What should I do about uterine adhesions?
Jun 01, 2022
Source: Cainiu Health
Dr. Chong Yiwen
Introduction
Treatment Options for Uterine Adhesions:
Hysteroscopic Surgery—Hysteroscopy involves inserting a flexible tube equipped with a camera into the uterus to visualize the intrauterine environment. This enables clear identification of affected tissues and precise localization prior to surgical intervention.
Additionally, traditional Chinese medicine (TCM) enemas may help improve the condition by promoting separation and alleviation of adhesions. Alternatively, oral Western medications may be prescribed for anti-inflammatory treatment.
With current medical technology, the primary treatment options for intrauterine adhesions (IUA) include hysteroscopic surgery, pharmacotherapy, and physical therapy.
① Hysteroscopic Surgery
Hysteroscopy involves inserting a flexible tube equipped with a camera into the uterus to visualize the intrauterine environment. Once inside the uterine cavity, abnormalities—including adhesions within the cavity and uterine wall—can be identified. The physician first disinfects the patient’s vagina and external genitalia, then uses a disposable cervical speculum for cervical support. A surgical probe is subsequently introduced into the uterine cavity; illumination allows direct visualization of the uterus, enabling clear identification of affected tissues and precise localization prior to surgical intervention.
② Pharmacotherapy
Patients with mild intrauterine adhesions may benefit from an integrated approach combining traditional Chinese medicine (TCM) and Western medicine. For instance, herbal enemas can help alleviate adhesions and promote tissue separation. Alternatively, oral Western medications—such as anti-inflammatory agents—may be prescribed to reduce inflammation and facilitate its resolution.
③ Physical Therapy
Physical therapy may also serve as an adjunctive treatment. Appropriate exercise enhances local blood circulation, while balanced nutrition and regular physical activity contribute beneficially to the management of intrauterine adhesions.
