What are the symptoms of intrauterine infection? Be vigilant after artificial abortion

Some female friends do not pay strict attention to hygiene requirements after artificial abortion or have sexual intercourse too early, which can cause uterine inflammation infection and amenorrhea. The amenorrhea period can be very long, and treatment with estrogen and progesterone does not cause withdrawal bleeding.

1. Symptoms vary depending on the location of adhesions, but the main symptoms are amenorrhea with cyclical abdominal pain, oligomenorrhea, and secondary infertility after repeated artificial abortions or curettage.

(1) Amenorrhea (or oligomenorrhea) Patients with complete uterine adhesion may experience amenorrhea, which may last for a long time, and treatment with estrogen and progesterone does not cause withdrawal bleeding. Partial adhesion of the uterine cavity and/or partial destruction of the endometrium will result in scanty menstruation but normal menstrual cycles.

(2) Cyclic abdominal pain usually occurs about one month after an artificial abortion or curettage, with sudden spasmodic pain in the lower abdomen. More than half of patients experience an anal distension. Some patients experience severe abdominal pain, restlessness, difficulty moving, and even painful gas and bowel movements, and sometimes a feeling of urgency and heaviness in the abdomen. The pain usually lasts for 3 to 7 days before gradually subsiding and disappearing. About a month later, cyclical abdominal pain occurs again and gradually worsens.

(3) Infertility, recurrent miscarriage and premature birth. Secondary infertility is prone to occur after uterine cavity adhesion, and even if pregnancy occurs, recurrent miscarriage and premature birth are prone to occur. Due to adhesions in the uterine cavity, damage to the endometrium, and reduction in uterine volume, the normal implantation of the embryo is affected. And affect the fetus's survival to full term in the uterine cavity.

2. Signs: There is tenderness in the lower abdomen. In severe cases, there is rebound pain and even resistance to pressure. Gynecological examination revealed that the uterus was normal in size or slightly larger and softer, with obvious tenderness and sometimes cervical lifting tenderness; bilateral adnexa examination revealed that the condition was normal in mild cases and tenderness or thickening or a lump could be felt in severe cases: the posterior fornix might be tender, and even non-coagulated dark red blood could be drawn out by posterior fornix puncture, hence the name ectopic pregnancy-like syndrome.