Several problems can arise when a couple is planning to have a child. In addition to all the external problems that need to be overcome, many couples can also face infertility.
It is estimated that about 15% of couples in Brazil suffer from this type of problem, and it is necessary to resort to a specialist in human reproduction to carry out the appropriate treatment, when possible.
And one of the main causes of infertility in women is uterine synechia . But what exactly does that mean? What are its causes? Is there treatment? We will talk about all these aspects in today’s text.
What is Uterine Synechia?
We can define a uterine synechia as an adhesion that is formed on a woman’s uterus, similar to a scar. There are three stages in which this type of adhesion can be found. Are they:
In the stage of light adhesions, they present endometrial tissue , either totally or partially. In the moderate stage, adhesions also rely on fibromuscular tissue coated by the endometrium, which can already cause damage to the uterine cavity, whether total or partial. In its severe stage, the disease presents a dense tissue that causes more damage to the uterine cavity.
Although there is a certain myth surrounding uterine synechia, it is important to remember that the fact that a woman has uterine synechia does not necessarily mean that she is infertile , but it is clear that care must be taken, as the risk exists.
Main Symptoms of Uterine Synechia
One of the biggest problems for a woman to discover that she has this type of problem, is that the uterine synechiae are asymptomatic , that is, they do not present any alteration that makes the woman feel that she has a problem.
However, there are some small signs that may indicate that something is wrong with the uterus. Some of them are:
- Problems with menstruation fluid such as amenorrhea, dysmenorrhea and hypomenorrhea;
- Spontaneous abortions;
- Problems in pregnancy.
It is often one of these signs that makes a woman discover that she has this condition. If a pregnant woman discovers that she has a uterine synechia, she has a risky pregnancy and needs special care so that she does not develop more problems during pregnancy.
What are the Causes?
The cause of a uterine synechia appearing in a woman is due to some aggression that her uterus has suffered internally. From that point on, we can speculate several reasons why the uterus was attacked, such as:
- Cesarean section
- Withdrawal of fibroids
- Uterine infections
- Intrauterine surgeries
As you can see, there are several factors that can cause a uterine synechia in a woman. For this reason, it is always important to be aware of the complications that some types of surgeries or treatments can bring and always keep the exams up to date so that problems such as uterine synechiae do not have bad consequences.
How is the Diagnosis of Uterine Synechia made?
The diagnosis is made through a thorough investigation of a woman’s uterine cavity. These tests are usually done after the woman has shown any signs of alteration in the body, such as menstrual changes or the development of some type of disease.
The best way to prevent a woman from developing uterine synechiae is to take the right precautions, especially in the post-operative period of the uterus, as this is when these adhesions can form. In addition, it is also always important to be aware of the possible signs that the body gives that something is not right.
Treatment of Uterine Synechia
Depending on the severity of the disease, that is, at what stage it appears at the moment, the treatment of uterine synechia can be carried out in a simpler or a more complex one.
It is done when adhesions in the uterus do not have a very thick tissue and can be treated with non-surgical hysteroscopies. This procedure does not demand much from the woman and can yield good results over time, causing adhesions to decrease or even disappear. If this type of treatment does not work, it is necessary to carry out a complex treatment.
When adhesions are more resistant or with thicker tissues, surgery is often necessary. Surgery is considered quick and simple, with the woman being able to be discharged on the same day. Depending on the severity of the disease, it is not always possible to make the woman have a peaceful pregnancy, even though this is the main objective of the treatment.
When uterine synechiae are not treated or are not treated properly, some complications can arise in a woman’s life. The main ones have to do with infertility and spontaneous abortions that can occur in the case of a pregnancy.
Although this is scary for many women, it is necessary to remember that it only happens in more extreme cases, when the treatment does not work.
Problems like uterine synechia can worry and make many women afraid. However, it is necessary to remember that this is a problem that happens to many and that there are forms of treatment for it to be overcome.
As frightening as some problems with our bodies may seem, it is necessary to remain calm and think about the best way to face them so that we have as few consequences and complications as possible.
Of course, it is not an easy process and it will take some effort on your part, but with the help of people around you, you will realize that, like any other disease, the uterine synechia can be overcome.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.