How to treat cervical adhesions infertility

Patient's question:

Doctor, my sister-in-law has been divorced for several years and has been infertile. She took her to the hospital for a thorough examination, and the doctor said she suffers from cervical adhesions. My sister-in-law had an induced abortion once before. I want to ask, what should be done about infertility due to cervical adhesions?

Doctor's answer:

Cervical adhesions can be divided into peripheral and central types. The former involves adhesions or peripheral adhesiolysis in the periphery of the uterine cavity, where the periphery narrows into a cylindrical shape. The latter involves adhesions in the central part of the uterine cavity. Hysteroscopy can allow for detailed observation of the degree and location of adhesions under direct vision.
Cervical canal adhesions may recur in cases where the cervical canal epithelium is damaged during artificial abortion by negative pressure aspiration, or in cases where the cervical canal epithelium is injured during the treatment of cervical erosion using electrocoagulation, cryotherapy, laser, or corrosive drugs. Patients facing cervical adhesion issues should promptly follow symptomatic treatment principles and should not avoid seeking medical attention. If cervical adhesions do not improve with treatment, a timely adjustment of the treatment plan is necessary.

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