The probability of intrauterine adhesions after uterine curettage

The probability of intrauterine adhesions after uterine curettage is about 5%-30%, which is specifically related to factors such as surgical operation, postoperative care, and personal physique.

Uterine curettage surgery is a common gynecological operation, but it may cause damage to the basal layer of the endometrium due to mechanical damage, which may lead to intrauterine adhesions. Mild adhesion often manifests as reduced menstrual flow or cycle disorders. In severe cases, it can lead to secondary amenorrhea or infertility. 1-3 months after surgery is a period of high incidence of adhesions. At this time, endometrial repair has not yet been completed, and the risk of infection will increase significantly. Clinical data show that the probability of adhesion after a single uterine curettage is usually less than 15%, but when the uterine curettage is repeated or combined with endometritis, the probability may rise to more than 25%. Standard hysteroscopic surgery procedures and postoperative prophylactic use of estrogen can effectively reduce the incidence.

After surgery, it is recommended to follow the doctor’s advice to perform pelvic floor muscle exercises to promote blood circulation and avoid strenuous exercise or early sexual intercourse. Appropriate amounts of high-quality protein and vitamin E can be supplemented daily to help repair the endometrium. If abnormal menstruation or lower abdominal pain occurs, a three-dimensional ultrasound needs to be reviewed in time. For those with fertility needs, it is recommended to undergo early intervention through hysteroscopy under the guidance of a doctor.