Will prolonged bed rest after hysteroscopy cause adhesions?

Generally, whether long-term bed rest after hysteroscopic surgery leads to intrauterine adhesions depends on the postoperative recovery and level of physical activity. The specific analysis is as follows:

If recovery after hysteroscopy is smooth, with no infection or bleeding at the intrauterine wound site, and although physical activity is limited during prolonged bed rest, gentle turning over in bed and limb movements are performed regularly without causing pelvic congestion or inflammatory accumulation, intrauterine adhesions are unlikely to occur. In such cases, the body can gradually recover through adequate rest, and appropriate bed rest may even reduce friction on the surgical wound.

However, if there are complications such as infection or bleeding at the intrauterine wound site after surgery, and the patient remains completely inactive during prolonged bed rest, leading to slowed pelvic blood circulation, inflammatory factors may accumulate in the uterine cavity and stimulate abnormal tissue repair at the wound site, increasing the risk of intrauterine adhesions. In such cases, adjustments to bed rest practices and medical interventions are necessary.

In daily life, patients should gradually increase their activity level under a doctor’s guidance. Early after surgery, activities may begin with turning over in bed and sitting up, then slowly progressing to walking. Maintain good perineal hygiene by washing with warm water and frequently changing cotton underwear to prevent infection. Nutritionally, consume foods rich in protein and dietary fiber to promote wound healing and intestinal motility. Follow the doctor's recommendations for regular follow-up visits to monitor uterine recovery, and seek medical attention promptly if symptoms such as abdominal pain or abnormal discharge occur.