Where does the menstrual blood from cervical adhesion go?

Women's menstruation is caused by the shedding of the uterine lining and the discharge of fluid from the body through the cervix and vagina. If adhesions occur in the cervix, menstruation cannot be discharged. If it is a small amount of menstruation, it may be retained in the uterine cavity, causing the volume of the uterus to gradually expand. The patient may experience infectious symptoms such as abdominal pain, abdominal mass and fever.

If there is too much menstruation, the uterus swells and cannot accommodate the feces, which will go into the pelvis along the fallopian tubes on both sides, which can easily cause pelvic endometriosis and ovarian endometriosis. These diseases can easily cause abdominal pain and infertility in women. Therefore, if cervical adhesion occurs, timely treatment is required. If necessary, the cervix should be incised and drained to discharge menstruation and prevent further development of the disease.

Cervical adhesion refers to the narrowing or closure of the cervical canal due to adhesion of the cervical canal mucosa after damage. Due to the different degrees and ranges of adhesions, the flow of secretions or menstrual products in the uterine cavity may be blocked or even completely blocked, resulting in uterine fluid accumulation and menstrual retention, which in turn leads to dysmenorrhea and potential amenorrhea. Secondary infection can cause pyometra. Cervical adhesions can be diagnosed not only based on the patient's clinical symptoms, but also through auxiliary examinations.

1. How to distinguish cervical adhesions

1. Differentiation based on clinical symptoms

(1) Lower abdominal pain: Generally, about one month after abortion or curettage, sudden lower abdominal cramping pain occurs. Some patients have severe abdominal pain, restlessness, difficulty in movement, and even pain when passing gas or defecating.

(2) Irregular menstruation: Patients with complete cervical adhesion may experience amenorrhea, while patients with partial cervical adhesion may experience less menstruation but normal menstrual cycle.

(3) Pregnancy abnormalities: Infertility is the most critical symptom of this disease, and patients are very likely to experience unsuccessful pregnancy, including miscarriage in the early and mid-term pregnancy, premature birth, ectopic pregnancy, etc.

amenorrhea

2. Diagnosis based on auxiliary examination

(1) Uterine probe inspection: Generally, when the uterine probe is inserted into the cervix about 1-3 cm, there will be a sense of friction resistance, or the probe cannot be inserted, which indicates cervical adhesion;

(2) Hysteroscopic surgery: It can determine whether there is cervical adhesion and determine the location, range, level and tissue of the adhesion;

(3) Uterine and bilateral fallopian tube iodine contrast examination: It can not only determine whether the cervix is ​​adhered, but also has a clearing effect on mild cervical adhesions.