Patient's question:
Doctor, I've had a miscarriage for four years now. I've been married for three years without having any children, and I haven't taken any contraceptive measures. Is it enough to just check these items? I'm so worried!(1) Tubal inflammation and obstruction
Due to severe cervical inflammation or poor sterilization during the procedure, bacteria can be introduced into the uterine cavity, leading to tubal inflammation and subsequent obstruction. This hinders the meeting and fertilization of eggs and sperm.
(2) Cervical and uterine cavity adhesion
During an induced abortion, excessive suction or scraping can damage the cervical canal and endometrium, followed by cervical adhesion and obstruction.
Doctor's answer:
Human flow can potentially cause cervical adhesion. Because surgery requires entering the uterine cavity through the cervix to perform procedures. If damage occurs during the operation, it is easy to lead to cervical adhesion.The symptoms of cervical adhesion include difficulty or inability to discharge menstrual blood, which can result in dysmenorrhea or menstrual cycle-related dysmenorrhea. The treatment is relatively simple: use a uterine sound to enter the uterine cavity, then dilate it with a dilator. Apply some paraffin oil, and use antibiotics for a few days after the surgery.
If there is uterine adhesion, it often requires hysteroscopic surgery to separate the adhesion. After separation, it is usually necessary to insert an intrauterine device (IUD) and use antibiotics for a period of time after the surgery.
Long-term cervical adhesion (or combined with uterine adhesion) can lead to severe damage to the endometrium, resulting in infertility in the future (this type of infertility has an extremely low success rate even with in vitro fertilization, as IVF is ineffective for cases where the embryo cannot implant in the uterine cavity). Therefore, if cervical adhesion is detected, it should be treated as early as possible!