Can endometrial adhesions heal on their own?

Endometrial adhesions usually do not heal on their own and require medical intervention. Endometrial adhesions may be related to factors such as uterine cavity manipulation, infection, endometrial damage, etc., and usually manifest as symptoms such as decreased menstrual flow, amenorrhea, and infertility.

Endometrial adhesions are mostly caused by uterine cavity surgeries such as induced abortion and dilation and curettage that damage the basal layer of the endometrium, leading to the proliferation of fibrous tissue to form adhesions. Inflammatory infections such as endometritis and tuberculous endometritis can also damage the endometrium's ability to repair. If endometrial injury is not treated in time, fibrin deposition will gradually form dense adhesion zones, hindering the normal regeneration of the endometrium. Typical symptoms include menstrual cycle disorders, menstrual periods shortened to 1-2 days, menstrual flow significantly reduced or even intravenous drip, and severe cases may cause periodic lower abdominal pain. In some patients, endometriosis may occur due to reflux of menstrual blood due to uterine cavity closure.

Rarely, minor membranous adhesions may improve spontaneously during the menstrual cycle with endometrial denudation, but this is extremely rare and unpredictable. In most patients, the degree of adhesions may gradually worsen over time. Untreated severe adhesions can lead to complete sealing of the uterine cavity, resulting in permanent infertility. For patients with fertility needs, delaying treatment may miss the optimal opportunity for intervention.

It is recommended to seek medical treatment promptly when abnormal menstruation or infertility symptoms occur, and obtain a clear diagnosis through hysteroscopy. Treatment needs to be carried out under the guidance of a doctor, including hysteroscopic adhesion separation, balloon stent placement, estrogen-promoted endometrial repair and other comprehensive solutions. Postoperative review is required regularly, along with anti-infective treatment and fertility guidance to avoid recurrence of adhesions. Daily attention should be paid to perineal cleaning, unnecessary uterine cavity operations should be avoided, and medication should be taken according to doctor's instructions after abortion.