How to prevent intrauterine adhesions after uterine evacuation
Nov 15, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
To prevent intrauterine adhesions after uterine evacuation, it is essential to perform standardized surgical procedures, use medications appropriately after surgery, avoid early resumption of sexual activity, promptly treat inflammation, and undergo regular follow-up examinations. Scientific interventions can reduce the risk of uterine injury and adhesion formation. If symptoms such as abdominal pain or menstrual abnormalities occur after surgery, timely medical evaluation is recommended. Choose a reputable hospital and an experienced physician.
After a uterine evacuation procedure, prevention of intrauterine adhesions involves standardized surgical techniques, appropriate postoperative medication, avoiding early sexual intercourse, timely treatment of inflammation, and regular follow-up monitoring. Scientific interventions can reduce uterine trauma and the risk of adhesion formation. If symptoms such as abdominal pain or menstrual abnormalities occur after surgery, prompt medical evaluation is recommended.
1. Standardized surgical technique: Choose a reputable hospital and an experienced physician. Avoid excessive curettage during surgery that may damage the basal layer of the endometrium. Use minimally invasive instruments to reduce mechanical irritation within the uterine cavity and lower the likelihood of adhesion development.
2. Appropriate postoperative medication: Follow medical advice in using estrogenic drugs to promote endometrial repair and regeneration, helping to cover the raw surfaces left after evacuation. Antibiotics may be used when necessary to prevent infection and avoid inflammatory stimuli that could lead to adhesions.
3. Avoid early sexual intercourse: Refrain from sexual activity, tub baths, and vaginal douching for at least one month after surgery to prevent bacterial entry into the uterine cavity, thereby reducing the risk of inflammatory adhesions.
4. Timely treatment of inflammation: If gynecological infections such as endometritis or pelvic inflammatory disease occur after surgery, prompt and adequate treatment is essential. Chronic inflammation can cause endometrial congestion, edema, and tissue adhesion.
5. Regular follow-up monitoring: Follow the doctor’s instructions for postoperative ultrasound examinations to assess endometrial thickness and recovery progress. If thin endometrium or signs suggestive of adhesions are detected, timely intervention should be initiated.
Postoperative care includes adequate rest and avoidance of physical strain, maintaining a light and nutritionally balanced diet rich in protein and vitamins, keeping the external genital area clean and dry, frequently changing cotton underwear, and avoiding strenuous exercise or any uterine procedures to support optimal uterine recovery.
