Adhesions Due To Fibroid Surgery
In our article yesterday about Swollen Legs During Menstruation, we announced that anyone that has any pressing health challenge that wants us to talk about should send it. We actually received some and one of them is what we are treating today. See the capture of the original e-mail she sent (e-mail address blocked for privacy sake)…
The fellow has actually undergone fibroid surgery 3 times and adhesions set in as a a result of that. Today, we will be discussing what intrauterine adhesions are, what causes them and what you can do to overcome them once and for all to regain your fertility.
Intrauterine adhesions/scarring or synechiae, is an acquired uterine condition, characterized by the formation of adhesions (scar tissue) inside the uterus and/or the cervix. In many cases, the front and back walls of the uterus stick to one another. In other cases, adhesions only occur in a small portion of the uterus. The extent of the adhesions defines whether the case is mild, moderate, or severe. The adhesions can be thin or thick, spotty in location, or confluent.
What Actually Are Intrauterine Adhesions?
The inside of the uterus is like a pocket with the front and back walls flat against each other. The pocket (i.e. uterus) is lined with tissue called endometrium. During menstruation, the superficial (topmost) layer of the endometrium is shed.
When a woman becomes pregnant, the embryo implants in the endometrium. Injury (due to surgery) to and/or infection of the endometrium may damage the uterine lining and cause formation of adhesions (scar tissue) between the inner walls of the uterus.
Asherman Syndrome is the term used to describe adhesions inside the uterus. The scarring can be mild with thin stretchy bands of scar tissue or more severe with formation of thick bands. In the most severe cases, partial or total destruction of the inside of the uterus can occur.
Causes of Asherman Syndrome
The most common cause of intrauterine adhesions is injury following a surgical procedure involving the cavity of the uterus such as in fibroid surgeries, D&C and co.
Dilatation and curettage (D&C) is a common outpatient surgical procedure during which the cervix (neck of the uterus) is opened and the tissue contents of the uterus are emptied. Intrauterine adhesions may form following a D&C performed for pregnancy complications such as uterine bleeding following childbirth or miscarriage, or less commonly, for other gynaecological problems that involve the uterus.
Other possible causes of adhesion formation are infections of the uterine lining (endometritis), removal of fibroids in the cavity of the uterus and endometrial ablation (a surgical procedure that is used to intentionally damage the uterine lining to eliminate menstrual periods or make periods lighter).
What Symptoms Are Associated With Asherman Syndrome?
A woman with intrauterine adhesions may have no obvious problems. Many women, however, may experience menstrual abnormalities such as absent, light or infrequent periods. Other women may be unable to achieve pregnancy or may experience recurrent miscarriages. They may also experience complications at the time of delivery due to abnormal implantation of the placenta. Less commonly, if the scar tissue blocks menstrual blood flow, Asherman syndrome can cause pelvic pain or painful menstrual periods.
How Do You Make A Diagnosis Of Asherman Syndrome?
Asherman syndrome can be diagnosed by hysteroscopy, hysterosalpingogram (HSG), or sonohysterogram (SHG). Hysteroscopy is the most accurate method to evaluate intrauterine adhesions and is a procedure in which a thin, telescope-like instrument is inserted through the cervix to allow the doctor to see directly inside the uterus. HSG and SHG are useful screening tests for adhesions. HSG is an x-ray procedure during which a dye that can be seen on x-ray is placed into the uterine cavity so that the shape of the inside of the uterus can be seen. During a saline ultrasound (SHG), a salt solution similar to normal body fluid is infused through the cervix into the uterus and a sonogram machine is used to see the uterine cavity. In both HSG and SHG, the adhesions are seen as “filling defects,” spaces where the fluid does not flow freely.
How Is Asherman Syndrome Treated?
Surgical removal of intrauterine adhesions with hysteroscopic guidance is one way to treat Asherman syndrome. A special operating hysteroscope is used to cut away the scar tissue. This is frequently done under anaesthesia. Following removal of the adhesions, many surgeons recommend temporarily placing a device, such as a plastic catheter, inside the uterus to keep the walls of the uterus apart and to prevent adhesions from reforming. Hormonal treatment with oestrogen and NSAIDs are frequently prescribed after surgery to lessen the chance of reformation of adhesions. In severe cases, more than one attempt at surgical removal of the adhesions may be necessary.
This is another danger most women are running away from. Post-surgery complications are still there and there is no guarantee on the outcome. The reproductive system may be severely damaged too.
Treatment with oestrogen is also another problem as excess oestrogen in the body may promote fibroid growth and obesity which will be issues the woman will be battling with after overcoming adhesions through surgery.
How To Get Rid Of Intrauterine Adhesions Naturally
If you don’t want to suffer all the aforementioned, there is a better and natural option you which has equally helped a lot of women and that’s the Asherman Syndrome/Intrauterine Adhesion Remedy Kit.
With the treatment offered by this Kit, you are guaranteed of a lasting solution to Intrauterine Adhesions and your fertility will be fully restored. Click here to read about the Asherman Syndrome/Intrauterine Adhesion Remedy Kit.
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