N85.6

Clinical Causes: Prior uterine surgery, such as dilation and curettage (D&C), myomectomy, or hysteroscopic procedures Pelvic infections like endometritis that cause scarring within the uterus Trauma to the uterine lining during childbirth or other invasive procedures Radiation therapy targeting the pelvis Incomplete healing after uterine injury, leading to abnormal tissue formation

Key Symptoms: Reduced or absent menstrual flow (amenorrhea) Heavier or irregular menstrual bleeding Infertility or difficulty conceiving Recurrent pregnancy loss Pelvic pain or discomfort, particularly related to menstruation In some cases, no noticeable symptoms until fertility issues or menstrual irregularities arise

Diagnosis Path: Diagnosis of intrauterine synechiae typically involves a combination of clinical evaluation and imaging techniques. Hysteroscopy, a minimally invasive procedure, is considered the gold standard for viewing adhesions directly within the uterine cavity. Other diagnostic tools include ultrasound imaging and hysterosalpingography (HSG), which involve injecting a dye into the uterus to assess its structure. A detailed medical history focusing on prior uterine procedures or infections can also aid in diagnosis.

Treatment Protocols: Treatment options aim to remove adhesions and restore normal uterine anatomy. Hysteroscopic adhesiolysis, a procedure where the scar tissue is carefully cut or removed using a hysteroscope, is the most common approach. Postoperative therapy may include the insertion of intrauterine devices or placing estrogen therapy to prevent re-adhesion formation. In some cases, follow-up hysteroscopy is necessary to evaluate the success of the treatment and ensure proper healing. Management also involves addressing underlying issues like infections or hormonal imbalances, and close reproductive follow-up if pregnancy is desired.