What are the treatments for intrauterine adhesions?

The main treatments for intrauterine adhesions include hysteroscopic adhesion separation, drug therapy, physical therapy, traditional Chinese medicine conditioning and daily care.

1. Hysteroscopic adhesion separation

Hysteroscopic adhesion separation is the main method to treat intrauterine adhesions and is suitable for patients with moderate to severe adhesions. The operation separates the adhesion tissue under direct vision of the hysteroscope and restores the normal shape of the uterine cavity. After surgery, an intrauterine device or balloon stent needs to be placed to prevent re-adhesion. Commonly used drugs include estrogen and progesterone sequential therapy to promote endometrial repair. This surgery has the advantages of less trauma and quick recovery.

2. Drug treatment

Drug treatment is suitable for mild intrauterine adhesions or postoperative adjuvant treatment. Commonly used drugs include estradiol valerate tablets to promote endometrial growth, dydrogesterone tablets to regulate endocrine, and aspirin enteric-coated tablets to improve uterine blood circulation. Drug treatment needs to be carried out under the guidance of a doctor. The course of treatment is generally 3-6 months, during which period regular reviews are required to evaluate the efficacy.

3. Physical therapy

Physical therapy mainly includes uterine massage and hot compress therapy. Uterine massage performed by professional doctors can promote local blood circulation and relieve adhesion symptoms. Hot compresses can assist treatment by improving pelvic blood circulation. Hot water bottles or professional physical therapy equipment can be used. The temperature is controlled at 40-45°C for 15-20 minutes each time. Physical therapy requires long-term persistence to be effective.

4. Traditional Chinese Medicine conditioning

Traditional Chinese medicine believes that intrauterine adhesions are mostly related to qi and blood stasis, and treatment is mainly based on promoting blood circulation and removing blood stasis. Commonly used prescriptions include Shaofu Zhuyu Decoction, Taohong Siwu Decoction, etc., which can be combined with acupuncture treatment. Commonly selected acupuncture points include Guanyuan, Qihai, Sanyinjiao, etc. Traditional Chinese medicine conditioning requires syndrome differentiation and treatment, and the course of treatment is long, usually more than 3 months, and is suitable as an auxiliary treatment method.

5. Daily care

Daily care includes measures such as avoiding uterine cavity operations, keeping the vulva clean, and exercising moderately. Patients should avoid unnecessary uterine surgery, pay attention to menstrual hygiene, and prevent infection. Appropriate exercise such as yoga and walking can help improve pelvic blood circulation. You can eat more foods rich in vitamin E and high-quality protein, such as nuts, deep-sea fish, etc.

Patients with intrauterine adhesions need to be reviewed regularly after treatment. It is generally recommended to review hysteroscopy 3 months and 6 months after surgery. In daily life, you should pay attention to keep warm, avoid catching cold, and maintain a regular schedule. The diet should be light and nutritious, and vitamins and minerals can be supplemented in appropriate amounts. During the treatment period, strenuous exercise and heavy physical labor should be avoided, and an optimistic attitude should be maintained to facilitate recovery. If abnormal bleeding or abdominal pain worsens, seek medical attention promptly.