor healing after endometrial trauma, declining endometrial repair capacity due to aging, infection after intrauterine procedures, endometritis, uterine tuberculosis, and other factors. If discomfort symptoms occur, it is recommended to seek timely diagnosis and treatment at a regular hospital. Detailed explanations are as follows:

1. Poor Healing of Endometrial Trauma

Procedures such as induced abortion and curettage may cause trauma to the endometrium. If the healing process of the endometrial tissue is abnormal after trauma, the adjacent endometrial surfaces may easily adhere. It is important to rest and avoid fatigue after such procedures.

2. Declining Endometrial Repair Capacity Due to Aging

With aging, women's endometrial regeneration and repair capacity gradually weaken. Once the endometrium is injured, self-repair becomes more difficult, making adhesion more likely. Daily care should focus on protecting uterine health and avoiding unnecessary intrauterine procedures.

3. Infection After Intrauterine Procedures

After intrauterine procedures such as hysteroscopy and intrauterine device placement, if proper post-procedural care is not taken and infection occurs, the inflammation may irritate the endometrium, causing adhesion. Symptoms may include fever and abnormal uterine discharge. Strictly follow medical advice for post-procedural care, maintain external genital hygiene, and take anti-infective medications as prescribed, such as amoxicillin and clavulanate potassium tablets, cefuroxime axetil tablets, and aspirin tablets.

4. Endometritis

Endometritis is caused by infection with pathogens such as bacteria. The inflammation damages the endometrial tissue, causing congestion and edema. Adhesions may easily form during the healing process, possibly accompanied by lower abdominal pain and increased vaginal discharge. Antibiotics such as cefixime capsules, metronidazole tablets, and clindamycin hydrochloride capsules should be used under a doctor's guidance.

5. Uterine Tuberculosis

Uterine tuberculosis is caused by infection with Mycobacterium tuberculosis. It damages the endometrial structure, causing endometrial fibrosis and subsequent adhesion. Symptoms often include reduced menstrual flow, amenorrhea, and low-grade fever. Antituberculosis treatment under medical supervision is required, including medications such as isoniazid tablets, rifampicin capsules, and pyrazinamide tablets.

In daily life, attention should be paid to sexual hygiene to avoid unclean sexual activity; effective contraception should be practiced to reduce intrauterine procedures such as induced abortion; regular gynecological examinations should be conducted to detect and treat gynecological inflammation promptly.

View All

Why is there no menstruation after laser treatment for cervical erosion?

No menstruation after laser treatment for cervical erosion may be caused by surgical stress response, excessive mental stress, endocrine disorders, intrauterine adhesions, or polycystic ovary syndrome. This condition can be improved through psychological adjustment, careful observation and nursing care, or medication. If menstruation is delayed for more than two weeks or accompanied by abdominal pain, prompt medical attention is necessary. Laser surgery may trigger a temporary stress response in the body.

View Full Answer

What should I do if my period hasn't come ten days after stopping progesterone?

In general, if menstruation has not occurred within ten days after stopping progesterone, it may be due to insufficient dosage or short duration of medication, excessive mental stress, polycystic ovary syndrome, hyperprolactinemia, thin endometrium, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition through general measures, medication, or other treatments under a doctor's guidance.

View Full Answer

What should I do if a student hasn't had her period for several months?

In general, if a student has not had a menstrual period for several months, it may be due to excessive academic stress, extreme dieting for weight loss, polycystic ovary syndrome (PCOS), hyperprolactinemia, uterine endometrial adhesions, or other causes. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general management, medication, surgery, or other treatments.

View Full Answer

Why is the endometrium thin despite high estrogen levels?

In general, high estrogen levels accompanied by thin endometrium may be caused by factors such as irregular lifestyle, excessive mental stress, endometrial damage, polycystic ovary syndrome (PCOS), or hyperprolactinemia. When such conditions occur, it is recommended to seek medical attention promptly to identify the underlying cause and receive appropriate treatment. In daily life, it is important to maintain a regular作息 (sleep-wake cycle), avoid excessive fatigue, eat a balanced diet, and reduce intake of high-sugar and high-fat foods.