How to prevent adhesion after abortion?

Abortion is very harmful to women's bodies because during the process, it may cause permanent damage to women's bodies due to factors such as operational errors, resulting in the inability to get pregnant again. This is not alarmist, because many women have encountered such situations in life, and they are very painful and regretful. So, how to prevent adhesion after abortion?

How to prevent intrauterine adhesions

1. The patient's chronic cervicitis and endometritis should be actively treated before surgery to prevent postoperative infection.

2. If you find that you have a dilated cervix, do not use it roughly and do not skip the dilator to avoid damaging the cervical canal.

3. The negative pressure should be appropriate during suction, and the negative pressure should be turned off when entering and exiting the cervix.

4. Adhesions can be released with a probe or a small dilator. An intrauterine contraceptive device can be effectively placed. Some people also use cortical hormones to prevent fibrosis, or use estrogen and progesterone for artificial cycles to effectively treat the condition.

5. Implement family planning and reduce the number of artificial abortions and induced labors. Pay attention to aseptic operation during artificial abortion and uterine curettage to prevent excessive suction and cervical trauma.

Causes of intrauterine adhesions

1. History of intrauterine operation

(1) Pregnancy factors: pregnancy-related intrauterine surgery such as vacuum aspiration in early pregnancy, forceps curettage in mid-pregnancy, curettage for induction of labor in mid-pregnancy, curettage for postpartum hemorrhage, and curettage for spontaneous abortion. This may be because the basal layer of the endometrium of the pregnant uterus is more easily damaged, causing the uterine walls to adhere to each other and form permanent adhesions.

(2) Non-pregnancy factors: Myomectomy (entering the uterine cavity), transuterine removal of submucosal uterine myomas, hysterectomy, and double uterus surgery destroy the basal layer of the endometrium, exposing the myometrium to the uterine cavity and leading to anterior and posterior adhesions of the uterine wall.

(3) Human factors: The basal layer of the endometrium is damaged by human factors, leading to the occurrence of intrauterine adhesions. Such as adhesions caused by endometrial electrosurgical resection, intrauterine microwave, cryosurgery and chemotherapy.

2. Surgical inflammatory factors

Intrauterine infection includes uterine tuberculosis, postmenopausal senile endometritis, secondary infection after uterine operation, puerperal infection, secondary infection after intrauterine contraceptive device placement, etc.

3. Human Factors

Some women develop uterine adhesions, which are caused by certain factors. Artificially destroy the basal layer of the endometrium to cause intrauterine adhesions. Such as intrauterine microwave, endometrial electrosurgical resection, cryotherapy, chemotherapy, and local radiotherapy.

4. Endometrial damage during curettage due to various reasons

If the uterus is repeatedly curettaged, it is very easy to damage the basal layer. The intrauterine adhesion caused by this reason is called traumatic adhesion, which is the most common. Therefore, obstetricians and gynecologists should use appropriate depth of curettage. Women of childbearing age should implement contraceptive measures and avoid abortion, especially for the first abortion, which may cause secondary infertility due to intrauterine adhesion.