Menorrhagia after cesarean section, watch out for secondary infertility

This is an automatically translated article.


Video content is professionally consulted by Master, Doctor Nguyen Ngoc Chien - Reproductive Support Center - Vinmec Times City International General Hospital

Currently, the status of old caesarean scar defects is increasing due to the relatively high cesarean section rate of 40-60% in Vietnam. Until now, there is still much controversy about the optimal cesarean section and limiting the consequences. The old cesarean scar defect, if it does not cause a collection of incisional fluid, and does not bleed in the uterine cavity affecting the implantation of the fetus, it is not likely to be secondary infertility.

Suggestions for diagnosis of surgical wound collection may be menorrhagia: On the day near the middle of the menstrual cycle, the discharge is more abundant with brown color. The time to examine to determine menorrhagia is near the middle of the menstrual cycle. So is menorrhagia dangerous?
In addition to the signs of postpartum menorrhagia alone, the best means of diagnosing fluid accumulation causing menorrhagia is transvaginal ultrasound, which can be combined with ultrasound alone and ultrasound of the uterus. At Vinmec Times City International Hospital, the ultrasound technique for diagnosing menorrhagia has been standardized. After having an accurate diagnosis, the doctor will have a suitable treatment plan
The problem of surgical wound collection causing post-partum menorrhagia is still not properly concerned by the doctor, and the patient has not noticed it, so There are many cases of infertility secondary to IVF without knowing that they have a collection of fluid from the old cesarean.
To treat infertility secondary to fluid accumulation at the old cesarean site, medical treatment can be used, but the method is judged to be ineffective and the patient still needs surgery.
Open caesarean section: Cut out the old caesarean section and suture; Laparoscopic method: Cut out the old caesarean section and suture.

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