23/01/2024
I was preparing for in vitro fertilization (IVF) when I found out that I had uterine adhesions. Ask your doctor if this condition is dangerous? Can I continue IVF?
I had to have an abortion because there was no fetal heart, could this be the cause of the adhesion of the uterine cavity. How soon after surgery can I do IVF and is there any way to limit the stickiness again? Adhesions to the uterus affect the health of both mother and child in the future? (Thoa, 28 years old, Hanoi).
Answer:
Uterine adhesions are common lesions in women of reproductive age. This phenomenon occurs when the lining of the uterus is lost, leaving the submucosa on both sides of the uterus exposed, creating sticky bands, preventing the normal regeneration of the endometrium after each cycle. period.
Adhesions to the uterus are common complications after curettage and aspiration; performing procedures, surgical intervention in the uterine cavity or due to genital tuberculosis… When it is attached, the uterine cavity narrows, preventing the implantation of the embryo. About 1.5-3% of patients are diagnosed with infertility is due to this cause.
Depending on the degree of adhesion, the doctor will perform hysterectomy with separation or laparoscopic hysterectomy. However, the possibility of re-adhesion after intervention is still quite high, about 48-70%.
In your case, you should go to a hospital or a reputable medical facility on obstetrics and gynecology as well as early infertility to be diagnosed and promptly treated. About two cycles after your hysterectomy and hormone therapy, your doctor will check and reassess your reproductive health. If you are eligible, you can proceed with in vitro fertilization.
Good luck to you and welcome your baby soon!