Uterine cavity adhesions and infertility.

Uterine malformation, stunting, endometritis, uterine fibroids, the intrauterine adhesions, abnormal uterine and endometrial dysfunction, can affect the operation of sperm, the fertilized egg implants and fetal development, growth, cause infertility or miscarriage. Uterine cavity uterine cavity adhesion syndrome, uterine isthmus, cervical of secondary infections from injuries caused by adhesions, Clinical there amenorrhea, and small, through infertility, said uterine cavity adhesion syndrome, also known as Asherman syndrome. 【Pathology -- the normal uterine cavity close to the anterior and posterior wall, but the endometrial integrity and difficult adhesion, Even in the menses endometrial function layer stripping, the basal layer is still incomplete and will not happen adhesion. Trauma (scratching, smoking 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's so intrauterine deformation or blocked fallopian tube openings leading to infertility, uterine endometrium deformation and the blood supply shortage lead to miscarriage or premature. 【-- A diagnosis. According to reports Infertility Infertility 43%,14%% of habitual abortion. 2. Abdominal pain and menstrual abnormalities March reported amenorrhea 65%, 16%, through small, yet 12% of the normal menstruation. After the incidence of abortion, and who only uterine isthmus or cervical canals, and no obvious intrauterine adhesions, there menstrual formation, But there can not be discharged and amenorrhea. Menstrual blood to the uterine cavity by tubal back stimulate peritoneal have abdominal pain, gynecological examinations a slightly enlarged uterus, cervix give pain, After fornix puncture can extract blood, and clinical application of differential ectopic pregnancy. 3. Auxiliary hysteroscopy may determine adhesion location, scope and nature. Right to abortion secondary amenorrhea with abdominal pain, possible B-checks to understand intrauterine blood; the unconditional Hospital probe can be used to detect uterine, cervical expansion after dark red blood outflow, abdominal pain disappeared. often simple and effective diagnosis and treatment methods. [1] treatment. Separation surgery adhesions (1) adhesion probe separated from the probe allocated around after cervical expansion operation, such as adhesion closely, in order to prevent uterine perforation, the ultrasound-guided operate. (2) Separation Hysteroscopic adhesions after surgery or laparoscopy, the intrauterine Add the appropriate size IUD, Three months later removed to prevent the adhesion. Artificial cycle and possible treatment for three months, the endometrial hyperplasia repair. 【Prevention -- family planning, abortion and reduce the number of induced abortions. Abortion and curettage attention to aseptic operation to prevent excessive absorption scratching and cervical trauma.