What should I do about uterine adhesions?
May 06, 2022
Source: Cainiu Health
Dr. Chong Yiwen
Introduction
Treatment Options for Uterine Adhesions (Asherman’s Syndrome):
1. Hysteroscopic Surgery: This procedure involves inserting a thin, flexible tube equipped with a camera into the uterine cavity to directly visualize the internal uterine environment. It enables clear identification of affected tissues and precise localization prior to surgical intervention.
2. Medical Therapy:
- Traditional Chinese Medicine (TCM) enemas may help improve symptoms and promote separation and alleviation of adhesions.
- Oral Western medications—primarily anti-inflammatory agents—may also be prescribed.
Currently, 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 the hysteroscope enters the uterine cavity, abnormalities within the cavity—and sometimes the cervix—can be identified. The physician first disinfects the patient’s vagina and external genitalia, then uses a disposable cervical clamp to stabilize the cervix. A surgical probe is subsequently introduced into the uterine cavity; illumination from the hysteroscope enables clear visualization of pathological tissues, allowing precise localization and targeted surgical intervention.
② Pharmacotherapy
For mild cases of intrauterine adhesions, integrated traditional Chinese and Western medicine approaches may be employed. Traditional Chinese herbal enemas can help alleviate adhesions and promote separation of affected tissues. Alternatively, oral Western medications—particularly anti-inflammatory agents—may be prescribed to reduce inflammation and facilitate its resolution and absorption.
③ Physical Therapy
Physical therapy can also serve as an adjunctive treatment. Appropriate physical activity enhances local blood circulation, while a balanced diet and regular exercise contribute beneficially to the management of intrauterine adhesions.
