The uterine cavity adhesions and infertility.

The uterus malformation, stunting, endometritis, uterine fibroids, uterine cavity adhesion, location and abnormal uterine endometrium dysfunction can affect the operation of sperm, eggs and implantation of fetal development, growth, causing infertility or miscarriage. The uterine cavity uterine cavity adhesion syndrome, uterine isthmus, cervical trauma because of secondary infection caused by adhesions, Clinical there amenorrhea, month after less and infertility, said the uterine cavity adhesion syndrome, also known as Asherman syndrome. Pathophysiology normal uterine cavity close to the posterior, but endometrial integrity is not readily adhesion, Even in the menstrual ebb and endometrial function layer stripping, basal still incomplete and will not happen adhesion. Trauma (scratch, smell Palace) and the secondary cause of the infection is the main reason for the levy. Of course, after intrauterine plastic is also a cause. 56% of adhesion sites in the uterine cavity, affecting 24% of the uterine cavity and cervical canal, 20% of the uterine isthmus. Asherman so intrauterine deformation or blocked fallopian tube openings leading to infertility, uterine and endometrial deformation of the blood supply shortage. causing miscarriage or premature. A diagnosis. Infertility Infertility reported 43%, 14% of habitual abortion. 2. Abdominal pain and menstrual abnormalities March reported amenorrhea 65%, 16% of the month after less, yet 12% of the normal menstruation. After the incidence of abortion, and who only uterine isthmus or cervical adhesions, and no obvious intrauterine adhesions still menstrual formation, but not arise from amenorrhea. Tubal by menstrual blood to the uterine cavity back, it can stimulate the peritoneal abdominal pain, gynecological examinations a slightly enlarged uterus, cervix give pain, after the dome can puncture out blood, and clinical application of differential ectopic pregnancy. 3. Auxiliary hysteroscopy adhesion can be determined location, scope and nature. Right on Abortion secondary amenorrhea with abdominal pain, possible Bto understand intrauterine blood; in the primary hospital unconditionally available to detect uterine probe, the expansion of the Palais mouth after dark red blood outflow, abdominal pain disappeared. Chang is a simple and effective diagnosis and treatment methods. A treatment. Separation surgery adhesions (1) probe separation adhesions around allocated from the probe after cervical expansion for, such as adhesion closely, in order to prevent perforation of the uterus, the ultrasoundguided operate. (2) Separation Hysteroscopic adhesions from adhesions after surgery may intrauterine Add appropriate size IUD, three months later removed to prevent the adhesion. Artificial cycle and possible treatment for three months, prompted restoration of endometrial hyperplasia. Prevention family planning, abortion and reduce the number of induced abortions. Abortion and CURETTAGE attention aseptic operation to prevent excessive suction curettage and cervical trauma.