How long does it take to rule out uterine adhesions after abortion?

It usually takes 1-3 months to eliminate uterine adhesions after abortion. The specific time is related to factors such as postoperative recovery and personal physique.

The first month after abortion is a high-risk period for uterine adhesions. At this time, the endometrium is in the repair stage. If symptoms such as a significant decrease in menstrual flow, lower abdominal pain, or amenorrhea occur, you need to be alert to the possibility of adhesions. After the first menstrual period after surgery, the return of menstrual volume, color, and cycle to normal usually indicates that the endometrium is well repaired. Some patients require further evaluation through ultrasound or hysteroscopy. If there are no abnormalities after menstruation resumes and the examination results are normal, adhesions can be preliminarily ruled out. If there are no abnormal symptoms and regular menstruation within 3 months after surgery, it can be confirmed that there is no adhesion in most cases.

Factors such as premature uterine cavity operation after surgery or the presence of infection, multiple miscarriages, etc. may prolong the observation period. If you have persistent abdominal pain, fever or abnormal menstruation after surgery, you should seek medical attention promptly. Depending on the situation, the doctor may recommend the use of estrogen drugs to promote endometrial repair, or hysteroscopy to separate adhesion tissue.

You need to avoid strenuous exercise and sexual intercourse for one month after surgery, keep your perineum clean, and take antibiotics as directed by your doctor to prevent infection. Increasing the intake of high-quality protein and vitamins in the diet, such as lean meat, eggs, broccoli, etc., can help repair the endometrium. Regularly review ultrasound. If menstruation is still absent or abnormal after 3 months, further examination and treatment are required.