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Xiao, my college friend, stayed in Beijing after graduation with her boyfriend and built a successful career over the past decade. They established a company in Zhongguancun, bought a big house, and owned luxury cars. However, at a recent gathering, she suddenly burst into tears: at 35, she still had no children, and she was distraught.
We knew that she postponed having children for her career and had two abortions. She suspected these might have caused her current fertility issues, so we helped her book an appointment with a hospital friend. After learning about her periodic lower abdominal pain and scanty menstruation, the doctor conducted an ultrasound. The results indicated thin or interrupted endometrium, suggesting a potential uterine adhesion.
Uterine adhesions occur when parts or all of the front and back walls of the uterine cavity adhere to each other, causing narrowing or complete loss of the cavity. In China, 90% of uterine adhesions are caused by endometrial damage from abortion procedures. Warning signs include reduced menstrual flow or pelvic pain after abortion. In rare cases, uterine adhesions can also result from other uterine surgeries such as hysteroscopy or uterine artery embolization.
A normal uterus resembles a pear shape, shedding the endometrium periodically to form menstruation. The integrity and normal function of the basal layer of the endometrium prevent adhesions. However, damage to the basal layer impedes the formation of the functional layer, and adhesions replace the damaged endometrium, leading to sparse endometrial glands and affecting menstruation.
Uterine adhesions often manifest as reduced menstrual flow and abdominal pain. Severe intrauterine adhesions can lead to occlusion of the uterine horn or cervix and blockage of the fallopian tubes, preventing sperm and eggs from meeting and causing infertility. Intrauterine adhesions can also lead to secondary infertility, recurrent miscarriage, premature birth, and serious complications such as retained placenta, placenta accreta, and postpartum hemorrhage even with full-term pregnancy. Unless there is a need for fertility, uterine adhesions generally do not have a significant impact.
Dr. Nathan Zhang, an expert in assisted reproduction at IVF USA and a medical doctor trained in the United States, points out that after the age of 35, women experience declining bodily functions, ovarian function deterioration, decreased uterine quality, aging eggs, endometriosis, adenomyosis, pelvic inflammation, and other symptoms, including infertility in patients with a history of infertility and miscarriage or late pregnancy. IVF-PGT technology brings hope to infertile families. The IVF-PGT technique involves fertilizing eggs and sperm outside the body after removing them, transplanting embryos back into the uterus of the mother, and developing into fetuses.
Uterine adhesions can lead to blockages, and effective examinations and treatments are needed during the pathological period. Active treatment of cervical adhesions can reduce uterine cavity infections, prevent secondary endometriosis, and infertility. If pregnancy is still difficult after treatment, IVF USA technology can help.
Currently, IVF USA offers frozen eggs in the United States, IVF and third-party assisted reproductive services, and business has expanded to Japan, Thailand, Mexico, Taiwan, Hong Kong, and other regions outside the United States. It closely cooperates with top IVF doctors globally. If you have any questions about freezing eggs or IVF, please contact Dr. Nathan Zhang and his team at IVF USA. They will provide you with professional consultation and support to help you achieve your dream of parenthood.