Caesarean section sequelae: heavy menstruation

With the development of science and technology, childbirth for pregnant women is now safer than in the past. Whether it is a natural birth or a caesarean section, the success rate is extremely high. However, some pregnant women experience heavy menstruation as a result of cesarean section. So what exactly causes this situation? How can it be solved? Let’s take a look.

Although the techniques of anesthesia and surgery for cesarean section are now quite mature, cesarean section itself still causes some sequelae that were not known in the past.

Caesarean section sequelae may cause continuous menstrual bleeding

For example, some women who choose to have a caesarean section face the situation of longer menstrual periods after giving birth. Some people's menstrual periods increase from 7 days to 8 to 9 days, and finally to 14 days. Some people even have up to 21 days. However, the menstrual cycle remains unchanged. For half of every month, they suffer from constant menstrual bleeding. After finally having a few days of relief, the "good friend" cycle begins again and they face the continuous cycle of menstrual bleeding again.

This is because during a caesarean section, after the wound on the cervix forms a scab, the muscles at the scab will contract, causing the originally smooth cervix to form a depression. Originally, menstrual blood would flow out unimpeded through the cervix, but because the depression forms in the cervical channel, some of the menstrual blood will accumulate in the depression, causing the subsequent menstrual blood to drip and not flow out.

Abnormal menstruation and sequelae of cesarean section

In fact, menstrual abnormalities can be said to be a sequelae of cesarean section. According to clinical statistics, 3 to 4 out of every 10 pregnant women undergo cesarean section, and the proportion of menstrual abnormalities after surgery is approximately between 4% and 8%. There are many reasons for this, many of which are due to uneven and concave wounds on the inner wall of the uterus caused by the healing of the cesarean section wound, resulting in menstrual blood retention.

In the past, due to the lack of popularity of endoscopic surgery, women were reluctant to undergo invasive surgery to improve similar situations. However, patients can now be diagnosed through ultrasound. If the depression is indeed caused by residual scars in the uterus, which hinders the discharge of menstrual blood, minimally invasive surgery covered by health insurance or self-funded Da Vinci robotic arm surgery can effectively and permanently improve the problem.