Uterine adhesions are mainly caused by various factors leading to damage to the basal layer of the endometrium, resulting in partial or complete occlusion of the uterine cavity. Uterine adhesions are extremely harmful to women and can cause symptoms such as reduced menstruation, amenorrhea, and periodic abdominal pain. Therefore, some women have asked whether uterine adhesions can be detected by ultrasound?
It is possible to detect intrauterine adhesions through ultrasound examination, but it should be noted that there are two types of ultrasound: abdominal ultrasound and vaginal ultrasound. The most effective method for diagnosing intrauterine adhesions is to use vaginal ultrasound. The doctor will place the ultrasound probe into the female vagina to observe the situation inside the uterus and make a diagnosis. Due to the clear image presented by vaginal ultrasound, the location and degree of uterine adhesions, as well as the thickness of the endometrium in the uterine cavity, can be clearly seen, and the results are very accurate.
In addition to vaginal ultrasound examination, there are other diagnostic methods for intrauterine adhesion diseases, such as hysterosalpingography. By injecting iodine water contrast agent directly into the uterine cavity through a catheter from the cervix, the iodine water contrast agent will pass through the uterine cavity into the fallopian tubes. Then, under X-ray irradiation, the condition of the uterine cavity and fallopian tubes can be seen to determine whether there is adhesion or occlusion.
Uterine cavity acoustic contrast examination needs to be performed in conjunction with vaginal ultrasound. Inject 20 to 30 milliliters of physiological saline into the uterine cavity, and then determine the presence, degree, and location of intrauterine adhesions based on the characteristics of the sound. The diagnostic accuracy is better than that of simple vaginal ultrasound examination. Hysteroscopy is also an effective method for diagnosing intrauterine adhesions and a commonly used method for treating them. Only when there is difficulty in separation under hysteroscopy, open surgery is needed for treatment.
